There is no need to take the antiepileptic drugs for a single seizure. The meaning for this is that the recurring occurrence of seizures is what will guide the epileptic person to take in the drugs. The factor that is a key risk in adults is when a seizure occurs in the twenty four hours apart. The other factors include epileptic syndrome, nocturnal seizures, epileptiform abnormalities, abnormal imaging of the brain etc. When it comes to children there are also the key factors that affect them, they include: epileptic syndrome which is related with seizures, cerebral palsy, head trauma that is quite severe, electroencephalography which is abnormal among others. Taking in the antiepileptic drugs should be keenly considered since it can cause effecting on the behavior and potential cognitive. There is no effect on one to two rates of remission when it comes to delaying therapy to the second seizure.
When it comes to treatment of epilepsy it is necessary to start with monotherapy. Depending on the type of seizures there are different types of medication. There is no correlation of monitoring drug levels to improving effectiveness and effects reduction. There is a discontinuation of taking the antiepileptic drugs when the patient have not suffered an epileptic attack in two to five years of treatment. There are alternative treatment methods for types of seizures that are not affected by the agents. Some of the alternative treatments of epilepsy include ketogenic diets, brain neurostimulators that are implantable, Vagus nerve stimulators and also surgery. For epileptic starters it is advisable to avoid certain physical activities like driving etc. For pregnant mothers that are epileptic it is necessary to know that the drugs can be teratogenic.
The percentage of anyone developing epilepsy is 3.9%. However, males are known to be at a higher risk of suffering from epilepsy. Occurrence of seizures can occur due to various reason; meaning not necessarily due to epilepsy. For one to be diagnosed with epilepsy, they must have suffered an epileptic seizure. Also, they must be having a recurrent seizure. A single epileptic seizure does not mean one to start taking the antiepileptic drugs. Therefore, when it comes to a long term therapy it is necessary to consult from a physician who has specialized in management of seizures. When it comes to AED there is need for consultation with neurologist. Drugs should be individualized depending on the types of seizure, lifestyle, and preference by the patient, epilepsy syndrome presence etc. There is no recommendation to monitor the drugs’ treatment since they do not improve effectiveness or reduce the effects that are adverse.
When it comes to patients with epilepsy it is necessary to know that more than 30% of them suffer from medically refractory epilepsy. The meaning of these is that the patients have occurrence of seizures despite the continued AED therapy. The reason for deciding on the surgical treatment of seizure is to eliminate the seizures, reduce the frequency and improve the life’s quality of patients.