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Lifestyle Factors & Epilepsy

- Summary
- Managing seizures
- Identifying potential triggers
- Employment and epilepsy
- Driving and epilepsy
- Recreation and epilepsy
- Sex and epilepsy
- Special populations
- Questions for your doctor

Reviewed By:
Dongwoo John Chang, M.D.

Managing seizures with medication

One of the most significant aspects of coping with epilepsy is the ability to manage seizures. For most people with the condition, this involves the appropriate use of seizure medications.

For seizure medications to be effective, they must be taken as prescribed. It is believed that at least 15 percent of patients with many kinds of acute (short-term) or chronic illnesses (including epilepsy) do not take their medications as instructed, according to the Epilepsy Foundation. However, other estimates indicate that as many as 50 percent of patients do not take their medications as instructed. This can significantly increase the risk of severe and unmanageable seizures.

Various methods can help patients to remember to take their seizure medications on time. Using memory aids such as a pill reminder box or calendar can help patients comply with their medication schedule. Watch alarms and other reminder devices, and medication monitoring by a trusted family member, friend or healthcare professional may also help. In addition, patients should ensure that they always have an adequate supply of medication on hand, especially if they are planning on traveling.

The goal of seizure medications is to reduce the frequency of seizures as much as possible while keeping adverse side effects to a minimum. Although most side effects are mild, some can be severe and may interfere with daily life. For example, some seizure medications may increase or depress the appetite, leading to significant weight gain or weight loss. Other medications may result in behavioral changes, mood swings or depression. It is important that patients consult their physician if they feel uncomfortable with the side effects of their medication or if usually mild side effects become more severe. A physician may be able to recommend an alternative medication with more tolerable side effects.

Some seizure medications have an increased risk of birth defects. Therefore, pregnant women may need to have their medications adjusted, ideally prior to conception. Before making any changes to their medication schedule, women with epilepsy who are considering becoming pregnant should consult their physician.

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Review Date: 11-08-2007
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