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Phenobarbital is one of the first-line drugs of choice to treat epilepsy in dogs, as well as cats. [11] It is also used to treat feline hyperesthesia syndrome in cats when anti-obsessional therapies prove ineffective. [72] It may also be used to treat seizures in horses when benzodiazepine treatment has failed or is contraindicated. [73]
Cats can have reactive, primary or secondary seizures. Idiopathic seizures are not as common in cats as in dogs; however, a 2008 study conducted showed that of 91 feline seizures, 25% were suspected to have had idiopathic epilepsy. [11] In the same group of 91 cats, 50% were secondary seizures and 20% reactive. [11]
Gabapentin, sold under the brand name Neurontin among others, is an anticonvulsant medication primarily used to treat neuropathic pain and also for partial seizures [10] [7] of epilepsy. It is a commonly used medication for the treatment of neuropathic pain caused by diabetic neuropathy, postherpetic neuralgia, and central pain. [11]
Both newer and older drugs are generally equally effective in new onset epilepsy. [42] The newer drugs tend to have fewer side effects. [42] For newly diagnosed partial or mixed seizures, there is evidence for using gabapentin, lamotrigine, oxcarbazepine or topiramate as monotherapy. [42]
The overall theory that feline hyperesthesia syndrome is a behavioural disorder is disputed on the basis of the variability of responses within affected cats to behaviour modification and psychoactive drugs, as a purely behavioural syndrome would be expected to enter remission after the application of the aforementioned therapeutic treatments.
Levetiracetam, sold under the brand name Keppra among others, is a novel antiepileptic drug [7] used to treat epilepsy. [8] It is used for partial-onset, myoclonic, or tonic–clonic seizures, [7] and is taken either by mouth as an immediate or extended release formulation or by injection into a vein.
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