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Epileptic seizures are a potentially serious comorbidity in people in multiple sclerosis which is uncommon but nonetheless present more often than in the general population, however there is currently a lack of evidence on the efficacy and safety of anti-epileptic medication specifically in people with multiple sclerosis.
Therefore, almost all new epilepsy drugs are initially approved only as adjunctive (add-on) therapies. Patients whose epilepsy is uncontrolled by their medication (i.e., it is refractory to treatment) are selected to see if supplementing the medication with the new drug leads to an improvement in seizure control.
Main symptoms of multiple sclerosis Symptoms and findings in multiple sclerosis. The signs and symptoms of multiple sclerosis (MS) encompass a wide range of neurological and physical manifestations, including vision problems, muscle weakness, coordination difficulties, and cognitive impairment, varying significantly in severity and progression among individuals.
Topiramate, sold under the brand name Topamax among others, is a medication used to treat epilepsy and prevent migraines. [9] It has also been used in alcohol dependence and essential tremor. [9] For epilepsy this includes treatment for generalized or focal seizures. [10] It is taken orally (by mouth). [9]
Lacosamide, sold under the brand name Vimpat among others, is a medication used for the treatment of partial-onset seizures and primary generalized tonic-clonic seizures. [2] It is used by mouth or intravenously. [2] It is available as a generic medication. [4] [5]
Patients who have poor adherence or tolerance of anti-seizure medications may be good candidates for VNS. [ 5 ] VNS may provide benefit for particular epilepsy syndromes and seizure types such as Lennox-Gastaut syndrome , tuberous sclerosis complex related epilepsy, refractory absence seizures and atonic seizures .
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