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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]
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.
Those with epilepsy or seizures are typically denied a pilot license. [221] In Canada if an individual has had no more than one seizure, they may be considered after five years for a limited license if all other testing is normal. [222] Those with febrile seizures and drug related seizures may also be considered. [222]
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]
[3] [5] It also includes those who have had more than one unprovoked seizure more than 24 hours apart. [3] [59] It is recommended to start with one anti-seizure medication. [5] [59] Another may be added if one is not enough to control the seizure occurrence. [59] Approximately 70% of people can obtain full control with continuous use of ...
Status epilepticus (SE), or status seizure, is a medical condition with abnormally prolonged seizures, and which can have long-term consequences [3], manifesting as a single seizure lasting more than a defined time (time point 1), or 2 or more seizures over the same period without the person returning to normal between them.
Oxcarbazepine is an anticonvulsant used to reduce the occurrence of epileptic episodes, and is not intended to cure epilepsy. [12] Oxcarbazepine is used alone or in combination with other medications for the treatment of focal (partial) seizures in adults. [3]
For those whose seizures are successfully controlled, many of the medications have side effects that cause drowsiness, also impacting driving. As a result, many countries and states place restrictions on driving such as a necessity to be seizure-free for a period of time before being allowed to drive.
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