Below are some commonly prescribed medications for patients with seizures or epilepsy.
Note: My son has seizures and has had one or two grand mal seizures in the past. The following four drugs are the ones my wife and I have tried in the past or present to him.
At the moment my son is on Topomax, Depakote and Lamictal. We took him off the Keppra because of mood swings and occasional aggressive behavior.
Keppra
(September mood swings and aggressive behavior in my son's)
Symptoms suggestive of use: the scenes
Symptoms that show, do not use: hypersensitivity
Metabolism: 66% is excreted unchanged by the kidneys, liver metabolism of some
Use with caution:
· renal elimination of geriatric
· Patients with renal impairment (dose reduction is recommended if the credit risk of <80 mL / minr.)
· Children under 4 years
· Use in pregnancy only if the potential benefit outweighs the potential risk to the fetus.
Possible side effects:
dizziness, fatigue, behavioral disturbances, incoordination (adults only)
Topamax
(Increased Tonic Seizures and status epilepticus, some cramps in my son.)
Symptoms suggestive of use:
Seizures, including partial begun, generalized tonic-clonic, seizures, Lennox-Gastaut syndrome.
Headace migraine prevention in adults.
Symptoms that show, do not use:
Hypersensitivity
OB Lactaction.
Metabolism: 70% is excreted unchanged in the urine
Use with caution:
· Patients with renal insufficiency
· Patients with hepatic impairment.
· Geriatric, find the age-related renal / hepatic function, concomitant disease states,
and medication.
· Children are more susceptible to hyperthermia oligohydrosis and caution children under 2 years of age.
· Dehydration
· Pregnancy (only if the benefits of maternal fetal risk).
Depakote
(My son uses of Lamictal)
Symptoms suggestive of use:
Simple and complex absence seizures
Symptoms of partial complex
Symptoms that show, do not use:
Hypersensitivity
Liver damage.
Some products contain tartrazinel avoided in patients with hypersensitivity.
Suspected cases of urea cycle disorders (may cause life-threatening hyperammonemic encephalopathy)
Metabolism: Mostly metabolized by the liver, minimal amounts excreted in the urine
Use with caution:
· Bleeding
· liver disease
· Organic brain disease
· Bone marrow depression
· Patients with renal insufficiency
· Children, especially children under 2 years are at increased risk of potentially life-threatening hepatotoxicity.
· Use in pregnancy is linked to developmental defects, low IQ, birth defects, congenital malformations, and abnormal liver function in neonates. Use with extreme caution.
· Breast Valproates pass into breast milk. Consider the pre-nursing valproates nursing mother.
Possible side effects:
confusion, dizziness, headache, drowsiness, blurred vision, liver damage, indegestion, nausea, vomiting,
loss of appetite, constipation, diarrhea, increased salivation, increased appetite, pancreatitis, rash,
Leukopenia, bleeding time, thrombocytopenia, hyperammonemia, ataxia, paresthesia
Lamictal
(My son used Depakote)
Symptoms suggestive of use:
Impurity in partial epilepsy in adults.
Lennox-Gastaut syndrome.
Partial transition to monotherapy in adults may be a single enzyme-inducing antiepileptic drugs.
Maintenance treatment of bipolar disorder.
Symptoms that show, do not use:
Hypersensitivity
Breast-feeding
Metabolism: In most cases, is metabolized to inactive metabolites, of which 10% is excreted unchanged via the kidneys.
Use with caution:
· failure.
· congestive heart failure.
· liver failure.
· Pregnancy and children.
· A history of rash with lamotrigine.
Possible side effects:
ataxia, dizziness, headache, abnormal behavior, depression, drowsiness, insomnia, tremor, blurred vision, diplopia, fever, nausea, vomiting, vaginitis, photosensitivity, rash (more common in children,
VPA in patients with a high starting dose is increased or fast), joint pain, allergic reactions, including Stevens-Johnson syndrome
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