Valproic acid is considered the agent of first choice since it treats a broad spectrum of seizure types, including myoclonic seizures.
Phenytoin and carbamazepine are reasonable second options among the older group of medications, but the newer medications tend to work equally well if not better and have better side effect profiles, especially long-term side effect.
Among the newer medications, lamotrigine, topiramate, and zonisamide are other broad-spectrum drugs that are relatively well tolerated.
Phenobarbital is still used by many neurologists, though its adverse cognitive effects have led to a decline in its use.
For refractory generalized epilepsy, felbamate also is used as an agent of last resort and is very effective. The adverse effects of felbamate necessitate very careful monitoring of blood counts and liver function tests.
2006-12-12 09:07:39
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answer #1
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answered by Mom of Three 6
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T-C seizures are prevented with hydantoins - Dilantin (phenytoin), mephenytoin, ethotoin & Cerebyx (fosphenytoin). During an ongoing seizure, IV Ativan is one medication used to control seizure acitivty.
2006-12-12 09:09:57
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answer #2
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answered by TweetyBird 7
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it depends on the person my daughter has been on Carbatrol,Tegretol,Depakote,Dilantin,Keppra,Lamictal, and Topamax the most she was on at one time was four meds. I think the Topamax was one of the worst for the side effects. She had the precursor to kidney stones, she could hardly talk and she had tremors so bad she could hardly pick up her spoon. She is now only on the Lamictal. I dont really see any side effects from it.
2006-12-12 13:04:54
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answer #3
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answered by quitoslady 2
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