The best medicine for epilepsy

summary

My epilepsy attacks in my sleep, awake state does not attack, often fall asleep at night on convulsions, after treatment a lot, let's say the best medicine for epilepsy.

The best medicine for epilepsy

Drug 1: phenytoin sodium: it is effective for generalized tonic clonic seizures and partial seizures, but it can aggravate absence and myoclonic seizures. Gastrointestinal absorption is slow, metabolic enzymes can be saturated, after saturation, increase a small dose is the most toxic dose, children are not easy to find toxic and side effects, so infants and children should not take, adults should be careful when dosage. Usually, adults can take it once a day and children can take it twice a day.

Drug 2: carbamazepine: it is the first choice for partial seizures. It is better than other antiepileptic drugs in the treatment of complex fractional seizures. It also has better effect on secondary generalized tonic clonic seizures, but it can aggravate absence and myoclonic seizures. Due to the self induction of liver enzymes, the clearance rate was low at the beginning of treatment, and gradually increased to the therapeutic dose one week later. After 3-4 weeks of treatment, the same effect can be maintained only by increasing the dose.

Drug 3: valproic acid: a broad-spectrum antiepileptic drug, is the first choice for generalized seizures, especially generalized tonic clonic seizures combined with typical absence seizures, also used for partial seizures. Gastrointestinal absorption is fast. Phenobarbital: it is often used as the first choice drug for children with epilepsy. It has a broad spectrum and quick onset. It has good curative effect on generalized tonic clonic seizures. It is also used for simple and complex partial seizures and has preventive effect on febrile convulsions. It can be used for acute brain damage with epilepsy or status epilepticus.

matters needing attention

In case of aura, first of all, protect the tongue. Before the attack, place the pressure plate wrapped with gauze between the upper and lower molars of the patient to avoid biting the tongue. If it is not put in before the attack, open the mouth of the patient during the ankylosis period and then put it in again. Do not force it in the clonic period to avoid hurting the patient. During the attack period, the patient should lie on his back, loosen his collar and turn his head to one side, so as to facilitate the discharge of respiratory secretions and vomit and prevent choking and suffocation caused by flowing into the trachea. When the outbreak of respiratory secretions more, easy to cause respiratory obstruction or aspiration pneumonia, convulsions when the mouth is not anything, do not fill medicine, to prevent suffocation.