What medicine should the best epileptic treatment take

summary

According to the types of clinical seizures, they can be divided into generalized tonic clonic seizures, absence seizures, simple partial seizures, complex partial seizures and autonomic seizures. Its etiology is also diverse, mainly including: brain injury and brain damage, brain disease, self factors, genetic factors and so on. So we must do a good job of the disease related work, then the best treatment of epilepsy to take what medicine.

What medicine should the best epileptic treatment take

Treatment 1: medication according to seizure type: antiepileptic drugs have the best effect on one type of seizure, but have poor or ineffective effect on other types of seizures, or even have the opposite effect. For example, Ethylsuccinate has the best effect on absence attack, but has no effect on other types of attack. Phenytoin (phenytoin sodium) is effective for tonic clonic seizures. It has been reported that phenytoin sodium can induce absence seizures. Clinically, antiepileptic drugs can be selected according to the types of epileptic seizures.

Treatment 2: the choice of medication time: clear diagnosis of epilepsy is the premise of medication. If there are two or more seizures within one year, medication should be given. The recurrence rate of the above mentioned symptoms was found in 27% to 82% of the patients with or without the first episode of PSG It can be delayed for clinical observation. If the patients have definite predisposing factors, such as drug and alcohol, fatigue, tension and photosensitivity, these factors should be removed first. After observation, medication should be given according to the situation.

Treatment 3: long term drug use: once the drug and dose that can completely control the attack are found, it should be used continuously. Generally, if there is no adverse reaction after the attack is completely controlled, it can be considered to stop taking the drug for 3-5 years. Different treatments should be made according to the etiology, attack type and attack frequency. If there is a history of encephalitis, birth injury history of symptomatic epilepsy medication time should be long, complex partial seizure withdrawal should be careful. Patients with frequent seizures and abnormal EEG should also take long-term medication. The dosage should be reduced gradually when the drug is stopped, and it should not be less than half a year from the beginning to the end.

matters needing attention

Studies have found that estrogen in women can increase the sensitivity to seizures and cause seizures in menstrual period, while progesterone can increase the activity of inhibitory components in tonifying meridian and adverse substance, and decrease the excitatory components of nerve cells, so as to inhibit seizures. The changes of both levels directly affect the severity of seizures in female patients with epilepsy.