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Epilepsy therapy - Coggle Diagram
Epilepsy therapy
DOC
Focal
FL
Lamotrigine
SL
Carbamazepine
Levetiracetam
Valproate
TL
Phenytoin
Phenobarbital
GTCS
FL
Valproate
Levetiracetam
SL
Lamotrigine
Topiramate
TL
Carbamazepine
Phenytoin
Phenobarbital
Absence
FL
Ethosuximide
SL
Valprorate
Myoclonic
FL
Valproate
SL
Levetiracetam
Clonazepam
Status eplipeticus
Benzos for episode
Phenytoin for prophylaxis
AED Guidelines
1 first line drug
if fail
Another first line drug
if fail
Second line drug with baseline
If fail, start alternative second line
if fail
Check adherence/ reconsider diagnosis
Surgical alternatives and non drug treatments
Tapering off first one
gradually increase dosage until max
Optimize adherence
Monitoring
Interactions
OCP
Dec. concentration
Carbamazepine
Phenytoin
Phenobarbital
Pregnancy
Teratogenesis
Valproate
Phenytoin
Give folic acid
Lower IQ
Pharmacokinetic effects
Vitamin D and K deficiency
Surgeries
Vagal nerve stimulation
Withdrawing
Seizure free for 2 years