Drug treatment of epilepsy

  Most patients with epilepsy currently use mainly pharmacological treatment programs. If scientific treatment can be followed and adhered to for a long time most patients are able to achieve more desirable treatment results under pharmacological treatment. The most common antiepileptic drugs used in clinical practice include: carbamazepine, valproate, sodium phenytoin, phenobarbital, luminal, ethosuximide, lamotrigine, oxcarbazepine, levetiracetam, and so on. Epilepsy is a chronic neurological disorder with a long medication cycle, and the effect of taking medication has a lot to do with the patient’s own compliance. The first thing you need to do is to make sure that you have a good understanding of what you are doing.   The choice of anti-epileptic drugs is determined by the specific circumstances of each patient. There is no one drug that works for all patients, so there is no best drug, only the most appropriate one. The most important thing is that you will be able to get the most out of your newest and oldest drug, and there are also differences between imported and domestic drugs. It’s just that generally speaking, newer drugs have relatively fewer side effects than older ones. Imported brand-name drugs are more stable compared to domestic non-brand-name drugs, and the number of times taken per day may be relatively small.  2. Try to monotherapy. Doctors usually advise patients to take only one type of anti-epileptic drug, because the more types of anti-epileptic drugs you take, the greater the side effects. Only if the seizures cannot be controlled by monotherapy will a combination of drugs be considered.  3, adhere to long-term regular medication, at least 2-5 years of medication. The effect of medication will be greatly reduced if the patient himself does not have the patience to cooperate well with the treatment, and it is important not to change and stop or reduce the medication at will during the medication period. It is necessary to combine lifestyle habits and medication, such as taking medication before each meal, or taking medication before each bedtime, and if you miss a dose of medication, you should take the medication immediately after discovery to try to maintain a more stable drug concentration in the blood.  4. Evaluate the effect of treatment and come to the hospital for regular review. After taking the medication, you should regularly check the blood routine, liver and kidney function, and evaluate the effect of treatment. If there is a huge toxic reaction, you should immediately stop the medication and come to the hospital to adjust the treatment plan. If you have seizures during the medication period, it does not mean that the medication has failed, but the good treatment effect is achieved with the cooperation of the doctor and the patient by continuously adjusting the treatment plan.  The patient should gradually stop taking the medication according to the doctor’s opinion after reaching the criteria for stopping the medication. The criteria for discontinuation of drug treatment are: adults take the drug regularly for more than 2 years, children for more than 3 years, no one seizure during the drug, come to the hospital to review the EEG, if the EEG is back to normal according to the doctor’s opinion can gradually reduce the drug until discontinuation. If you want to stop the medication because of pregnancy or other reasons, you must contact your doctor and do not stop the medication at will. Suddenly stopping the medication may trigger epilepsy, and repeatedly doing so will make epilepsy more difficult to treat.  The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact is that there is no clear evidence that Chinese medicine can control epilepsy as stably as western medicine, not to mention the danger of toxic side effects of the medicine when taken for a long time. Avoidance of Western medicine may lead to delayed treatment if epilepsy is well controlled in the long term. The majority of the Chinese medicines that appear in front of patients nowadays may not really be Chinese medicines, and many of them are purely Chinese medicines, but are mixed with a variety of cheap western medicines. The actual “Chinese medicine” may not only control the epilepsy, but may also lead to the epilepsy becoming more and more difficult to treat, and even uncontrollable huge toxic side effects, bringing the danger of life to the patient.   It is true that epilepsy is a difficult neurological disease, but most people are able to control their seizures and return to normal life through scientific treatment programs. One of the reasons why epilepsy is not treated properly is that the patient cannot follow the doctor’s instructions, cannot adhere to the medication, or change the medication at will, and stop the medication.  The actual fact is that you can find a lot of people who are not able to get a good deal on this. The actual fact is that the actual person is not a person, but a person is a person. A drug put into clinical application is bound to go through years of experimentation and investigation of safety and effectiveness, and most of the types of drugs used in regular treatment have been validated for decades. Most of the secret recipes, prescriptions and special drugs claiming to treat epilepsy are fraudulent, so please make sure that patients are more discerning and not easily fooled.