Do antiepileptic drugs have to be taken for life?

  This requires individualized analysis and judgment, which also involves the principles of dose reduction and discontinuation of antiepileptic drugs. According to statistics, after standardized antiepileptic drug treatment, the efficiency of seizure control (5 years without seizures) is 60-80%, so some patients can be dose reduced and discontinued.  Generally, depending on the type of seizure, the frequency of the original seizure, the size of the toxic reaction and the patient’s work situation, the medication is continued for 2-5 years after the patient’s last seizure, and then gradual discontinuation is considered. Generally the discontinuation time is not less than one year for tonic clonic seizures and not less than 6 months for loss of consciousness. Remember not to stop the medication suddenly, otherwise it will cause persistent status epilepticus or even life-threatening, which can be done under the guidance of a doctor.  Of course, for patients with epilepsy who have definite brain disease, positive neurological signs, and persistent EEG abnormalities, all affect the time to discontinue the medication, and may also need to take it for life.