Treatment of epilepsy

The treatment of epilepsy mainly includes interictal drug therapy, treatment of drug-resistant epilepsy and treatment of seizure period. Interictal drug therapy mainly follows the following principles:1. Correctly select the time of medication, the traditional view is that the first seizure of epilepsy does not need medication, and the second seizure, should start to take medication.2. How to choose the drug, the choice of antiepileptic drugs should be based on the type of seizure, the magnitude of the side effects, the source of the drug price the patient’s age, gender and many other factors to decide.3. How to decide the dose of the drug, the antiepileptic drug The dose should be gradually increased from a small amount to achieve both effective seizure control, but no obvious side effects. 4, single or combined medication, the basic principles followed in single drug therapy, if the treatment is ineffective, you can switch to another single drug, but there should be a transition period of 5-10 days during the change of drugs, in most cases, the combination of drugs can not improve the clinical efficacy, but also increase the side effects of the drug and aggravate the economic burden of the patient. 5, how to take medication, according to the nature of epilepsy drugs, should be antiepileptic drugs daily dose, divided into doses. 6, how to observe the side effects, most of the antiepileptic drugs have different degrees of side effects. Infants often return to the physical examination at the beginning of the baby, in addition to checking the liver function, kidney function, blood and urine routine before the use of drugs, after the use of drugs should also be rechecked monthly blood and urine routine, quarterly recheck of the liver function, kidney function, at least six months. 7, when to discontinue the treatment, for the majority of epileptic patients, to wait for the symptoms to be completely controlled for four or five years, for six months for the stopping of apoplectic seizures can be considered to discontinue the medication. However, there should be a slow reduction process before stopping the medication, and this period is usually not less than one year to one and a half years, and patients with automatisms may need to take medication for a long period of time.