Geriatric epilepsy should be individualized, and appropriate antiepileptic drugs should be selected according to the patients’ underlying disease conditions and the types of seizures, and attention should be paid to the patients’ hepatic and renal function conditions during the administration of drugs. 1. Underlying disease: Elderly patients may have some underlying diseases, such as elevated aminotransferases, renal insufficiency, etc. And due to the gradual increase in age, the body’s metabolic status is not as good as it should be. And due to the gradual increase in age, the metabolism of the human body also declines, so when choosing drugs, it may be necessary to reduce the dosage. 2. Type of seizure: The choice of antiepileptic drugs varies according to the type of seizure. For partial seizures in the elderly, the first gabapentin, lamotrigine, etc.; for example, full-blown seizures should choose sodium valproate, oxcarbazepine, etc.. In addition, elderly patients need to take other drugs orally due to other diseases, and there may be drug interactions with antiepileptic drugs, so the medication must be taken under the guidance of a doctor’s visit, do not blindly self-medication, and regular review of liver and kidney function to avoid adverse reactions.