Principles of medication for epilepsy

  The general principles of applying antiepileptic drugs are: start with a small amount, use a single dose, combine reasonably if necessary, take them regularly, have a long course, reduce them slowly, and review them regularly. Regular drug treatment can make 70%-80% of patients with seizures remit within the first 5 years, and 50% of them can stop the drug completely.  1. Rational selection of antiepileptic drugs. The drug should be selected according to the type of seizure or epilepsy syndrome, and the dose should be gradually increased from a small amount.  If monotherapy fails to control seizures, consider adding one or two other antiepileptic drugs. It is important to select epileptic drugs with different mechanisms of action to obtain a superposition of efficacy. Antiepileptic drugs are added to non-antiepileptic drugs to reduce adverse effects.  3. necessary therapeutic drug monitoring and dose adjustment according to pharmacokinetic parameters and clinical effects.  Epileptic patients should also maintain a regular routine, avoid staying up late, drinking alcohol or taking beverages that may cause excitement, such as coffee and strong tea; maintain a stable, optimistic and positive mindset; maintain a normal life and work, and do not give up on yourself just because you have epilepsy.  Special emphasis: this refers to regular drugs approved and qualified by national professional institutions, not to homemade triple-less capsules and pills prescribed in individual private and cottage hospitals.