Should epilepsy patients stop their epilepsy medication when they receive an EEG? This is a question that many epilepsy patients and their families are concerned about, and many primary care doctors do not have an exact answer. Many patients and their families stop their medications privately for a short period of time in order to have more accurate test results. The first thing you need to do is to stop taking your medication before the EEG test. The risk of inducing a grand mal seizure, especially for pediatric patients, is greater when medication is stopped before the test. Therefore, it is important not to put patients at risk simply for the sake of a higher positive rate in clinical practice, although in many cases this risk is only potential and does not necessarily occur. So it is not necessary to perform drug withdrawal before EEG, it depends on the patient’s specific situation, so it usually depends on the arrangement of the hospital where the test is performed. The second thing we should know is what to prepare before the EEG test. 1. wash your hair the day before the test. 2. eat a good breakfast on the day of the test and do not use excitatory drugs or drinks. 3. do not discontinue the antiepileptic drugs you are taking (unless there is special medical advice). 4. relax mentally and eliminate fear. Another point is that the timing of the EEG review is important. The following 6 conditions require EEG review: 1. seizure recurrence or increase in seizure frequency. 2. change in seizure form. 3. unexplained intellectual cognitive regression. 4. observing the efficacy after special treatment. 5. review once or twice a year when seizures are well controlled or the condition is stable. 6. before preparing to stop medication. Epilepsy as one of the many treatable neurological disorders, a timely and clear diagnosis is important, which is why many primary care physicians are very concerned about how to improve the positive rate of epileptic EEG. It is not always necessary for patients to discontinue their medications to improve the positive rate of epileptic EEG.