1. Q: Is medication the treatment of choice for all epilepsy? A: For patients with epilepsy requiring treatment, drug therapy is the preferred method in most cases. However, for epilepsy caused by brain tumor, cerebrovascular disease, cerebral parasitic disease and other diseases, surgery is the preferred treatment therapy. 2. Q: What are the antiepileptic drugs? A: There are dozens of antiepileptic drugs, the common phenytoin sodium, phenobarbital, carbamazepine, sodium valproate, clonazepam, etc. belong to the traditional antiepileptic drugs, while lamotrigine, levetiracetam, oxcarbazepine, topiramate, etc. belong to the new antiepileptic drugs. 3. Q: Are the efficacy of new antiepileptic drugs better than traditional antiepileptic drugs? A: There is no evidence that the efficacy of new antiepileptic drugs is better than that of traditional antiepileptic drugs. 4. Q: Why do some patients start to take medication effectively and then lose their effect after a period of time? A: Many antiepileptic drugs can cause this situation. The specific reasons are not known, and may be related to liver enzyme induction, individual differences, drug tolerance, or the progression of the epileptic disease itself. 5. Q: When can I stop taking antiepileptic drugs if I don’t have seizures? A: Discontinuing antiepileptic drugs often exposes you to the risk of having another seizure. Generally speaking, after 2 years of seizure-free drug treatment, the drug can be gradually reduced under the guidance of EEG, and the process of drug reduction should not be too fast. 6.Q: What are the precautions for taking antiepileptic drugs? A: Anti-epileptic drugs need to be taken strictly in accordance with medical advice, preferably at regular intervals. For those taking traditional antiepileptic drugs, it is best to monitor the concentration of the drug in the blood. 7. Q: What are the precautions for adjusting the type and dose of antiepileptic drugs? A: Once antiepileptic drugs are selected, they should be adjusted as little as possible. Frequent adjustments may result in decreased drug sensitivity and poor seizure control, but if serious adverse reactions occur, the drug should be stopped immediately. The first choice for epilepsy treatment is monotherapy. Dose adjustment usually starts with a small dose and gradually increases. Sometimes three, four or even more drugs are needed to achieve satisfactory control. When multiple drugs are used, only one drug is adjusted and replaced each time, and the principle of slow dose reduction and slow dose increase should be followed. 8. Q: Should I take antiepileptic drugs for the rest of my life? A: The majority of patients with epilepsy can be cured without the need for lifelong medication. A few patients with intractable epilepsy may need to take medication for life.