Treatment of syncope epilepsy

summary

There was a car accident in a few years. At that time, the brain was seriously injured, and it has been normal since discharge. The symptoms of epilepsy began last year. If you have been treated, you will obviously feel that it has improved. Next, I will share with you the treatment of syncope epilepsy. It's my experience.

Treatment of syncope epilepsy

Drug 1: phenytoin sodium: it is effective for generalized tonic clonic seizures and partial seizures, but it can aggravate absence and myoclonic seizures. Gastrointestinal absorption is slow, metabolic enzymes can be saturated, after saturation, increase a small dose is the most toxic dose, children are not easy to find toxic and side effects, so infants and children should not take, adults should be careful when dosage. Usually, adults can take it once a day and children can take it twice a day.

Drug 2: carbamazepine: it is the first choice for partial seizures. It is better than other antiepileptic drugs in the treatment of complex fractional seizures. It also has better effect on secondary generalized tonic clonic seizures, but it can aggravate absence and myoclonic seizures. Due to the self induction of liver enzymes, the clearance rate was low at the beginning of treatment, and gradually increased to the therapeutic dose one week later. After 3-4 weeks of treatment, the same effect can be maintained only by increasing the dose.

Drug 3: valproic acid: a broad-spectrum antiepileptic drug, is the first choice for generalized seizures, especially generalized tonic clonic seizures combined with typical absence seizures, also used for partial seizures. Gastrointestinal absorption is fast. Phenobarbital: it is often used as the first choice drug for children with epilepsy. It has a broad spectrum and quick onset. It has good curative effect on generalized tonic clonic seizures. It is also used for simple and complex partial seizures and has preventive effect on febrile convulsions. It can be used for acute brain damage with epilepsy or status epilepticus.

matters needing attention

Regular outpatient follow-up, generally for the first month, after every three months, in order to observe the condition, timely adjust the treatment plan, if the seizure is still frequent or feel unwell, should immediately outpatient follow-up, in order to adjust the treatment plan, record the seizure diary, in the follow-up can provide the doctor with detailed seizure and treatment effect So that the doctor can work out a more reasonable epilepsy treatment plan for you.