Treatment considerations in anticonvulsant monotherapy.

Abstract:

:The long-standing practice of polypharmacy in treating epilepsy is giving way to use of monotherapy. Monotherapy can improve seizure control as well as reduce the risk of serious idiosyncratic reactions, dose-related side effects, and complex drug interactions. Monotherapy also offers improved compliance and cost-effectiveness. The basis of monotherapy is accurate diagnosis and assessment of the patient's seizure type(s), followed by selection of a single appropriate anticonvulsant drug. Many patients currently treated with multiple anticonvulsants can be successfully converted to monotherapy with a carefully monitored program in which troublesome and redundant drugs are gradually withdrawn from the therapeutic regimen.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Wilder BJ

doi

10.1111/j.1528-1157.1987.tb05765.x

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

S1-7

eissn

0013-9580

issn

1528-1167

journal_volume

28 Suppl 2

pub_type

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