An accurate diagnosis of the type of epilepsy (not just the type of seizure, because most seizure types occur in different types of epilepsy) a person has is very important in choosing the best treatment. The type of medication prescribed will also depend on several factors specific to each patient, such as which side effects can be tolerated, other illnesses he or she may have, and which delivery method is acceptable.
Fifty percent of all patients with newly diagnosed epilepsy will become seizure-free with the first epilepsy drug they try. For the rest, it's try, try again: switching epilepsy medications, adjusting to side effects, and waiting to make sure the new drug works. Others find their seizures are controlled, but they can't tolerate the medication's side effects and need to switch drugs.
Before you ask your doctor if your medication should be switched, make sure you are taking your current medication...
Below is a list of some of the most common brand-name drugs currently used to treat epilepsy. Your doctor may prefer that you take the brand name of anticonvulsant and not the generic substitution. Talk with your doctor about this important issue.
Treats partial and some generalized seizures; is used rarely and only when no other medications have been effective.
Side effects include decreased appetite, weight loss, inability to sleep, headache, and depression. Although rare, the drug may cause bone marrow or liver failure. Therefore, the use of the drug is limited and patients taking it must have blood cell counts and liver tests regularly during therapy.