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    Many Kids With Epilepsy Don’t Take Their Medicine

    Study Suggests Some Parents Forget to Give Antiseizure Drugs, but Others Choose Not To
    WebMD Health News
    Reviewed by Laura J. Martin, MD

    April 26, 2011 -- More than half of children with newly diagnosed epilepsy do not take their seizure medications as prescribed, a study shows.

    The study is published in the Journal of the American Medical Association.

    Nearly 60% of pediatric patients followed in the study were mildly, moderately, or severely non-adherent with therapy during the first six months of treatment.

    Many took far less medication than prescribed, and the treatment-adherence pattern for the majority of patients was established during the first month of treatment.

    Low socioeconomic status was the only variable examined that was associated with low treatment adherence.

    Failure to Take Epilepsy Drugs

    About 325,000 children younger than age 15 in the U.S. have epileptic seizures. Antiseizure drugs are effective in most, but not all, children with epilepsy.

    In adults, failure to take medications or not taking them as prescribed has been shown to be associated with worsening seizures and poorer outcomes.

    In children, treatment adherence is determined by parents or other caregivers, but little is known about the influences that drive adherence and non-adherence.

    “We have known that non-adherence is common in children, but we haven’t really known what the patterns of adherence are,” study researcher Avani C. Modi, PhD, of Cincinnati Children’s Hospital Medical Center, tells WebMD.

    The study included 124 children with newly diagnosed epilepsy being evaluated at Cincinnati Children’s New Onset Seizure Clinic.

    Parents or other caregivers were given medications in special bottles that electronically monitored when and how often the drugs were dispensed and they were asked to remove the medications from the bottle at the time they were given.

    The adults were also questioned about issues that could affect medication adherence, such as family characteristics, patient seizure frequency, and medication side effects.

    Over the course of the study several patterns of medication non-adherence emerged:

    • Overall, 42% of the patients were almost always given their medications as prescribed and 13% had very poor adherence even in the early weeks and months of treatment.
    • Another 13% of patients were moderate non-adherers, showing significant variability in dosing over the six months of observation and missing an average of four out of 14 doses in any given week.
    • 7% of patients initially gave the medication correctly 90% of the time, but adherence dropped to around 20% within six months of starting treatment.

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