Epilepsy Health Center

While working with your doctor to plan a medicine routine for yourself or your child, it may help you to talk about some of the choices and issues involved. Some of the following questions might help you prepare.

How often will I or my child have to take the medicine?

Some medicines for epilepsy have to be taken several times a day. This is sometimes hard for children in school; people with busy, irregular schedules; and people who have a hard time remembering to take their drugs. People who have fewer daily doses may be more likely to follow the treatment plan. Talk to your doctor about what to do if you miss a dose.

How will the medicine's side effects affect my lifestyle?

All antiepileptic medicines have side effects, but some may have side effects that are more acceptable to you or your child than others.

• It may be hard to get your teenager to take a medicine that causes weight gain, hair loss or growth, or acne.
• Some medicines can cause mood swings, memory loss, or depression. But others may not affect your state of mind.
• Job-related issues might be important. For instance, if your job requires close, steady work, you may want to avoid a medicine that causes your hands to shake or affects muscle control.

What health risks come with using the medicine?

Allergic or toxic reactions in the skin, liver, and blood may sometimes result from use of antiepileptic medicines. Your age or medical history may make you more likely to have one of these adverse reactions. Long-term use of antiepileptic medicines, while often needed, may cause other health problems. Ask your doctor to discuss the short-term and long-term risks of the medicine.

The U.S. Food and Drug Administration (FDA) has issued a warning on antiepileptic medicines and the risk of suicide and suicidal thoughts. The FDA does not recommend that people stop using these medicines. Instead, people who take antiepileptic medicine should be watched closely for warning signs of suicide. People who take antiepileptic medicine and who are worried about this side effect should talk to a doctor. For more information, see warning signs of suicide in adults and warning signs of suicide in children and teens.

How will the medicine react with other medicines I take?

Many medicines for epilepsy can interact with other medicines you may be taking. This means that your epilepsy medicine may not work as well, or it may affect the way another medicine you are taking works. Some of these interactions can be dangerous. It is important to tell your doctor about all the medicines, herbal pills, or dietary supplements you are taking.

If you have several types of seizures, you may need to take more than one medicine to control them. The doctor will work with you to choose medicines that will neither work against each other nor make side effects worse. If you take medicine for health problems other than epilepsy, the doctor should choose an antiepileptic medicine that will not react badly with your other medicine. This is a special concern for older people, who are more likely to be taking several medicines.