generalised seziures

Question 1

1st line for generalised tonic clonic

Answer 1

• SV in M and F unable to have children (not be started in new patients (male or female) aged under 55 years, unless two specialists independently consider and document that there is no other effective or tolerated treatment, or there are compelling reasons why the reproductive risks do not apply;)
• for F of CB potential, or for M or F under 55, lamotrigine or levetiracetam

Question 2

2nd line for generalised tonic clonic

Answer 2

if 1st line with SV (for M and F unable to have kids or those OVER 55) is unsuccessful, consider either lamot or levet as 2nd line

Question 3

1st line for absence seizures

Answer 3

ethosuximide

Question 4

2nd line and 3rd line for absence seizures

Answer 4

if 1st line ethosuximide unsuccessul, consider 2nd line monotherapy or adjunct with SV for M, and F unable to have kids or M or F over 55

if SV unsuitable or unsuccessul, lamot or levet as 3rd line monotherpy or adjunctive

Question 5

1st line myoclonic seizures

Answer 5

• SV for M, and F unable to have kids, or those that are over 55
• levet for F of CB potential or those that are under 55

Question 6

2nd line myoclonic seizures

Answer 6

if 1st line for M and F unable to have kids or if they are over 55 (SV) is unsuccessul, 2nd line monotherapy or adjunct: levet

Question 7

atonic or tonic seizures - when are they usually seen

Answer 7

childhood
specific epilepsy syndromes
or associated with cerebral damage or learning disabilities

Question 8

1st line for atonic or tonic seziures

Answer 8

• SV for M, and F unable to have kids and those that are 55 or over
• lamot for F able to have kids

Question 9

2nd line for atonic or tonic seizures

Answer 9

if SV for M and F unable to have kids unsuccessful or if they are 55 or over, give lamot as 2nd line mono or adjunct

Question 10

which seizure type may respond poorly to traditional drugs

Answer 10

atonic or tonic seziures