Anti-seizure medicines
Medicines such as lamotrigine and levetiracetam are commonly used. The choice depends on your type of seizures, age, and whether you could become pregnant.
- take them at the same times every day
- do not stop suddenly, as this can trigger seizures
- tell your specialist about side effects, as a different medicine may suit you better
Sodium valproate
Sodium valproate is effective, but it can seriously harm an unborn baby. It must not be started in anyone under 55 unless two specialists agree there is no other suitable option. Women and girls who could get pregnant must be on a pregnancy prevention programme. Do not stop it without talking to your doctor.
Emergency medicine
If you have long or repeated seizures, you may be prescribed rescue medicine, such as buccal midazolam, that a trained person can give.
If medicines do not work
- surgery to remove the part of the brain causing seizures
- vagus nerve stimulation, a device fitted under the skin of the chest
- a ketogenic diet, mainly for children, with specialist support
You should have a review with your GP or specialist at least once a year.
Common questions
Can I stop taking my epilepsy medicine if I have not had a seizure for a long time?
Only with your specialist. Some people can come off medicine after being seizure free for 2 years or more, but it must be done slowly and with advice, as seizures can come back.
Sources we used
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