How can I manage my seizures effectively?

Question

Hello doctor,

I had my first seizure two months ago and recently had another one. My MRI (magnetic resonance imaging) was normal, but the EEG (electroencephalogram) showed some abnormal electrical activity. My doctor suggested starting anti-seizure medication, but I am worried about long-term side effects and whether I can still drive. Please tell me, how are medication choices made for seizure control?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Since your MRI (magnetic resonance imaging) is normal, but your EEG (electroencephalogram) shows abnormal brain activity, it suggests that your brain tends to have seizures, a condition called epilepsy. Starting medication helps prevent further seizures and protects your brain from repeated electrical stress.

The choice of medicine depends on the type of seizure (generalized or focal), your age, gender, other health problems, and possible side effects. Your doctor also checks how different medicines might interact with other drugs you take.

Common anti-seizure medicines include

Levetiracetam (an antiseizure medication).
Valproate (an anticonvulsant).
Carbamazepine (an anticonvulsant).
Lamotrigine (anti-epileptic drug).

Most people tolerate them well, and side effects, if any, are usually mild and monitored through regular follow-ups and blood tests.

Driving: You should avoid driving until you have been seizure-free for at least six to twelve months, depending on local rules. This is for your safety and others on the road.

I hope this information helps you.

Feel free to ask further queries.

Thank you.