My daughter has seizures. Are there newer therapies?

Question

Hi doctor,

My 19-year-old daughter had her second grand mal seizure last month, and the neurologist says she likely has epilepsy and needs to start anti-seizure medication right away.

She is starting college in the fall and is concerned about potential side effects that may impact her studies and social life. The first seizure happened during her final exams, and this recent one was while she was sleeping.

Are there newer medications with fewer cognitive side effects for young adults?
How will this impact her ability to drive and participate in normal college activities like parties or sports?

Kindly suggest.

Answer 1

Hi,

Welcome to icliniq.com.

I understand how concerning this must be for both you and your daughter, especially as she prepares to start college.

Having two unprovoked grand mal seizures does meet the criteria for epilepsy, and starting anti-seizure medication is an important step to prevent further episodes and ensure her safety.

The good news is that several newer anti-seizure drugs are available today that tend to have fewer cognitive and sedative side effects compared to older ones.

Options like Levetiracetam, Lamotrigine, and Lacosamide are commonly prescribed for young adults because they are generally well-tolerated and less likely to interfere with concentration or mood when doses are properly adjusted.

Her neurologist must tailor the medication choice based on seizure type, potential side effects, and her lifestyle. Regarding driving, most countries and states require a seizure-free period (usually six to 12 months) before resuming driving for safety reasons.

As for college life, she can still participate fully in academics, social events, and moderate physical activities, though she should avoid sleep deprivation, alcohol, and flashing lights, as these can trigger seizures.

Sports that carry high risk, such as swimming alone, rock climbing, or contact sports, should be approached cautiously and discussed with her doctor.

With the right medication, good sleep habits, and stress management, most young people with epilepsy live completely normal and fulfilling lives, including completing their studies and enjoying social activities safely.

I hope this helps.

Thank you.