Treatment of epilepsy
Medication
- For most people with epilepsy, treatment with medications called anti-epileptic drugs (AEDs) is recommended. About 70% of people with the condition are able to control their seizures with AEDs.
- These medications cannot cure epilepsy, but they are often very effective in controlling seizures. Examples of commonly used AEDs include sodium valproate, carbamazepine, lamotrigine, levetiracetam, oxcarbazepine, ethosuximide and topiramate.
- There are many different AEDs. Generally, they work by changing the levels of the chemicals in your brain that conduct electrical impulses. This reduces the chance of a seizure.
- Sometimes they may cause side effects, such as drowsiness, agitation or rashes.
Surgery
- In a few cases, surgery may be used to remove a specific area of the brain that is affected.
- Please see the Epilepsy Surgery page for further information. http://www.sth.nhs.uk/neurosciences/neurosurgery/epilepsy-surgery
Vagal Nerve Stimulator (VNS)
- If surgery is not an option for the type of epilepsy you have, you may be offered an alternative procedure called a Vagal Nerve Stimulator (VNS) that can help control seizures.
- It involves 3 parts, implanting a small electrical device under your skin; a wire that is wrapped around your vagal nerve in your neck and a magnet.
- See more information in the online leaflet here
Ketogenic Diet
- A ketogenic diet a diet high in fats and low in carbohydrates and protein, and it is thought that it may make seizures less likely by altering the chemical composition of the brain.
- It is mainly used in children.
Self-Management
- Be aware of any triggers you may have, and avoid stressful situations where possible.
- Get a good night’s sleep.
- Take your medication regularly and avoid missing doses.
- Drink alcohol in moderation.
- Avoid recreational drugs.