Weaning off antiepileptics

Patients on antiepileptic medication who have been seizure-free for at least two years may be able to be safely weaned off their tablets, an Australian neurologist says.

But only after a careful assessment of the risks including that of relapse, said Dr Hanka Laue-Gizzi, consultant neurologist at the Prince of Wales Hospital in Sydney.

Writing in the latest issue of Australian Prescriber, Dr Laue-Gizzi said it was important people understood that once antiepileptic medication was ceased there was an approximately 30-50% chance that the seizures would recur.

And importantly, of those people who had a relapse about one fifth may not achieve immediate remission of their epilepsy once they resume their medication, despite that ...

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