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The primary treatment for epilepsy is medication, specifically anti-epileptic drugs (AEDs). There are over 20 different epilepsy medications available. Some of the older, well-known medications include Phenytoin, Phenobarbital, and Sodium Valproate. Sodium Valproate has been widely discussed recently due to its potential effects on the unborn fetus, making it necessary to exercise caution in women of childbearing age.
Other commonly prescribed medications include Levetiracetam, Carbamazepine, Zonisamide, and Lacosamide. For some individuals, a single medication may be effective, while others may require a combination of drugs to achieve seizure control. It is important to note that epilepsy medication is not a cure; instead, it works by altering brain chemicals to reduce the risk of seizure activity.
For certain individuals, brain surgery might be considered. This approach depends on the location of the seizures in the brain and whether it is feasible to modify that specific area to prevent seizures.
The Ketogenic diet is another treatment option that can be effective for some people. This high-fat, low-carbohydrate diet can help reduce seizures in certain cases.
Vagus nerve stimulation (VNS) involves implanting a small device that periodically sends electrical impulses to the vagus nerve. This can help to reduce the frequency and severity of seizures.
Self-help plays a significant role in managing epilepsy. By identifying and avoiding personal seizure triggers, individuals can reduce the occurrence of seizures. For example, urinary infections can often trigger seizures, so increasing fluid intake and using antibiotics only as prescribed by a GP can help mitigate this risk.
Additionally, maintaining good overall health is crucial. This includes getting enough sleep, managing stress levels, and consulting with a doctor when feeling unwell. Implementing stress-reducing techniques can also help in minimising seizures.
Combining medication with self-help techniques and strategies to manage triggers can be an effective approach. Working with healthcare providers to tailor a treatment plan that includes both medical and lifestyle adjustments can greatly assist in controlling epilepsy.