Neurology
Epilepsy: Grand Mal (Note Sheet)
مرگی
First-line and add-on drugs for generalised (grand mal) epilepsy from a handwritten note sheet.
- ICD-10
- —
- Source
- OPD handbook p.214
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
- Generalised tonic-clonic seizures
Treatment
Step 1 of 2
1. First line
- Tab Epival (sodium valproate) 250–500 mg, 1 tab BD
Prescription
Step 2 of 2
2. If not controlled
- Add Tab Lerace (levetiracetam) 250 mg, 1 tab increasing to 6 tabs daily (as read)
- Add Tab Topamax (topiramate) 50 mg, 1 tab daily, and after 1 week 2 tabs daily
Prescription
LevetiracetamAntiepileptic
Dose1 tab, increasing up to 6 tabs daily (as read)
Brand Tab Lerace 250 mg