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Generalized Tonic-clonic SeizureS* Senior Seizures CASE
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Generalized Tonic?clonic SeizureS* Senior Seizures

 

CASE SUMMARY

 

A 68-year-old man presents to clinic for routine follow-up. His seizures are fairly well controlled

 

on carbamazepine monotherapy. There have been no trials of other antiepileptic drugs (AEDs),

 

so therapeutic alternatives are numerous. However, there are unique issues that must be

 

addressed in elderly patients with epilepsy. Agespecific issues include the effect of treatment on

 

bone health, the tolerability of AEDs, and changes in AED pharmacokinetics and

 

pharmacodynamics. Obtaining maximal seizure control must be balanced with drug effects on

 

mood, quality of life, independence, and cognitive and behavioral disorders. Although there is

 

no single best AED for this patient, there are several options that meet the majority of the

 

treatment characteristics that would be beneficial. The addition of a new agent to

 

carbamazepine with the hope of eventually tapering the patient off carbamazepine is a

 

reasonable approach. The patient should also receive supplemental calcium and vitamin D.

 


 

Answer the following questions and provide your sources to your answers

 


 


 


 


 


 


 


 

Symptoms; List two pertinent signs and symptoms,

 

Recommended Drugs: Provide list of recommended drugs as indicated for

 

this diagnosis,

 

Drug Categories and Subcategories: Identify the category of each

 

recommended drug

 

Rationale: Provide rationale, clinical guidelines, or evidence for the selected

 

drug of choice

 

Contraindications and/ or Risks, as appropriate: Identify contraindications and

 

risks as appropriate

 

What Patients Must Understand: Identify at least three appropriate teaching

 

points for the patient and/or family

 


 

 







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