Patient's question:
My son is taking two antiepileptic drugs, Keppra and Topamax, and has not had a seizure for two years. However, his EEG is still not normal. I would like to ask if it is possible to reduce the medication or gradually stop it in this situation?Doctor's answer:
Gradually reduce the dosage. However, medication should not be stopped. The treatment of epilepsy advocates monotherapy, starting with a low dose. If monotherapy is ineffective, another antiepileptic drug can be considered for addition or substitution.Guidance: If it is indeed determined that a particular drug is ineffective for the patient or has excessive side effects, and a change to another drug is necessary, it must be gradually replaced.
Children with epilepsy are primarily managed with medication. As they grow older, gamma knife surgery can be considered for treatment, which is generally more effective.