if epilepsy not controlled by drug therapy
Last reviewed 01/2018
If anti-epileptic medication has not been successful, consider whether:
- the correct diagnosis has been made
- the patient is on the correct drug
- the drug is at its maximum dose
Appropriate paths to follow might be:
- if patient is not on appropriate drug then change it - see menu
- if seizures are not controlled consider using more than one drug then seek expert advice
- if patient has refractory disabling temporal lobe epilepsy then neurosurgical referral for possible temporal lobectomy may be appropriate