Antiseizure Medication Withdrawal

Publication Date: December 6, 2021

Key Points

Key Points

  • Epilepsy is a common disease of the brain and accounts for approximately 1% of the global burden of all disease. In the United States alone, an estimated 70,000–200,000 adults per year will present with a first unprovoked seizure.
  • Currently, epilepsy is not considered resolved until a patient is seizure-free for at least 10 years and off antiseizure medications (ASMs) for at least the last 5 years.

Treatment

...eatment...

Adult...

...who are seizure-free for at least 2 years, the...

...g either ASM withdrawal or continuation wit...

...ounseling must include discussion that there is no...

...should counsel that recurrent sei...

...must explore contributors to the quality o...

...hould discuss with seizure-free patients that it i...

...linicians may discuss that the risk of seizure...


...ildren...

...who are seizure-free for at least 18–24...

...inicians should discuss with children...

...cians should counsel that recurrent seizur...

...s should explore contributors to quality of life...

...hildren seizure-free for at least 18–24 m...

...n seizure-free for at least 18–24 months, in wh...

...take into account the known natural history of the...