Treating Epilepsy in the Setting of Medical Comorbidities

Nivedita Jerath; Dronacharya Lamichhane; Madhu Jasti; Vinusha Yarlagadda; Eduardo Zilli; Yara Nazzal; Mark Granner

doi:10.1007/s11940-014-0298-1

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Treating Epilepsy in the Setting of Medical Comorbidities

Journal article

Peer reviewed

Treating Epilepsy in the Setting of Medical Comorbidities

Nivedita Jerath, Dronacharya Lamichhane, Madhu Jasti, Vinusha Yarlagadda, Eduardo Zilli, Yara Nazzal and Mark Granner

Current treatment options in neurology, Vol.16(7), pp.1-19

07/2014

DOI: 10.1007/s11940-014-0298-1

PMID: 24861129

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Abstract

Treatment of epilepsy in patients with medical comorbidities can be challenging. Comorbidities can affect medical management and quality of life. In this review, we discuss treatment options in patients with epilepsy and medical comorbidities. In our opinion, the best way to manage patients with medical comorbidities and epilepsy is to accurately recognize and diagnose medical comorbidities, and to have adequate knowledge and familiarity with antiepileptic drug (AED) metabolism, dosing, side effects, and drug interactions. We believe the trend should move toward using the newer generation of AEDs given their generally reduced rate of adverse effects and interactions. The primary goal of therapy is seizure freedom without side effects.

Kidney disease

Obesity

Medical comorbidities

Hyperlipidemia

Epilepsy

Migraine

Liver disease

Intensive / Critical Care Medicine

General Practice / Family Medicine

Internal Medicine

Depression

Nephrolithiasis

Coronary artery disease

Obstructive sleep apnea

Neurology

Treatment

Medicine & Public Health

Polycystic ovarian syndrome

Ophthalmology

Diabetes

Details

Title: Subtitle: Treating Epilepsy in the Setting of Medical Comorbidities
Creators: Nivedita Jerath - Department of Neurology University of Iowa 200 Hawkins Drive Iowa City IA 52242 USA
Dronacharya Lamichhane - Department of Neurology University of Iowa 200 Hawkins Drive Iowa City IA 52242 USA
Madhu Jasti - Department of Neurology University of Iowa 200 Hawkins Drive Iowa City IA 52242 USA
Vinusha Yarlagadda - Department of Medicine ASRAM (Alluri Sita Ramaraju Academy of Medical Sciences) Westgodavri District Malkapuram India
Eduardo Zilli - Department of Neurology University of Florida Gainesville FL USA
Yara Nazzal - Department of Neurology University of Iowa 200 Hawkins Drive Iowa City IA 52242 USA
Mark Granner - Department of Neurology University of Iowa 200 Hawkins Drive Iowa City IA 52242 USA
Resource Type: Journal article
Publication Details: Current treatment options in neurology, Vol.16(7), pp.1-19
Publisher: Springer US; Boston
DOI: 10.1007/s11940-014-0298-1
PMID: 24861129
ISSN: 1092-8480
eISSN: 1534-3138
Language: English
Date published: 07/2014
Academic Unit: Neurology; Neurosurgery
Record Identifier: 9984013116002771

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