Anti-epileptic agents should not necessarily be tried after a single unprovoked seizure in a child, according to guidelines presented here Thursday at a briefing for medical and science writers.
“You don’t have to treat all seizures,” said Dr. Deborah Hirtz, of the National Institute of Neurological Disorders and Stroke. “You have to weigh the risks” that are known to accompany use of anti-epileptic drugs.
The social issues that are also involved need to be weighed with the family, Dr. Hirtz added. “Kids go to school and are stigmatized because they have to take medicine,” she said, but on the other hand, parents “want to avoid the risk of another seizure.”
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