Epilepsy and epileptic syndrome

Name of the drug and its synonyms	Instructions	Daily dose for older people	Average daily dose for children
Impediment conditions (complete and relatively)
Valproats(depakin, konvuleks, orfiril)	All of the epileptic attacks	1200-2400 mg	20-30 mg/kg	Acute and steady hepatitis, diathesis, initial 3 months porphyria
Karbamazepin (finlepsin, tegretol, zeptol)	Focal attacks, Secondary widespread attacks, Other paroxysms	800-1200 mg	10-20 mg/kg	Atrioventricular conditions, old age brocardia, initial 3 months of pregnancy, blood illnesses, porphyria, hypoterios Clonazepam (rivotril, antelepsin) Focal is helpful for dealing with widespread attacks Epileptic status 2-4 mg 1,5-3 mg pregnancy, lactation, myasthenia, bronchial asthma. It strengthen miorelacsants, analgesics
Lamotrigin (lamictal)	focal initial and secondary attacks Main thing in Lennocs-Gasto Syndrom Additional drug	100-400 mg	5-10 mg/kg	pregnancy lack of liver and lung
Gabapentin (neyrontin)	Focal attacks	1200-2400 mg	20-30 mg/kg	Pregnancy and lactation, The children under the age of 3
Vigabatrin (sabril)	Uest syndrom	1000-3000 mg	50-100 mg/kg	Regnancy and lactation Zonizamid (zonegran)

Carbamazepine (finlepsin, tegretol, carbalex, zeptol) is used not only in focal epileptic seizures of various etiologies, but also in psychomotor disorders, tonic-clonic seizures observed during sleep or after waking up, abstinence syndrome, manic-depressive psychosis, affective disorders. is used. The dose of the drug is selected individually, depending on the patient's somatic condition, age and course of the disease taken into account (Table 2.34)

2.34-table

Prescription for carbamazepine in epilepsy

The age of patient	Daily minimum dose	Daily maximum dose
Children under the age of 1	100 mg once per day	100 mg twice per day
1-5	100 mg twice in a day	200 mg twice in a day
6-10	200 mg twice in a day	200 mg three times per day
11-15	200 mg three times per day	200 mg four times per day

For adults, 200 mg 4 max per day, hand 400 mg 3-4 times per day

Note: The daily therapeutic dose of carbamazepine for adults can be increased to 1600 - 2000 mg. At such times, retard types of the drug are selected. The patient sometimes forgets to take the daily dose of anticonvulsants. At such times these drugs are long affected species are selected.

Lamotrigine (lamictal, lamitor) is also an effective anticonvulsant, produced in tablets of 25, 50 and 100 mg. Lamotrigine is an effective tonic for clonic seizures and focal seizures. If treatment with other anticonvulsants does not give the desired result, additional lamotrigine is prescribed or it is recommended separately. This drug is also effective in abscesses and myoclonic seizures. The scheme of recommendation of lamotrigine monotherapy is shown in Table 2.35.

Table 2.35

Lamotrigine for children and adults over 12 years of age

monotherapy type recommendation scheme.