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Changing drug treatment

Authoring team

Anti-epileptic medication is changed if:

  • unacceptable side effects
  • failure of treatment
  • on an inappropriate drug

When changing to a new drug:

  • start at initial dose and slowly increase until in the middle of its therapeutic range
  • when new drug in middle of therapeutic range then it is possible to slowly withdraw old drug - over a period of about 6 weeks

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