If epilepsy not controlled by drug therapy

If anti-epileptic medication has not been successful, consider whether:

• the correct diagnosis has been made
• the patient is on the correct drug
• the drug is at its maximum dose

Appropriate paths to follow might be:

• if patient is not on appropriate drug then change it - see menu
• if seizures are not controlled consider using more than one drug then seek expert advice
• if patient has refractory disabling temporal lobe epilepsy then neurosurgical referral for possible temporal lobectomy may be appropriate