A 30-year-old man with known epilepsy on lamotrigine presents after a generalised tonic-clonic seizure lasting 2 minutes. He has fully recovered. He a...

Question

A 30-year-old man with known epilepsy on lamotrigine presents after a generalised tonic-clonic seizure lasting 2 minutes. He has fully recovered. He admits missing several doses. Which is the most appropriate management?

Accepted Answer

Reinforce adherence, check drug levels if indicated and continue current regimen

Answer

Double his lamotrigine dose and discharge

Answer

Give loading dose of another antiepileptic drug and admit to ICU

Answer

Stop lamotrigine and switch to another agent immediately

Answer

Admit for emergent EEG and CT in all cases

ca-mccqe1 MCQ (SBA): Breakthrough seizure in epilepsy

A 30-year-old man with known epilepsy on lamotrigine presents after a generalised tonic-clonic seizure lasting 2 minutes. He has fully recovered. He admits missing several doses. Which is the most appropriate management?