After a first seizure, provide the person, and their family and carers if appropriate, with information on how to recognize and manage a further seizure, including first aid and safety guidance (see safety issues in box 1) NICE NG217.
Advise them on any changes they can make to reduce their risk of another seizure, such as avoiding known triggers like sleep deprivation, alcohol, and social drugs NICE CKS.
Encourage recording any further episodes of possible seizures, for example using a video or seizure diary, to aid diagnosis and management NICE CKS.
Ensure the person is referred urgently for assessment within 2 weeks to a specialist with expertise in diagnosing epilepsy NICE CKS.
Provide ongoing support and information about lifestyle factors, safety, and the importance of medication adherence, as well as discussing the impact on daily activities and driving regulations NICE NG217.