What lifestyle modifications should I advise a patient with epilepsy t

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Lifestyle modifications for patients with epilepsy to manage their condition effectively include:

Ensure adherence to antiseizure medication as prescribed to reduce seizure frequency and risk of sudden unexpected death in epilepsy (SUDEP) .
Avoid alcohol and illicit drug misuse, as these are modifiable risk factors for seizures and SUDEP .
Implement safety measures during activities such as swimming, bathing, or showering by ensuring appropriate supervision to reduce the risk of accidental drowning ,.
Advise on driving regulations and ensure patients understand and comply with Driver and Vehicle Licensing Agency (DVLA) requirements ,.
Encourage regular review of seizure control and discuss the impact of epilepsy on daily functioning, including work, education, and leisure activities, to identify and manage associated difficulties .
Promote mental health awareness by assessing for symptoms of anxiety, depression, and cognitive problems, and managing these appropriately .
Advise on bone health, especially for those on long-term antiepileptic drugs like carbamazepine or sodium valproate, by assessing osteoporosis risk and recommending lifestyle and dietary measures including calcium and vitamin D supplementation if appropriate .
Discuss the importance of night-time supervision or use of monitoring devices for those with seizures during sleep to reduce SUDEP risk .
Provide tailored information and support according to individual needs, including involving family or carers and ensuring access to epilepsy specialist nurses for education and support ,.

What lifestyle modifications should I advise a patient with epilepsy to help manage their condition effectively?