A patient who takes carbamazepine (Tegretol) has been seizure-free for 2 years and asks the primary...
A patient who takes carbamazepine (Tegretol) has been seizure-free for 2 years and asks the primary care NP about stopping the medication. The NP should: a. order an electroencephalogram (EEG) b. prescribe a tapering regimen of the drug c. inform the patient that antiepileptic drug (AED) therapy is lifelong. d. tell the patient to stop the drug and use only as needed
Homework Answers
Ans) a. order an electroencephalogram (EEG)
Explaination:
- Discontinuation of AEDs may be considered in patients who have been seizure-free for longerthan 2 years. An EEG should be obtained before the medication is withdrawn. The drug should be tapered to prevent status epilepticus, but only after a normal EEG is obtained. AED therapy is not lifelong in all patients. Patients should not stop AED medications abruptly, and these drugs are not used on an as-needed basis.
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