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Seponering av antiepileptika ved anfallsfrihet – når og hvordan?
Engelsk titel: Discontinuation of antiepileptic drugs in seizure-free patients – when and how? Läs online Författare: Lossius, Morten I ; Alfstad, Kristin Å ; Aaberg, Kari M ; Nakken, Karl O Språk: Nor Antal referenser: 30 Dokumenttyp: Översikt UI-nummer: 17040026

Tidskrift

Tidsskrift for Den Norske Laegeforening 2017;137(6)451-4 ISSN 0029-2001 E-ISSN 0807-7096 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

In seizure-free patients with epilepsy, the question of whether, and if so when, it is acceptable to discontinue treatment may be difficult to answer. A thorough risk-benefit assessment should be undertaken with the patient and next of kin, during which the consequences of a relapse must be weighed against the disadvantages of continued use of the drug. As a general rule, adult patients should have been seizure-free for at least two years before discontinuation is considered. In children with epilepsy where the prognosis is known to be good, discontinuation may be considered earlier.