Choice of AED
Choice Antiepileptic Drug (AED)medication in children | |||
---|---|---|---|
Seizure type/syndrome | First Line | Second Line | Drugs to avoid |
Focal seizures | CBZ,LTG,OXC,TPM,VPA | CLB,GBP,LEV,PHT,TGB,ZON,PGN | |
Generalised Seizures | |||
Absence | ESM,LTG,VPA | CLB,CLM,TPM | CBZ,GBP,OXC,TGB,VGB |
GTC | CBZ,LTG,VPA,TPM | CLB,LEV,OXC,ZON | TGB,VGB |
Myoclonic | VPA,TPM | LTG,CLB,CLM,LEV,Piracetam | CBZ,GBP,OXC,TGB,VGB |
Tonic | LTG,VPA | CLB,CLM,LEV,TPM | CBZ,OXC |
Atonic | LTG,VPA | LEV,TPM,CLB,CLM | CBZ,OXC,PHT |
Childhood Absence Epilepsy | ESM,LTG,VPA | LEV,TOP | CBZ,OXC,PHT,TGB,VGB |
Juvenile absence epilepsy | LTG,VPA | LEV,TPM | CBZ,OXC,PHT,TGB,VGB |
Juvenile Myoclonic Epilepsy | LTG,VPA | CLB,CLM,TPM,LEV | CBZ,OXC,PHT,TGB,VGB |
BECTS | CBZ,LTG,OXC,VPA | LEV,TPM | |
BCOS | CBZ,LTG,OXC,VPA | LEV,TPM | |
Infantile spasms | VGB,Steroids | CLB,CLM,VPA,TPM | CBZ,OXC |
Dravets | VPA,TPM,CLB,CLM | LEV,Stiripentol | CBZ,LTG,OXC,VGB |
Lennox-Gastuat Syndrome | VPA,LTG,TPM | CLB,CLM,ESM,LEV,RUF | CBZ,OXC |
Landau-Kleffner syndrome | Steroids,LTG,VPA | LEV,TPM | CBZ,OXC |
CSWS | Steroids,CLB,CLM,VPA,LTG,ESM | LEV,TPM | CBZ,OXC,VGB |
Myoclonic astatic epilepsy | CLB,CLM,VPA,TPM | LEV,LTG | CBZ,OXC |
ESM Ethosuximide
CLB Clobazam
CLM Clonazepam
GBP Gabapentin
LEV Levetiracetam
LTG Lamotrigine
OXC Oxcarbazepine
PGN Pregabalin
PHT Phenytoin
RUF Rufinamide
TGB Tiagabine
TPM Topiramate
VGB Vigabatrin
VPA Valproate
ZON Zonisamide
Discussion