Treatment Options for Seizure

Updated at: Jan 22, 2013
Treatment Options for Seizure

Treatment of seizures depends on the cause of seizure. Seizures caused due to conditions, such as low blood sugar, low blood calcium, etc do not need anti-epileptic medications, but the treatment of the underlying cause is vital. Seizures due to e

Dr Poonam Sachdev
Other DiseasesWritten by: Dr Poonam SachdevPublished at: Aug 31, 2012

Seizures in most people stop by themselves within a few minutes. Your doctor will do tests and recommend medication as needed to prevent seizures in the future. Seizures caused due to low blood sugar and low blood calcium do not need anti-epileptic medications after the underlying cause is corrected and the seizure is controlled. In patients with epilepsy (the commonest cause of seizure), however, medications will be needed. Seizures due to epilepsy can be controlled with anti-epileptic medications in most patients with the currently available medications and other treatment options. If you have seizure because of epilepsy, treatment without delay can help to prevent the relapse of seizure and improve prognosis.


Home care for seizures: In addition to treatment, care at home when the patient is having a seizure is essential. A person can get injured during a seizure. Therefore, when someone is experiencing a seizure, try to protect him or her from injury. Many people, while experiencing a seizure, fall down. You can easily prevent a fall by putting the person on the ground. Put the person in a safe area away from furniture or other sharp objects. Other measures to prevent injury include:

  • putting the person's head on a pillow to prevent injury
  • removing or loosening tight clothing (particularly around the neck)
  • making the person lie on his or her side (in case vomiting occurs, this will prevent the vomitus from being inhaled into the lungs)
  • Calling for medical help and staying with the person until recovery or professional medical help arrives.


Antiepileptic drugs are prescribed if the seizure occurs because of epilepsy or other causes, such as brain injury, stroke, etc . There are many medications available to control seizures. You will be prescribed medication based on factors, such as:

  • types of seizure
  • how frequently they occur
  • lifestyle and age
  • in a woman, whether she is considering pregnancy

If you have two or more seizures, long-term drug therapy may be started. In most people, seizures can be controlled with one medication, but some people with difficultly to control seizures may need two or more drugs to control seizures.

Some of the commonly prescribed anti-epileptic medications for seizures include:

  • Carbamazepine: most effective for partial or tonic-clonic (grand mal) seizures
  • Clonazepam: used for treatment of myoclonic and atonic seizures not controlled by other drugs
  • Ethosuximide: effective in treating absence (petit mal) seizures
  • Phenobarbital: used for treating tonic-clonic (grand mal) and simple partial seizures
  • Phenytoin: used for treating tonic-clonic (grand mal) and simple and complex partial seizures
  • Valproate: it is usually the first choice drug to treat all generalised seizures.

Newer drugs available for treatment of seizures include lamotrigine, gabapentin and topiramate.

Other treatments for seizures: In people with seizures because of difficulty to control epilepsy with medications may be treated with surgery, vagus nerve stimulation and diet changes. If you have seizure because of low or high blood sugar, you will be recommended measures to maintain blood sugar level within the normal range.




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