Treatment FAQ

what medications have few side effects for the treatment of petit mal seizures?

by Adele Reichert Published 3 years ago Updated 2 years ago

Doctors may recommend the use of valproic acid in children who have both absence and grand mal (tonic-clonic) seizures. Lamotrigine (Lamictal). Some studies show this drug to be less effective than ethosuximide or valproic acid, but it has fewer side effects. Side effects may include rash and nausea.

Full Answer

What is a petit mal seizure?

37 rows · Below is a list of common medications used to treat or reduce the symptoms of petit mal seizures. Follow the links to read common uses, side effects, dosage details and read user reviews for the ...

What are the first-line medications for partial seizures?

Some common side effects that may occur in the first few weeks of taking seizure medicines include feeling tired, stomach upset or discomfort, dizziness, or blurred vision. Some of these …

What is a seizure medication?

Nov 09, 2021 · Typical symptoms include: staring off into space. smacking the lips together. fluttering eyelids. stopping speech in the middle of a sentence. making sudden hand …

What are the side effects of seizure medicines?

Apr 07, 2021 · topiramate (Topamax). For partial seizures, common first-line medications include. carbamazepine (Tegretol), phenytoin (Dilantin), Oxcarbazepine (Trileptal) and. especially in …

What seizure medication has the least side effects?

oxcarbazepine (Trileptal): Slightly different from carbamazepine, it is at least as effective, and may have fewer side effects, except for more risk for low blood sodium (hyponatremia). It is more expensive than generic carbamazepine. A typical adult dose is 600 mg twice a day.

Which drugs are contraindicated in absence seizures?

Carbamazepine, oxcarbazepine, vigabatrin, and tiagabine are contraindicated in the treatment of absence seizures. The GABA agonists vigabatrin and tiagabine can induce absence seizures, including absence status epilepticus.Mar 18, 2011

Which side effects are common with most antiseizure drugs?

What are some common side effects from seizure medicines? Some common side effects that may occur in the first few weeks of taking seizure medicines include feeling tired, stomach upset or discomfort, dizziness, or blurred vision.Mar 19, 2014

What medications should epileptics avoid?

Be careful with birth control pills.

Epilepsy drugs known to have this effect include Carbatrol, Dilantin, phenobarbital, Mysoline, Trileptal, and Topamax.
Apr 28, 2021

Which antiepileptic drug should be avoided in treating patients with generalized absence seizures?

If absence seizures are present along with other seizure types (eg, generalized tonic-clonic seizures, myoclonic seizures), the choices are valproic acid, lamotrigine, or topiramate. Do not use carbamazepine, gabapentin or tiagabine, because these drugs may exacerbate absence seizures.May 30, 2019

How do you stop absence seizures?

Absence seizures are treated with antiseizure medications. Ethosuximide (Zarontin®) is the preferred medication to treat absence seizures. Other medications that your healthcare provider might try include valproate (Depakene®), lamotrigine (Lamictal®) and topiramate (Topamax®).Dec 15, 2021

What is the safest anti seizure medication?

"[Lamictal] seems to be the winner," Marson says. The second trial looked at 716 patients newly diagnosed with generalized epilepsy. It compared the older drug valproic acid (in the U.S., Depakote is the most popular member of this drug family) to Lamictal and Topamax.Mar 22, 2007

What is the best medication for grand mal seizures?

Many medications are used in the treatment of epilepsy and seizures, including:
  • Phenytoin (Dilantin, Phenytek)
  • Valproic acid (Depakene)
  • Oxcarbazepine (Oxtellar, Trileptal)
  • Lamotrigine (Lamictal)
  • Gabapentin (Gralise, Neurontin)
  • Topiramate (Topamax)
  • Phenobarbital.
  • Zonisamide (Zonegran)
Feb 24, 2021

Can seizure medication cause kidney problems?

To summarize, levetiracetam can cause AKI on patients with a seizure disorder, more commonly when used in high doses as was seen in our case. In addition, rhabdomyolysis might contribute to kidney injury in patients with prolonged seizure activity.Jun 24, 2020

Can Aleve cause seizures?

Symptoms of overdose may include: severe stomach pain, extreme drowsiness, seizures. Do not share this medication with others. Lab and/or medical tests (such as blood pressure, complete blood count, liver/kidney function) may be done while you are taking this medication.

What medications lower the seizure threshold?

Drugs that lower the seizure threshold.
...
CategoryExamples
AnalgesicsOpioids (eg, meperidine, tramadol)
Anticancer drugs*Busulfan Chlorambucil Cytarabine Doxorubicin Etoposide Fluorouracil Interferon alfa Methotrexate Mitoxantrone Nelarabine Platinum-based drugs (eg, cisplatin) Vinblastine Vincristine
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What are side effects of Keppra?

The most common side effects of Keppra include:
  • dizziness,
  • drowsiness,
  • tiredness,
  • weakness,
  • feeling aggressive or irritable,
  • loss of appetite,
  • stuff nose, and.
  • infection.

Can you taper off anti-seizure medication?

Children may be able to taper off anti-seizure medications, under a doctor's supervision, after they've been seizure-free for two years. Drugs prescribed for absence seizure include: Ethosuximide (Zarontin). This is the drug most doctors start with for absence seizures. In most cases, seizures respond well to this drug.

What is the best medication for absence seizures?

Drugs prescribed for absence seizure include: Ethosuximide (Zarontin). This is the drug most doctors start with for absence seizures. In most cases, seizures respond well to this drug. Possible side effects include nausea, vomiting, sleepiness, trouble sleeping, hyperactivity. Valproic acid (Depakene).

Can you drive with a seizure disorder?

Ask your doctor about driving or recreation restrictions. Someone with a seizure disorder will have to be seizure-free for reasonable lengths of time (intervals vary from state to state) before being able to drive. Don't bathe or swim unless someone else is nearby to help if needed.

Can a seizure cause anxiety?

If you're living with a seizure disorder, you may feel anxious or stressed about what your future holds. Stress can affect your mental health, so it's important to talk with your doctor about your feelings and seek resources for help.

What is EEG for seizures?

Diagnosis. An EEG records the electrical activity of your brain via electrodes affixed to your scalp. EEG results show changes in brain activity that may be useful in diagnosing brain conditions, especially epilepsy and other seizure disorders.

What is EEG brain activity?

EEG brain activity. EEG brain activity. An EEG records the electrical activity of your brain via electrodes affixed to your scalp. EEG results show changes in brain activity that may be useful in diagnosing brain conditions, especially epilepsy and other seizure disorders. Your doctor will ask for a detailed description ...

What is an EEG?

An EEG records the electrical activity of your brain via electrodes affixed to your scalp. EEG results show changes in brain activity that may be useful in diagnosing brain conditions, especially epilepsy and other seizure disorders. Your doctor will ask for a detailed description of the seizures and conduct a physical exam.

What is it called when the whole brain is involved in a seizure?

A seizure can affect a small area of the brain. Or it can affect the entire brain. If the whole brain is involved, it is called a generalized seizure. The two most common forms of generalized seizures are: Generalized seizures (grand mal seizures) Absence seizures (petit mal seizures)

What is a seizure called?

A seizure can affect a small area of the brain. Or it can affect the entire brain. If the whole brain is involved, it is called a generalized seizure . The two most common forms of generalized seizures are: Generalized seizures (grand mal seizures) Absence seizures (petit mal seizures) Both forms of generalized seizures cause a temporary loss ...

What is the difference between a seizure and an absence seizure?

Absence seizures (petit mal seizures) Both forms of generalized seizures cause a temporary loss of consciousness. An absence seizure causes a loss of consciousness for 30 seconds or less. It is barely noticeable, if at all. The person simply stops moving or speaking.

What are the symptoms of an absence seizure?

Symptoms. During an absence seizure, a child is temporarily unaware of what is happening around him or her. For a few brief seconds, the child stops what he or she is doing. He or she stares straight ahead and does not respond to people speaking. During a seizure, a child's eyelids may blink or flicker very quickly.

What happens when a child has an absence seizure?

During an absence seizure, a child is temporarily unaware of what is happening around him or her. For a few brief seconds, the child stops what he or she is doing. He or she stares straight ahead and does not respond to people speaking. During a seizure, a child's eyelids may blink or flicker very quickly.

Can an absence seizure cause confusion?

There usually is no confusion or recovery period after an absence seizure. A child with absence epilepsy can have many brief seizures during a school day. As a result, the disorder may interfere seriously with their ability to pay attention and participate in class.

What is absent seizures?

What are Absence Seizures (Petit Mal Seizures)? The brain's nerve cells (neurons) communicate by firing tiny electric signals. During a seizure (convulsion), the firing pattern of these electric signals suddenly changes. It becomes unusually intense and abnormal. A seizure can affect a small area of the brain.

How to tell if you have a grand mal seizure?

The signs of an absence seizure include: staring off into space. smacking the lips together. fluttering eyelids. stopping speech in the middle of a sentence. making sudden hand movements. leaning forward or backward. appearing suddenly motionless.

How to tell if a child has an absence seizure?

You can tell if a person is experiencing an absence seizure because the person is unaware of their surroundings, even with touch or sound. Grand mal seizures may begin with an aura or warning sensation. However, absence seizures typically occur suddenly and with no warning.

What happens to the brain during a seizure?

It maintains your heartbeat and breathing. The nerve cells in your brain send electrical and chemical signals to each other to communicate. A seizure interferes with this electrical activity in the brain. During an absence seizure, your brain’s electrical signals repeat themselves.

What happens when you have an absence seizure?

A seizure interferes with this electrical activity in the brain. During an absence seizure, your brain’s electrical signals repeat themselves. A person who has absence seizures may also have altered levels of neurotransmitters. These are the chemical messengers that help cells communicate.

Can you swim while having a seizure?

Driving and swimming during an absence seizure might cause an accident or drowning. Your doctor may restrict your activity until they’re certain your seizures are under control. Some states also may have laws about how long a person must go without a seizure before getting back on the road.

Can you go without a seizure?

Your doctor may restrict your activity until they’re certain your seizures are under control . Some states also may have laws about how long a person must go without a seizure before getting back on the road. Those who have absence seizures may wish to wear a medical identification bracelet.

How long does an absence seizure last?

The person usually doesn’t remember the past few moments or the seizure itself. Some absence seizures can last up to 20 seconds. While absence seizures occur in the brain, they don’t cause brain damage.

What is the term for a seizure that is uncontrollable?

Seizures are also known as convulsions – but not all seizures produce convulsive behavior – that is uncontrollable muscle contractions. Absence seizures, for example, involve brief periods of staring. With atonic seizures, there is a loss of muscular tone or strength. The symptoms produced by a seizure are dependent on which part ...

How long does a seizure last?

Seizures are generally short-lived – from 15 seconds to 15 minutes – however; there is a life-threatening type of seizure, status epilepticus, in which the seizure does not stop.

What causes seizures in the brain?

Common causes include. congenital abnormalities of the brain, illicit drug use, fever, brain tumors and metabolic imbalances, such as high levels of glucose or sodium.

What is the term for seizures caused by an electrical disturbance in the brain?

illicit drug use, fever, brain tumors and metabolic imbalances, such as high levels of glucose or sodium. Epilepsy is a condition in which a person experiences repeated seizures, due to an overall electrical disturbance in the brain.

What is the term for seizures caused by a person's brain?

brain tumors and metabolic imbalances, such as high levels of glucose or sodium. Epilepsy is a condition in which a person experiences repeated seizures, due to an overall electrical disturbance in the brain.

What are the side effects of anti-seizure medication?

Also, most anti- seizure medications can induce suicidal thoughts or actions, and/or bring on or worsen depression.

Can anti-seizure medication cause depression?

Also, most anti- seizure medications can induce suicidal thoughts or actions, and/ or bring on or worsen depression. Seizure medications have a variety of possible side effects.

Focal onset seizures

Focal onset seizures begin in one area of the brain. They were previously called partial seizures.

Generalized onset seizures

Generalized onset seizures begin in both areas of the brain. They include:

Unknown onset seizures

If it can’t be determined where the seizure started, it’s categorized as an unknown onset seizure.

Carbamazepine (Carbatrol, Tegretol, Epitol, Equetro)

Carbamazepine (Carbatrol, Tegretol, Epitol, Equetro) is used to treat focal seizures, including ones that occur in the temporal lobe. This medication may also help treat:

Eslicarbazepine (Aptiom)

Eslicarbazepine (Aptiom) is used to treat focal seizures, including focal to bilateral tonic-clonic seizures.

Ethosuximide (Zarontin)

Ethosuximide (Zarontin) is used to treat all forms of absence seizures. These include:

Everolimus (Afinitor, Afinitor Disperz)

Everolimus ( Afinitor, Afinitor Disperz) is used to treat focal seizures caused by tuberous sclerosis, a rare genetic disorder that leads to benign tumors.

Can alcohol withdrawal cause a seizure?

Drug withdrawal, alcohol withdrawal, can trigger petit mal seizure in adults. Often the symptoms are triggered due to stress, or sudden bright light.

How long does a petit mal seizure last?

Symptoms Of Petit Mal Seizure In Adults. In most cases the symptoms of petit mal seizures are difficult to detect. The seizure does not last for more than 10 seconds. Multiple attacks tend to occur on the same day.

How long does a seizure last?

The seizure does not last for more than 10 seconds. Multiple attacks tend to occur on the same day. Due to its mild variety, the symptom may be mistaken as lack of attention or other behavioral abnormalities. It may take months to get detected.

How long does it take for a seizure to be detected?

It may take months to get detected. It may be detected when a person finds drop in his work performance or difficulty in learning. Petit mal seizure in adults is hard to detect because it last for few seconds and the person remains quite awake after the seizure ends.

How to tell if a person has a petit mal seizure?

It may be detected when a person finds drop in his work performance or difficulty in learning. Petit mal seizure in adults is hard to detect because it last for few seconds and the person remains quite awake after the seizure ends. Besides his thinking and intelligence is not affected.

Why is it so hard to detect a petit mal seizure?

Petit mal seizure in adults is hard to detect because it last for few seconds and the person remains quite awake after the seizure ends. Besides his thinking and intelligence is not affected. The patient is almost unaware that he had an attack of petit mal seizure.

What is a Petit Mal Seizures?

They result from many causes and have widely varying manifestations. Petit mal seizures also known as absence seizures, comprises of abrupt sudden loss of consciousness for a brief period.

Diagnosis

Treatment

  • Your doctor likely will start at the lowest dose of anti-seizure medication possible and increase the dosage as needed to control the seizures. Children may be able to taper off anti-seizure medications, under a doctor's supervision, after they've been seizure-free for two years. Drugs prescribed for absence seizure include: 1. Ethosuximide (Zaront...
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Lifestyle and Home Remedies

  • Dietary therapy
    Following a diet that's high in fat and low in carbohydrates, known as a ketogenic diet, can improve seizure control. This is used only if traditional medications fail to control the seizures. This diet isn't easy to maintain, but is successful at reducing seizures for some people. Variation…
  • Additional options
    Here are other steps you might take to help with seizure control: 1. Take medication correctly.Don't adjust the dosage before talking to your doctor. If you feel your medication should be changed, discuss it with your doctor. 2. Get enough sleep.Lack of sleep can trigger seizures. …
See more on mayoclinic.org

Coping and Support

  • If you're living with a seizure disorder, you may feel anxious or stressed about what your future holds. Stress can affect your mental health, so it's important to talk with your doctor about your feelings and seek resources for help.
See more on mayoclinic.org

Preparing For Your Appointment

  • You're likely to start by seeing your family doctor or a general practitioner. However, you'll probably be referred to a doctor who specializes in nervous system disorders (neurologist). Here's some information to help you get ready for the appointment.
See more on mayoclinic.org

What Are Absence Seizures (Petit Mal Seizures)?

Symptoms

  • During an absence seizure, a child is temporarily unaware of what is happening around him or her. For a few brief seconds, the child stops what he or she is doing. He or she stares straight ahead and does not respond to people speaking. During a seizure, a child's eyelids may blink or flicker very quickly. Or an arm or a leg may twitch, jerk or move for no obvious reason. After the seizure …
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Diagnosis

  • The doctor will ask you to describe your child's symptoms. He or she will ask how often the symptoms occur and how long they last. The doctor also will ask whether any other members of your family have had similar symptoms or have received treatment for any type of epilepsy. The doctor will review your child's medical history, including: 1. Any history of birth trauma 2. Seriou…
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Expected Duration

  • Most children outgrow absence epilepsy, usually by their teen years. Before then, anti-epilepsy medication is used to control the symptoms.
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Treatment

  • If your child has absence epilepsy, the doctor will treat the condition with medication to help control the number of absence seizures your child has. They are known as anticonvulsants (also called antiepileptic or antiseizure drugs). The two most commonly prescribed anticonvulsant medications to treat absence epilepsy are ethosuximide (Zarontin) a...
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When to Call A Professional

  • Call your child's doctor if you notice that your child has: 1. Staring spells 2. Brief periods of deep daydreaming 3. Other behaviors that may be symptoms of absence seizures If your child's teacher complains that your child is not paying attention, tunes out or always daydreams, ask the teacher whether your child shows other symptoms of absence seizures. For example, does your child: 1…
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Prognosis

  • The outlook is very good. Most children with absence epilepsy eventually outgrow the condition without complications. With proper treatment, the child can have a normal life at school and at home. In most cases, there is no long-term effect on brain development, brain function or intelligence.
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Further Information

  • Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Medical Disclaimer
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