In this video, Cesar C. Santos, MD, chief of the pediatric neurology division at Georgetown University Medical Center, discusses the medical treatments available for epilepsy. He explains that the first step is determining what type of epilepsy a patient has, which helps dictate what type of antiepileptic drug (AED) to prescribe. Almost half of patients become seizure free with their first AED, and almost two-thirds become seizure free after a few other AEDs are tried. When 2 or more AEDs have failed, treatment options include surgery and the specialized, high-fat ketogenic diet.
Trokendi XR (topiramate) is an antiepileptic drug FDA approved for treating partial-onset seizures and primary, generalized tonic-clonic seizures in patients 10 years and older and for adjunctive use in children as young as 6 years with Lennox-Gastaut syndrome or partial-onset seizures.