A first-line seizure medicine (your doctor may call it an "antiepileptic drug") is a leading treatment recommended for a specific type of seizure. A type of medicine is considered a first-line treatment based on its effectiveness in controlling seizures and its profile of side effects. For most people with epilepsy, a single first-line seizure medicine provides the best balance between seizure control and unwanted side effects.
Some seizure medicines are called second-line because they have been found to be less effective or to produce more side effects than first-line medicines in many people. Second-line seizure medicines can be extremely effective for certain people with epilepsy, however, without bad effects.
If a person being treated with a first-line seizure medicine develops severe side effects or the seizures are not well controlled, a second-line medicine may be added (this is called adjunctive therapy) or it can be used alone. Some people with epilepsy are successfully treated using only seizure medicines that are usually considered second-line.
Topic Editor:Steven C. Schachter, M.D.
Welcome to the Wiki. This space is created for epilepsy.com members to share their own experiences and expertise to help refine and expand the discussion around important topics.
No members have yet contributed to this topic. If you are not yet an epilepsy.com member, register today to get started on this Wiki topic and the many other advantages of being a member. If you are a member and wish to be the first to edit this Wiki topic, please make sure to login, then click on the orange "Start Wiki" button at the top of this page. Or, learn more about Wikis.