Managing epilepsy: issues in the elderly.
OBJECTIVE
To describe key factors that can affect treatment of epilepsy in the elderly. To outline steps to reduce or discontinue antiepileptic drug therapy in those who have been seizure-free. To design a care plan for a resident with a diagnosis of epilepsy.


METHODS
Live symposium presentation based on clinical practice and research.


CONCLUSIONS
Treating and managing epilepsy in the elderly may be complicated by confounding factors, including comorbidities and polypharmacy. Special attention must be paid to reduce drug interactions and monitor for effectiveness and toxicity. Consultant pharmacists play a key role in managing patients with epilepsy, and nursing facilities should strive to integrate consultant pharmacists into all stages of care plan development and revision.
Marasco
Richard A
RA
Pharmaceutical Care and Management Services, Valdosta, GA, USA. rmarasco@seniorpharm.com
Ramsay
R Eugene
RE
D000368:Aged; D000375:Aging / Q000502:physiology; D000927:Anticonvulsants / Q000627:therapeutic use*; D015897:Comorbidity; D004827:Epilepsy / Q000188:drug therapy*; D006801:Humans; D019338:Polypharmacy
D000927:Anticonvulsants