Publication Date

10-7-2024

Journal

Epilepsy Currents

DOI

10.1177/15357597241281838

PMID

39539402

PMCID

PMC11556333

PubMedCentral® Posted Date

10-7-2024

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

antiseizure medications, precision medicine, status epilepticus, access to seizure medications, pharmacology, epilepsies, global

Abstract

Since bromides were first used in 1857 to treat epilepsy, numerous antiseizure medications (ASM) have been developed. Many of these are available for the treatment of epilepsy and status epilepticus today. With so many ASM available, questions arise as to whether all of these medications are needed and when should they be used. As precision medicine begins to play a larger role in determining targeted treatments for specific types of epilepsy, a complete understanding of various medications is needed. Additionally, access to several of these medications can be limited in the United States and are especially limited globally. All these factors can make proper selection of ASM challenging and difficult for clinicians. This review highlights important aspects of older and newer medications, developments in precision medicine for epilepsy, increasing understanding of effective treatments for status epileptics, and a global perspective on ASM availability.

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