Case scenario

Stavros, a 35-year-old male with focal epilepsy, presents to the pharmacy to collect his medicines. He appears tired and mentions he has been having more frequent breakthrough seizures lately. As you chat, he reveals he recently started lorazepam 1 mg twice daily for generalised anxiety disorder (GAD), prescribed by his new GP. Stavros has been missing doses of his anti-seizure medicine, carbamazepine, as he feels it worsens his drowsiness and confusion. 

Introduction

Dr Ming S Soh PhD, BPharm (Hons)

Epilepsy is a chronic neurological condition characterised by a persistent tendency to produce seizures.1,2 According to the International League Against Epilepsy (ILAE), epilepsy is diagnosed when an individual experiences at least two unprovoked seizures more than 24 hours a

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