Recommended anticonvulsant according to seizure type
SEIZURE TYPE | FIRST-LINE TREATMENT | SECOND-LINE TREATMENT |
---|---|---|
Partial (with or without secondary generalized seizure) | Carbamazepine Phenytoin Oxcarbazepine Valproic acid (for secondary generalized seizure) | Phenobarbital Clobazam (for simple partial seizures) Gabapentin Topiramate Lamotrigine Levetiracetam |
Generalized | ||
• Absence | Valproic acid Clonazepam | Clobazam Topiramate Lamotrigine |
• Myoclonic | Valproic acid Clonazepam | Clobazam Topiramate |
• Tonic-clonic | Carbamazepine Phenytoin Valproic acid | Phenobarbital Oxcarbazepine Topiramate |
Data from Beaulieu and Nadeau,3 and Caraceni et al.5