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InnovAiT 2008 1(10):666-667; doi:10.1093/innovait/inn132
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© The Author 2008. Published by Oxford University Press on behalf of the RCGP. All rights reserved. For permissions please e-mail: journals.permissions@oxfordjournals.org

News & Views

Dr Rodger C Charlton

General Practitioner and Associate Clinical Professor, Warwick Medical School and Honorary Editor, RCGP Publications

E-mail: rodger.charlton@warwick.ac.uk

The first 150 words of the full text of this article appear below.


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The latest available epilepsy guidelines are from NICE in 2004 and a National Service Framework in 2005. A useful review appears in Clinical Medicine in August. All patients with suspected seizures should be referred quickly, preferably within 2 weeks. The diagnosis is primarily clinical based on a history and an eyewitness and needs to be differentiated from syncope, or for example drop attacks. Investigations are not used to make a diagnosis of epilepsy but rather confirm the diagnosis and establish a cause. Accurate classification is important to determine both the prognosis and appropriate medication, ideally with monotherapy. Withdrawal of medication should be discussed with patients who have been seizure free for at least 2 years and the Driver and Vehicle Licensing Agency (DVLA) strongly advises that patients should stop driving during the period of withdrawal until 6 months afterwards. Enzyme-inducing drugs may reduce the efficacy of the combined oral contraceptive . . . [Full Text of this Article]


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