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Tuesday 22 November 2011

When does a person need to start epileptic medication?

In the April 27, 2011 issue of the Journal of the American Medical Association Drs. Modi and other investigators presented an investigation of a prospective longitudinal observational study of antiepileptic drug adherence in a consecutive cohort of 124 children aged two to twelve years who had just been diagnosed with epilepsy at the Cincinnati Children's Hospital Medical Center. The study was conducted from April 2006 through September 2009. The investigators assessed how often patients followed the directions that were provided to them with regards to their seizure medications. The results show that 58% of children with newly diagnosed epilepsy did not take their medications the way it was prescribed during the first six months of therapy. The most interesting aspect of the study was that socioeconomic status was a sole predictor of how individuals faired with regards to following medical directions, with the lower socioeconomic status associated with the highest level of not following directions.
This study is important because it highlights that although many people believe that they follow the directions that are given to them by physicians, the reality is there is a significant number that do not. This has consequences with regards to seizure control and what happens when you do not follow directions. This study highlights the issue of taking medications as prescribed. Dr. Modi joined us for a special Hallway Conversations on this topic on May 18, 2011

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