Epilepsy: Common Epilepsy Medications

If you have experienced two or more unprovoked seizures or your EEG (electroencephalogram) shows an increased risk for seizures, then you may be started on antiseizure medications. There are many different types of antiseizure medicines. These medicines are usually taken every day to twice a day. Below are some examples of different antiseizure medications, the type of epilepsy they treat, and their side effects.

Medication (Brand Name) Focal or Generalized Seizure? Common Side Effects Rare Adverse Effects
Levetiracetam (Keppra) Focal or generalized seizures Fatigue, headache, dizziness, irritability or mood changes
Lamotrigine (Lamictal)

 

Focal or generalized seizures nausea or rash, insomnia Increased risk of abnormal heart rhythms (arrhythmia)

 

Can rarely lead to a full body rash and potentially shock (Steven’s Johnson Syndrome)

Valproic Acid

 (Sodium Valproate, Depakote)

Focal or generalized seizures nausea and vomiting, fatigue low platelets, sleepiness, liver dysfunction, pancreatitis

 

Use in caution in an individual who can be or is planning to be pregnant, due to the risk of birth defects

 

Oxcarbazepine (Trileptal) Focal seizures headache, dizziness, fatigue and sleepiness, double vision, difficulty with balance, low blood sodium levels Can rarely lead to a full body rash and potentially shock (Steven’s Johnson Syndrome)
Topiramate (Topamax) Focal or generalized seizures weight loss, sedation, confusion, tingling Use in caution in an individual who can be or is planning to be pregnant, due to the risk of birth defects

 

Kidney stones

Zonisamide (Zonegran)

 

Focal or generalized seizures Sedation, fatigue Kidney stones
Lacosamide (Vimpat) Focal or generalized seizures

 

dizziness, nausea, difficulty with balance or coordination Increased risk of abnormal heart rhythms (arrhythmia)
Clobazam

 (Onfi)

Focal or generalized seizures

 

Sedation, drooling Confusion, memory problems, agitation

 

Remember – if you have questions about your antiseizure medications or you do not see your medication above, talk with your health care provider (HCP).