Managing epilepsy: issues in the elderly

To describe key factors that can affect treatment of epilepsy in the elderly. To outline steps to reduce or discontinue antiepileptic drug therapy in those who have been seizure-free. To design a care plan for a resident with a diagnosis of epilepsy.

Live symposium presentation based on clinical practice and research.

Treating and managing epilepsy in the elderly may be complicated by confounding factors, including comorbidities and polypharmacy. Special attention must be paid to reduce drug interactions and monitor for effectiveness and toxicity. Consultant pharmacists play a key role in managing patients with epilepsy, and nursing facilities should strive to integrate consultant pharmacists into all stages of care plan development and revision.