Physical activity and epilepsy: what are the rules?

Exercise has important benefits for patients who have epilepsy, but several factors must be considered when making activity recommendations. Seizures during sports activity are rare, and exercise may have anti-epileptic effects acutely, but physicians, coaches, and parents should know what to do if a seizure occurs. Many sports activities are permissible as long as patients avoid overexertion, dehydration, and hypoglycemia. Some antiepileptic drugs may adversely affect sports performance, and exercise in turn may reduce serum drug levels by increasing circulating liver enzymes.