Management of epilepsy: pharmacologic therapy and quality-of-life issues

Treatment of epilepsy extends far beyond the administration and monitoring of antiepileptic drug therapy. Persons with epilepsy have cognitive, vocational, and psychosocial needs that may exceed the scope of the primary care physician's clinical responsibilities. In such cases, the physician can assemble and manage a team of medical and social service professionals to address these needs. By establishing this support system and maintaining effective communication with the patient and the management team, the primary care physician offers patients with epilepsy the opportunity to improve and maintain their quality of life and receive safe and effective pharmacologic treatment.