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Epilepsy - Seizure Treatment

 

Epilepsy Medications:
About 3/4 of people with epilepsy will control their condition with various anti-epileptic medications. [9]  Although these medications will prevent seizures from reoccurring, they don't cure the condition.  Some will be able to taper off the medication, while others will have to take them indefinitely, regardless of whether the episodes have stopped.  There are many interactions between anticonvulsant medication and other drugs.  It is very important to keep all health care practitioners aware of the treatments that a person with epilepsy engages in so that drug interactions are avoided. [
10]

 

Surgery:
For those that cannot be managed with anti-epileptic medication, surgery may be an option.  Most often, a surgical candidate is one whose seizures arise from the same part of the brain.  In addition, there are other types of surgeries that can diminish the seizure activity if removing the area is not appropriate.[
11]

Vagus nerve stimulation (VNS):
A relatively new treatment, VNS aims to reduce the amount, duration and severity of seizures a person has.  This procedure involves providing a mild electrical stimulation of the left vagus nerve, a large nerve in the neck. Due to the fact that VNS doesn't cure epilepsy, a person would still need to take their anti-epileptic medication. [
12]

 

 

Supplements helpful for Epilepsy

 

Magnesium:

Magnesium has extensive effects in the body. It is involved in energy production, immune function, nervous system function, and circulation.  Because of its pervasive effects and involvement with electrolyte balance, it is congruent that imbalances can be connected to seizure activity.

 

Studies show evidence of magnesium deficiency as a trigger for seizures. [13] Although this is a rare trigger, it is thought to be due to provoking a metabolic imbalance, leading to improper nerve activity.  One study followed a Thai girl at 10 weeks old presenting with low levels of magnesium and recurrent convulsions.  After supplementation with magnesium, she was free of the convulsions. [14]

 

Taurine:

Taurine is an amino acid found largely in the heart, brain, and skeletal muscle. Its role in the brain is to modulate brain chemicals (neurotransmitters) so that the cell membranes are stabilized, leading to more consistent activity. [15]

 

A study in mice showed that when given a taurine agonist there were increased occurrences of convulsive seizures, suggesting that depletion of taurine has triggering effect for improper brain activity. [16]

 

Gamma-aminobutyric acid (GABA):

An amino acid produced in the brain, gamma-aminobutyric acid (GABA) is a neurotransmitter that fosters communication between nerve cells.  Large amounts of research implicate its role in the provocation of seizure activity.  GABA is an inhibitory neurotransmitter, and when not present in adequate amounts, the lack of inhibition can lead to over excitation, resulting in convulsive episode. [17]  To this end, many standard epilepsy drugs, such as benzodiazepines and phenobarbital, aim to boost GABA levels in the brain.  Supplementation with GABA may have a positive effect on reducing seizure activity.

 

For many, it will be necessary to be on anti-epileptic medication. However, many of these medications deplete the necessary vitamins and minerals in the body, and when depleted, may lead to a host of other problems.  The following are some vitamins and minerals that could be affected:

Vitamin D

Many anti-epileptic medications interfere with vitamin D metabolism. [18] For those taking such medications it is important to counteract these effects.  It is equally important to note that vitamin D is involved with the absorption and metabolism of calcium, and its depletion could then lead to inadequate amounts of calcium absorption. Supplementing with Vitamin D will allow the body to maintain proper amounts of vitamin D and calcium, thereby preventing any deficiency states.

 

Folic acid:

Folic acid is involved in DNA metabolism, immune function, and central nervous system function.  It reduces the risk of birth defects as well as decreasing the risk for heart disease by lowering homocysteine levels. [19]  Because of its important function, it is crucial that it is not depleted.  For those taking seizure medications, it is common for folic acid to be compromised.  It should be noted that there is more of an involved interaction with these medications, in that folic acid in large amounts (more than 15mg/day) may interfere with the anticonvulsant effect of dilantin; but smaller doses of folic acid appears to improve the clinical condition. [20]

 

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