Anti-epileptics and their indications

Question 1

First ever seizure where someone lost consciousness

How long do they have to surrender license for?

Answer 1

6 months

Question 2

Person has epilepsy and their medications haven’t changed but they have a seizure

How long do they have to surrender license for?

Answer 2

12 months

Question 3

Person has epilepsy and has a seizure after a reduction/change of their medications

How long do they have to surrender license for?

Answer 3

6 months

Question 4

HGV driver has their first seizure

How long do they have to surrender license for?

Answer 4

5 years

and need to be off antiepileptic meds for 5 years

Question 5

HGV driver has more than one seizure

How long do they have to surrender license for?

Answer 5

10 years

and needs to be off antiepileptic medication for 10 years

Question 6

How long can’t you drive for after an MI

Bonus points- do you need to inform the DVLA?

Answer 6

4 weeks

no need to inform DVLA

Question 7

How long after first TIA must you not drive for?

Bonus points- do you need to inform the DVLA?

Answer 7

4 weeks

no need to inform DVLA

Question 8

how many doses of benzos can be given in status epilepticus before move onto phenytoin?

Answer 8

2

Question 9

what can be used to differentiate between pseudo-seizures and true epileptic seizures

Answer 9

prolactin raised after am epileptic seizure

Question 10

first line medication for absence seizures

Answer 10

ethosuximide

Question 11

tonic clonic generalized seizure medication choice in men and women

Answer 11

valp in men
levetiracetam/lamotrigine in women

Question 12

absence seizure med

Answer 12

ethosuximide

Question 13

atonic/tonic seizures mgt in men and women

Answer 13

men valp
women lamotrigine

Question 14

myoclonic tx men and women

Answer 14

men valp
women levetiracetam

Question 15

focal seizures mgt

Answer 15

levetiracetam or lamotrigine in both men and women