The nurse has been conducting medication education for a patient with epilepsy. What is the best outcome for this patient?
1. The patient will recognize that the antiseizure medication must be continued indefinitely.
2. The patient will recognize the need to be on a tyramine-free diet while on antiseizure medications.
3. The patient will recognize the need to be on a ketogenic diet in combination with antiseizure medications.
4. The patient will recognize the need to be on antiseizure medication for one year after the last seizure.
Correct Answer: 1
Rationale: Once seizures have been controlled, patients are continued indefinitely on the antiseizure drug. In general, withdrawal of antiseizure drugs should only be attempted after at least 3 years of being seizure free. A ketogenic diet is indicated when seizures cannot be controlled through pharmacotherapy or when there are unacceptable side effects to the medications. A tyramine-free diet is indicated for patients receiving monoamine oxidase inhibitor medications.
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