Concerns with AED conversion: comparison of patient and physician perspectives.
- Author(s): Smith, Brien J
- St Louis, Erik K
- Stern, John M
- Green, Chad
- Bramley, Thomas
- et al.
Published Web Locationhttps://doi.org/10.2174/157015909788848947
When discussing AED conversion in the clinic, both the patient and physician perspectives on the goals and risks of this change are important to consider. To identify patient-reported and clinician-perceived concerns, a panel of epilepsy specialists was questioned about the topics discussed with patients and the clinician's perspective of patient concerns. Findings of a literature review of articles that report patient-expressed concerns regarding their epilepsy and treatment were also reviewed. Results showed that the specialist panel appropriately identified patient-reported concerns of driving ability, medication cost, seizure control, and medication side effects. Additionally, patient-reported concerns of independence, employment issues, social stigma, medication dependence, and undesirable cognitive effects are important to address when considering and initiating AED conversion.