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Management Considerations in Epilepsy Among Long-Term Care Residents

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Presentation on theme: "Management Considerations in Epilepsy Among Long-Term Care Residents"— Presentation transcript:

1 Management Considerations in Epilepsy Among Long-Term Care Residents

2

3 Introduction

4 Prevalence of Epilepsy in the United States

5 Prevalence of Epilepsy/Seizures in Patients With Neurologic Comorbidities

6 Epilepsy and Cerebrovascular Disease

7 Case 1

8 Carbamazepine-Simvastatin Interaction

9 Epilepsy and Cognition

10 Cognitive Function With Lamotrigine and Topiramate

11 Epilepsy and Falls

12 Drug-Drug Interactions: Role of Hepatic Metabolism

13 Preventing Drug-Drug Interactions

14 Preventing Drug-Drug Interactions (cont)

15 Examples of Other Interactions

16 Dosing and Titration of ASDs

17 Case 2

18 Pharmacokinetic Changes With Age

19 Renal Clearance

20 Change in Phenytoin Levels in Nursing Home Residents Without Dose Change

21 Fluctuation in ASD Levels

22 Treat Single Seizure in the Elderly?

23 Considerations About Treating Single Seizure

24 Considerations About Treating Single Seizure (cont)

25 Conclusions

26 Abbreviations

27 Abbreviations (cont)


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