A 30-year-old man with known epilepsy presents to clinic. Despite good seizure control, he has recently started missing doses because he is afraid of ...

Question

A 30-year-old man with known epilepsy presents to clinic. Despite good seizure control, he has recently started missing doses because he is afraid of long-term side effects. After a shared decision-making discussion, he decides he wants to stop his antiepileptic medication. What is the most appropriate action?

Accepted Answer

Explain the risks, advise against stopping and, if he still wishes to stop, agree a gradual supervised withdrawal plan

Answer

Immediately stop his antiepileptic drug

Answer

Refuse to consider stopping and discharge him from clinic

Answer

Inform the DVLA and stop his prescription without discussion

Answer

Switch to benzodiazepines instead of his current treatment

uk-plab-1 MCQ (SBA): Epilepsy – shared decision making on drug withdrawal