Bibliographic Details
| Title: |
Suspensión de medicamentos anticrisis. |
| Alternate Title: |
Discontinuation of anti-seizure medications. |
| Authors: |
Mena-Barranco, Francisco J.1 fmenabarranco@yahoo.com.mx, Carrillo-Mora, Paul2, del Rocío Márquez-Estudillo, M.3, Molina-García, Avril4, Pelayo-González, Mónica E.5, Silva-Sánchez, Sandra E.6, Villegas-Peña, Hilda7 |
| Source: |
Revista Mexicana de Neurociencia. 2026 Supplement, Vol. 27, p158-165. 8p. |
| Abstract (English): |
The decision to continue or discontinue anti-seizure medications (ASMs) is highly relevant and should be made jointly by the patient, family and/or caregivers, and the specialist physician, after comprehensive information is provided. The patient and family must recognize that there will always be a risk of seizure recurrence with or without ASMs, and the type of epilepsy, its prognosis, and the patient's lifestyle must be considered. Discontinuation will be under the supervision of a specialist (clinical neurologist) and will be considered after at least two years without seizures, in addition to other requirements. Treatment will be withdrawn gradually over a period of at least 2-3 months, with ASMs being discontinued one at a time. The withdrawal of benzodiazepines and barbiturates will be slower, taking no less than 6 months. An agreement must be reached that in the event of a seizure relapse, the last dose prior to the dose at which the relapse occurred will be reinstated, and a specialist evaluation will be requested. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Es una decisión de alta relevancia, cuando llega el momento, continuar o retirar los medicamentos anticrisis (MAC), y debe ser tomada en conjunto por el paciente, la familia y/o los cuidadores y el médico especialista, después de una amplia información al respecto. El paciente y los familiares deben reconocer que siempre habrá un riesgo de recurrencia de crisis con y sin MAC, y se debe tomar en cuenta el tipo de epilepsia, el pronóstico de esta y el estilo de vida del paciente. El retiro será bajo la supervisión de un especialista (neurólogo clínico) y se considerará cuando se hayan cumplido por los menos dos años sin crisis, además de otros requisitos. El tratamiento será retirado de manera gradual, en un lapso de al menos 2-3 meses, y se retirarán los MAC uno por uno. El retiro de benzodiazepinas y barbitúricos será más lento, en no menos de 6 meses. Se deberá tener un acuerdo de que en caso de recaída de crisis se regresará a la última dosis previa a la dosis en la cual se presentó la recaída y se solicitará valoración por el especialista. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
