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There are more than 20 different anti-seizure medicines available. Some may work better for certain types of seizures than for others, and all have side effects. If medication proves ineffective at controlling seizures, other treatments may be required, such as epilepsy surgery, dietary changes, vagus nerve stimulation VNS therapy, or responsive neurostimulation. Normally, anti-seizure drugs are tapered — taken in progressively smaller doses — before they are stopped entirely. Abruptly stopping a medication raises the risk of withdrawal seizures. Medication for Epilepsy Usually, a person with epilepsy will be started on one medication monotherapy at a low dose, and then the dosage will be gradually increased to find the proper dose for that person. This is done to try to minimize side effects. Almost half of people with epilepsy become seizure-free with monotherapy.

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