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What Is Felbatol & How Does It Treat Epilepsy?

Learn about the epilepsy medication Felbatol from Steve Wolf, MD and Patty McGoldrick, NP in this Howcast video.


Felbatol or Felbamade is another medication that used in epilepsy to control seizures. It is a medication that is sorta fourth choice in most people's armamentarium. It works well for both partial and generalized seizures. It has a black box warning so it's not used as widely as it could be and that's because there's a risk of aplastic anemia and of liver function issues. So basically a number of years ago we had a few patients that died in the country on this medication. Most of them were in combination with some other medication, such as psychiatric medications, but they found that if you use low dosages or moderate doses, you monitor the bloods carefully, these patients do extremely well and it's good for these very difficult to control patients with epilepsy. Some of the interesting side effects is weight loss and insomnia and that's in contrast with some of the other anti-seizure medications that we use that actually cause the other problems. So when people are on Felbatol you have to really check their blood very frequently and your doctor or nurse practitioner or neurologist will setup that schedule for you. We dose it at in the morning and at lunch time so that you don't have the insomnia issue. But it's a medicine you shouldn't be scared of. Again have that conversation with the people caring for you, see if it's the right medication for you, but it's really catered for those really difficult to control and intractable epilepsy patients and we've had some very good success with it. Alright.

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