What is your first line treatment for a patient with epilepsy who is homeless and has a history of poor adherence?

It is likely an indication of my being old school, but if a homeless person needs medication they can’t afford and will take only intermittently, I would suggest phenobarbital. In spite of cognitive and other issues, in this situation, it is inexpensive, has a very long half-life, so withdrawal and ...

That's definitely a challenge. You need to try to assess what access they might have, such as a pharmacy nearby their usual haunts and what they can /are willing to afford. We had an access clinic at one of the local shelters that had a limited formulary supported by the college of pharmacy which st...