What is your preferred antiepileptic medication for a patient with treatment refractory epilepsy who also has alcohol use disorder?
1 Answers
Mednet Member
Neurology · NYU
If the patient has alcohol use disorder, it is best to avoid any medications that could cause elevated liver enzymes, because that could be misconstrued as alcohol-related liver issues. This would eliminate the first-generation anti-seizure medications such as phenytoin, phenobarbital, and valproate...