Primary prevention
Your Organizational Guidance
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Convulsies bij kinderen en volwassenenPublished by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2020Convulsions chez l’enfant et l’adultePublished by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2020Prevention depends on the etiology of the generalized tonic-clonic seizure.
For provoked seizures, avoidance of the exposure or provoking substance, such as toxins, illicit substances, or medications, is the primary prevention measure. In the case of formally diagnosed epilepsy, individual seizures may sometimes be prevented by avoiding known precipitating factors. Good sleep hygiene and avoiding alcohol, certain illicit substances, and emotional stress may prevent seizures in some cases.
Preventable causes of epilepsy can be reduced by public health measures. Examples include brain injury prevention, stroke prevention, improving maternal and child health care to reduce prenatal and perinatal problems, and immunization and public sanitation to reduce infection.[10]
Adherence to prescribed medical regimen is likely to optimize seizure control.[28] Some medications for comorbidities may lower the seizure threshold. These include analgesics, antibiotics, anesthetic agents, chemotherapeutic agents, and any medication with psychoactive properties.[23] Caution should be practiced when using such medications.
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