◎文╱施睿琥
癲癇的控制有賴於良好的服藥配合度，因此藥師如何教育病人認識抗癲癇藥物的副作用與處置方法就顯得格外重要；此外，抗癲癇藥物必須長期服用，即便目前症狀已控制良好亦不可驟然停藥，否則會造成持續性抽搐發作的危險，即所謂的「癲癇重積狀態」，這種情況常導致腦部缺氧甚至死亡。所以，一旦出現藥物的副作用或心中存有疑慮時，建議病人儘速與神經專科醫師連絡，以免發生不可逆之終身遺憾。 （全文完）
參考資料
1. Chen CC, Chen TF, Hwang YC, et al. Population-based survey on prevalence of adult patients with epilepsy in Taiwan （Keelung community-based integrated screening no. 12）. Epilepsy Res 2006;72:67-74.
2. Rogers SJ, Cavazos JE. Epilepsy. In：DiPiro JT, editors. Pharmacotherapy: A Pathophysiologic Approach、7th ed. the United States of America：The McGraw-Hill Companies, Inc；2008.
3. Harden CL, Meador KJ, Pennell PB, et al. Practice parameter update: management issues for women with epilepsy--focus on pregnancy （an evidence-based review）: teratogenesis and perinatal outcomes: report of the Quality Standards Subcommittee and Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology and American Epilepsy Society. Neurology 2009;73:133-41.
4. Bromfield EB. Epilepsy and the elderly. In: Schachter SC, Schomer DL, editors. The comprehensive evaluation and treatment of epilepsy. San Diego, CA: Academic Press; 1997. p. 235.
（本文作者為三軍總醫院臨床藥學部藥師）
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