What is first line treatment for tonic-clonic seizures?

For generalised tonic-clonic seizures, sodium valproate is recommended as first-line treatment. If this is unsuitable, lamotrigine is recommended. Carbamazepine and oxcarbazepine can be considered as alternatives.

What is the drug of choice for tonic-clonic seizure?

Anticonvulsant Therapy Valproic acid has been considered the AED of choice for patients who have multiple seizure types, including generalized tonic-clonic seizures (except in female patients with reproductive capability), since it treats a broad spectrum of seizure types, including myoclonic seizures.

How should a tonic-clonic seizure be managed?

What to Do During the Seizure

  1. STAY with the person. Stay calm.
  2. Keep the person SAFE.
  3. Turn the person onto one SIDE with the head and mouth angled toward the ground.
  4. Do not try to take out contact lenses.
  5. Do not hold the person down.
  6. Do not put any object in the person’s mouth.

What should you not do when suffering from tonic-clonic seizures?

  1. Do not hold the person down or try to stop his or her movements.
  2. Do not put anything in the person’s mouth. This can injure teeth or the jaw.
  3. Do not try to give mouth-to-mouth breaths (like CPR).
  4. Do not offer the person water or food until he or she is fully alert.

What is the difference between tonic-clonic and grand mal seizures?

A tonic-clonic seizure is what most people think of when they think of a seizure. Another word for this is a convulsion. The older term “grand mal” is no longer used. A tonic-clonic seizure usually begins on both sides of the brain, but can start in one side and spread to the whole brain.

What a tonic-clonic seizure looks like?

A tonic-clonic seizure usually begins on both sides of the brain, but can start in one side and spread to the whole brain. A person loses consciousness, muscles stiffen, and jerking movements are seen. These types of seizures usually last 1 to 3 minutes and take longer for a person to recover.

When do tonic-clonic seizures occur?

The generalized tonic-clonic seizures begin between 5 and 40 years of age. In 8 out of 10 people, it starts in teens and young adults between the ages of 11 and 23 years old. A family history of epilepsy is common in 2 out of 10 people.

How do you feel after a tonic-clonic seizure?

After a tonic-clonic seizure, you might have a headache and feel sore, tired and very unwell. You might feel confused, or have memory problems. You might go into a deep sleep. When you wake up, minutes or hours later, you might still have a headache, feel sore and have aching muscles.

What do you call a tonic clonic seizure?

A tonic-clonic seizure is the modern term for a grand mal seizure. Do not put anything in the person’s mouth. Do not restrain them. Make sure the area around the person is clear of objects that could injure them.

How long does a clonic seizure usually last?

What is a clonic seizure? 1 Jerking movements alone, as with a clonic seizure, may last a few seconds to a minute. 2 Jerking or clonic movements that follow stiffening of muscles, as in a tonic-clonic seizure, can last seconds to 1-2 minutes. 3 A clonic seizure may sometimes be hard to distinguish from a myoclonic seizure.

What kind of seizures make a person fall out?

Absence seizures, sometimes called petit mal seizures, can cause rapid blinking or a few seconds of staring into space. Tonic-clonic seizures, also called grand mal seizures, can make a person Cry out. Lose consciousness. Fall to the ground.

How can you stop a clonic seizure in a baby?

The movements cannot be stopped by restraining or repositioning the arms or legs. Clonic (KLON-ik) seizures are rare and most commonly occur in babies. Most often, clonic movements are seen as part of a tonic-clonic seizure.