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An effective epilepsy treatment plan for dogs should reduce seizure frequency, minimize adverse drug effects, and maximize quality of life.
Which drug should be used first? How should AED monitoring be performed? What are the risks of treatment? What is drug-resistance? When and which second AED should be started? Complimentary and alternative treatment strategies. Guidelines to enhance patient response and quality of life. Emergency treatment strategies (not included in this paper)
22 lut 2016 · The goal is to establish guidelines for a predetermined, concise, and logical sequential approach to seizure management starting with seizure identification and diagnosis (not included in this report), reviewing decision-making, treatment strategies, focusing on issues related to chronic AED treatment response and monitoring, and concluding ...
The canine epilepsy patient requires a methodical, clinical reasoning approach (Figure1) to guide the clinician to the most likely underlying disease process and, therefore, to develop an appropriate and adequate treatment plan to reduce the brain’s vulnerability to seizure events.
TCVM includes acupuncture and Chinese herbal remedies, and it can improve seizure control for dogs with refractory seizures even when on antiepileptic medication. Or it can help lower the dose of anticonvulsant medications.
Before starting anesthetic tapering, it is advised that animals be seizure-free for a 24 to 48-hour (minimum 12-hour) period. After termination of SE, progressive sequential discontinuation of anesthetic drugs should be performed ideally over a 24 to 48-hour period; shorter periods such as 12 hours also may be considered.
Zonisamide has been shown to be effective for the treatment of both focal and generalized seizures in people, with minimal side effects. Zonisamide (ZNS) is metabolized mainly by hepatic microsomal enzymes. The t ½ in dogs is roughly 15–20 hrs and in cats is about 33 hrs.
