Epilepsy - Nil by Mouth Guidance for Adult Patients, Acute (624)


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This guideline outlines the general management of anti-epileptic drugs (AEDs) in nil by mouth (NBM) adult patients with a history of epilepsy/seizures. Patients who present with seizures should be discussed with the on-call neurologist. Please note that routine switching between different manufacturers of anti- epileptic drugs should be avoided,1 however the following advice is preferable to missed doses. With all changes to AEDs, close monitoring of the patient is needed.


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Last reviewed: 09 July 2021

Next review: 31 July 2024

Author(s): Emma Russell

Version: 2

Author Email(s): [email protected]

Approved By: Medicines Utilisation Subcommittee of ADTC

Document Id: 624