Strategi pengobatan epilepsi: monoterapi dan politerapi

https://doi.org/10.22146/bns.v18i3.55017

Atitya Fithri Khairani(1*), Desin Pambudi Sejahtera(2), Iqbal Amri Fauzal(3)

(1) Departemen Neurologi Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(2) Departemen Neurologi Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(3) Dokter internship Rumah Sakit Islam Yogyakarta (PDHI)
(*) Corresponding Author

Abstract


Epilepsi merupakan penyakit yang sering dijumpai, pada bangkitan  yang tidak diobati akan meningkatkan risiko cedera dan kematian, kelainan kognitif dan perilaku serta kerugian sosial. Target jangka pendek pengobatan epilepsi adalah bebas bangkitan. Prinsip manajemen terapi untuk pasien dengan epilepsi yang baru didiagnosis adalah monoterapi.  Sebagian kasus epilepsi belum terkontrol baik dengan pemberian monoterapi Obat Anti Epilepsi (OAE) sehingga politerapi menjadi strategi pengobatan selanjutnya. Belum banyak bukti yang kuat sebagai acuan dokter tentang kapan dan bagaimana mengkombinasikan OAE. Pada artikel ini kami menjelaskan pertimbangan cara memilih OAE, kapan dan bagaimana pengobatan politerapi OAE kombinasi dapat dilakukan.


Keywords


epilepsi; obat anti epilepsi; monoterapi; politerapi

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DOI: https://doi.org/10.22146/bns.v18i3.55017

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