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  4. Recurrent seizures in cats: Treatment – which antiepileptic drugs are recommended?
Journal watch22 October 2018

Recurrent seizures in cats: Treatment – which antiepileptic drugs are recommended?

Evidence-based veterinary medicineSmall animalsMedicine

Author(s): M. Hazenfratz and S.M. Taylor
Published in: Journal of Feline Medicine and Surgery
Date: August 2018
DOI: https://doi.org/10.1177/1098612X18791874
Type of access: Requires membership/payment
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Our summary

Hazenfratz, M. and Taylor S.M. (2018) Recurrent seizures in cats: Treatment – which antiepileptic drugs are recommended? Journal of Feline Medicine and Surgery, 20 (9), pp. 825-834.

This is the second paper in a short series of articles on the diagnosis and treatment of recurrent seizures in cats. It sets out the various treatment options for both recurrent seizures and the acute treatment of status epilepticus. The review is based on evidence in the literature and the experience of the authors.

Following a brief overview of protocols for antiepileptic drug (AED) therapy, the main AEDs are described and information is given about dosing, possible drug interactions and any potential adverse effects. The issue of owner constraints in terms of cost and frequency of AED administration is also considered.

The AEDS discussed are:

A section on status epilepticus discusses treatment goals and options. A useful chart giving the steps to take for the emergency treatment of status epilepticus is given.

The first paper in the series is:

Hazenfratz, M. and Taylor S.M. (2018) Recurrent seizures in cats: Diagnostic approach – when is it idiopathic epilepsy? Journal of Feline Medicine and Surgery, 20 (9), pp. 811-823.

Take home

Seizures are one of the most common neurological conditions in cats, however there remains limited evidence on treatment options. This paper will be a good reference source for practitioners for current best practice; the diagram on treatment of status epilepticus will be particularly useful.

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