Monitoring of a patient on gabapentin to treat seizures includes: ...

[james]

Monitoring of a patient on gabapentin to treat seizures includes:
 
  1. Routine therapeutic drug levels every 3 to 4 months
  2. Assessing for dermatologic reactions, including Steven's Johnson
  3. Routine serum electrolytes, especially in hot weather
  4. Recording seizure frequency, duration, and severity

Question 2

Selma, who is overweight, recently started taking topiramate for seizures and at her follow-up visit you note she has lost 3 kg. The appropriate action would be:
 
  1. Tell her to increase her caloric intake to counter the effects of the topiramate.
  2. Consult with a neurologist, as this is not a common adverse effect of topiramate.
  3. Decrease her dose of topiramate.
  4. Reassure her that this is a normal side effect of topiramate and continue to monitor her weight.

[qytan]

Answer to Question 1

4

Answer to Question 2

4

[james]

TY

[qytan]

You're welcome