The Prevalence and Prescription Pattern of Epilepsy Patients in Randomly Selected Areas in Tangail

Abstract

The demographic analysis of epilepsy diseases and medication use in a population serves as a good foundation for evaluating epilepsy management. The aim of this study is to find out the risk factors among the patients besides the treatment prescribed by the physicians in some selected area in Tangail, Bangladesh. Study focus on the different type of epileptic patients and the risk factor of epileptic patients. In this treatment segments, there are highlighted some medication as first line, second line and combination therapy. This study was conducted in some tertiary-level hospitals which are located in Dhaka, Bangladesh. The patients were questioned about the duration of the diseases they were carrying and the current condition of seizures. From the demographic point of view the incidence of epilepsy is higher in male than male. There was the highest number 44% of epileptic patients were found whose age between 18 to 40 years old. The grand mal or tonic-clonic was the most common type of seizure seen in 51% of patients. More than 17% of epilepsy patients had family history of epilepsy. In this study, there were 42% of patients had found a stressful condition. This study found 49% of patients who have confirmed that they were affected by epilepsy by EEG test. 39% of patients got this information by imaging (CT/MRI). First-line treatment for epilepsy was given to in total 19 patients out of 41 patients where 47% of patients were prescribed sodium valproate. second-line treatment was given to 12 patients out of 41 patients where 42% of patients have prescribed topiramate. Only 10 patients out of 41 patients who did not easily get free from seizures are prescribed combination treatment. 40% of epileptic patients were prescribed sodium valproate and levetiracetam.