Epilepsy Companion
MedicalEducation

Epilepsy Companion

ATIF ELNIL · released 1 Apr 2026 · Open in App Store ↗

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Description

IMPORTANT: This app is intended for use by qualified healthcare professionals only. Always seek the advice of a qualified clinician before making any medical or prescribing decisions.

Epilepsy Companion is a comprehensive evidence-based reference for the diagnosis and management of epilepsy. Built for neurologists, epileptologists, general physicians, emergency doctors, and allied health professionals.

SEIZURE CLASSIFICATION

ILAE 2017 three-level classification framework

Focal seizures: aware, impaired awareness, focal to bilateral tonic-clonic

Localisation table: seizure features mapped to brain regions

Generalised seizures: GTCS, absence, myoclonic, tonic, atonic, epileptic spasms

Terminology updates

EPILEPSY SYNDROMES

Childhood: SeLECTS, childhood absence epilepsy, Panayiotopoulos, Dravet syndrome

Juvenile: JME triad and lifetime treatment, JAE, epilepsy with GTCS alone

Adult onset: mesial temporal lobe epilepsy, frontal lobe epilepsy, late onset epilepsy

Encephalopathies: West syndrome, Lennox-Gastaut, FIRES

FIRST SEIZURE ASSESSMENT

7-step assessment protocol: was it a seizure, provoked vs unprovoked, investigations

Provoked vs unprovoked table with AED decision guidance

High-risk features favouring AED treatment after first seizure

When epilepsy is diagnosed vs single unprovoked seizure

AED DRUG REFERENCE

AED selection matrix by seizure type per NICE NG217

Focal AEDs: carbamazepine, oxcarbazepine, lacosamide, eslicarbazepine, zonisamide

Generalised AEDs: sodium valproate, ethosuximide, perampanel, rufinamide

Broad spectrum Drugs

Monitoring table

Which AEDs to AVOID

STATUS EPILEPTICUS

4-phase colour-coded protocol: 0-5 min, 5-20 min, 20-40 min, over 40 min

Phase 2: lorazepam 0.1mg/kg IV or buccal midazolam 10mg

Phase 3: levetiracetam 60mg/kg IV (ESETT trial), sodium valproate 40mg/kg IV, fosphenytoin

Phase 4: propofol, midazolam, thiopentone infusion with EEG monitoring

Refractory SE: ketamine, ketogenic diet, immunotherapy for autoimmune encephalitis

Non-convulsive SE

WOMEN AND EPILEPSY

MHRA 2024 valproate restrictions and Pregnancy Prevention Programme

Teratogenicity

Valproate PPP 6-step checklist

Lamotrigine level changes in pregnancy

Contraception table: enzyme inducers vs safe AEDs

Folic acid 5mg for all women with epilepsy on AEDs

Breastfeeding guidance by AED

DRIVING AND DVLA

Group 1 car licence: 6 visual DVLA rule cards with periods clearly stated

First seizure, established epilepsy, sleep-only seizure rule, AED withdrawal

Group 2 HGV and bus: 10-year seizure-free rule, effectively permanent bar on AEDs

Special situations

SURGICAL EVALUATION

ILAE 2010 drug-resistant epilepsy definition

6-step pre-surgical evaluation protocol

7 surgical options: temporal and extratemporal resection, corpus callosotomy

VNS, RNS, ANT-DBS (SANTE trial), LITT laser ablation

Outcome data: 60-80 percent seizure freedom after temporal lobectomy

DRUG INTERACTIONS

Enzyme inducers: 9 critical interactions including OCP failure, DOAC failure, chemotherapy

Enzyme inhibitors

AED abbreviation reference key

SUDEP

Definition, mechanism, and postictal EEG suppression

Risk factors

9-step prevention protocol

NICE NG217 mandate to counsel all patients

How to discuss SUDEP with patients and families

Resources: SUDEP Action, Epilepsy Society

SOURCES AND REFERENCES

25 plus tappable references including NICE NG217, SIGN 143, ILAE 2017 classification, MHRA 2024 valproate guidance, ESETT trial, CONVULSE trial, RAMPART trial, EURAP registry, MONEAD study, SANTE trial, MRC MESS trial, Wiebe temporal lobe surgery RCT, DVLA 2024, SUDEP Action and BNF epilepsy prescribing.

DISCLAIMER

This app is intended for use by qualified healthcare professionals only as a clinical decision-support and educational reference tool. It does not replace individual clinical assessment, local epilepsy protocols or official prescribing information.