What is the black box warning for all clients prescribed antiepileptic drugs?

• A. Suicidal ideations
• B. Rash
• C. Weight gain
• D. Dizziness

Answer: (A)

The main point is that all antiepileptic drugs carry a black box warning about suicidality. There is a small but real increase in suicidal thoughts, attempts, or worsening depression in people taking these medications compared with placebo, and the warning applies across many AEDs and indications, even in those without a prior psychiatric history. Because the risk can appear at any time but is most evident early in treatment or after dose changes, clinicians monitor mood and behavior closely and educate patients and families to report new or worsening depression, anxiety, agitation, or thoughts of self-harm. If such symptoms arise, a rapid safety assessment and potential adjustment of therapy are warranted. Other side effects like rash, weight gain, or dizziness may occur but are not the universal safety signal described by the warning.