When considering stopping an AED after seizure control is achieved, what is the recommended approach?

• A. Stopping should only occur under medical supervision with a gradual plan.
• B. Stopping immediately once seizures stop.
• C. Stopping after a single seizure.
• D. Stopping when you feel fine.

Answer: (A)

The main idea tested is how to safely stop an antiseizure medication after seizures are controlled. The safest approach is to discontinue only under medical supervision with a gradual taper. Stopping abruptly can trigger withdrawal seizures and a relapse of epilepsy, even after a long period of stability. A clinician can tailor the taper to the specific drug, how long you’ve been seizure‑free, and your overall risk of recurrence, while monitoring for return of seizures and adjusting the plan as needed. Stopping after a single seizure or just because you feel fine doesn’t account for the ongoing risk of future seizures and could lead to relapse or withdrawal symptoms. That’s why a supervised, gradual reduction is the recommended approach.