1. In an otherwise normal adolescent patient with no history of drug or alcohol intake, is it…

1. In an otherwise normal adolescent patient with no history of drug or alcohol intake, is it recommended that anti-epileptic drugs be started after the first generalized tonic–clonic fit? 2. Do antiepileptic drugs decrease libido in the long term? If they do, what treatment is recommended? 3. I’d like to know the possibility of giving these drugs in epileptics: vincamine (Oxicebral), cinnarizine, piribedil (Trivastal) and pentoxyphylline (Trental). I’d like to know if they are contraindicated.

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