What is the management plan for a 36-year-old patient with a history of seizure disorder, currently on phenytoin, valproate, and Gardenal (phenobarbital), with a history of chronic alcohol intake and occasional cocaine and cannabis use, presenting with seizure, restlessness, and agitation?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: January 29, 2026View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

What is the safest seizure medication for a non-compliant patient with a history of substance abuse?
Is carbamazepine (Tegretol) a suitable antiepileptic medication for a patient with a history of alcohol use and seizures?
Are stimulants (e.g. Ritalin (methylphenidate) or Adderall (amphetamine and dextroamphetamine)) contraindicated in a patient with a history of seizures?
What happens to a patient's antiepileptic medication regimen, including carbamazepine, if they stop drinking alcohol?
Can alcohol consumption, alone or in combination with Fluoxetine (fluoxetine), increase the risk of seizures in a patient with a history of seizure and depression?
What is the appropriate treatment for a female of reproductive age with a tubo ovarian abscess, likely caused by Neisseria gonorrhoeae, Chlamydia trachomatis, or anaerobic bacteria, and with a history of Pelvic Inflammatory Disease (PID)?
What is the management approach for an adult patient with acute hypertensive encephalopathy and a history of hypertension?
Can triamcinolone (corticosteroid) cream be used alongside scabies treatment in a patient with scabies?
Does statin therapy, specifically Atorvastatin (Atorvastatin), confirm dyslipidemia in a female patient of childbearing age with lean Polycystic Ovary Syndrome (PCOS)?
Why does the surgeon not remove the blocked artery itself during a Coronary Artery Bypass Graft (CABG) procedure?
What are the discharge criteria for an adult or elderly patient with a history of stroke or cerebrovascular conditions based on the York Rehabilitation and Mobility Score (YRMS) scoring criteria?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.