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Cultural Barriers to Medication Adherence in Epilepsy

Montouris, Georgia MD; Hohler, Anna D. MD, FAAN

CONTINUUM: Lifelong Learning in Neurology: February 2016 - Volume 22 - Issue 1, Epilepsy - p 266–269
doi: 10.1212/CON.0000000000000286
Practice Issues

ABSTRACT Antiepileptic drugs can prevent seizures in most patients; however, nonadherence is frequently reported. Nonadherence is associated with a higher incidence of emergency department visits, increased hospital admissions, and an increased risk of mortality. Misconceptions about epilepsy, level of education, and language barriers are contributors to nonadherence. Misconceptions about epilepsy and antiepileptic drugs are prevalent among economically disadvantaged predominantly minority persons with epilepsy. Educational interventions may improve adherence.

Address correspondence to Dr Georgia Montouris, Boston University School of Medicine, Department of Neurology, 725 Albany Street, 7B, Boston, MA 02118, Georgia.montouris@bmc.org.

Relationship Disclosure: Dr Montouris serves on the expert panel for the UCB Antiepileptic Drugs Pregnancy Registry and on the scientific advisory boards of Acorda Therapeutics; Eisai Co, Ltd; Lundbeck; and Upsher-Smith Laboratories, Inc. Dr Hohler reports no disclosure.

Unlabeled Use of Products/Investigational Use Disclosure: Drs Montouris and Hohler report no disclosure.

© 2016 American Academy of Neurology
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