Epilepsy care needs more than medicines, doctors warn
Epilepsy treatment is often associated only with medicines and dosage adjustments, but neurologists warn that daily lifestyle factors play an equally crucial role in controlling seizures. Experts say many patients experience seizures not due to medicine failure, but because of overlooked triggers such as lack of sleep, stress and routine disruptions.
Why medicines alone may not be enough
Seizures occur due to abnormal electrical activity in the brain. While anti-seizure medicines stabilise this activity, the brain remains sensitive to physical and emotional stress. Changes in sleep patterns, hormones, or mental health can reduce the seizure threshold, leading to unexpected breakthrough seizures even in patients on regular medication.
Sleep loss is a major seizure trigger
Doctors identify sleep deprivation as one of the strongest non-medical seizure triggers. Poor or irregular sleep disrupts brain signalling and increases seizure risk. Even a single night of inadequate sleep can trigger seizures, especially in conditions like juvenile myoclonic epilepsy. Late-night screen use, shift work and inconsistent sleep schedules worsen the risk.
Stress and emotional pressure raise seizure risk
Chronic stress elevates cortisol and adrenaline levels, which interfere with brain function, sleep quality and emotional regulation. Stress also disrupts daily routines, causing missed meals, forgotten medicines and excessive caffeine intake. This creates a cycle where stress triggers seizures and seizures increase stress.
Lifestyle habits that quietly increase seizures
Irregular meals, dehydration, excessive screen time, alcohol intake and long working hours can all destabilise brain activity. Frequent travel and unpredictable routines further increase vulnerability in people with epilepsy.
Managing epilepsy beyond the pillbox
Neurologists emphasise that effective epilepsy care requires consistent sleep, stress management, structured routines and awareness of personal triggers alongside medication. Addressing daily habits can significantly reduce seizure frequency and improve quality of life.
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