oral solution used in dogs, primarily as an
antiepileptic (to stop seizures) In
dogs, epilepsy is often an inherited condition. The incidence of epilepsy/seizures in the general dog population is estimated to be between 0.5% and 5.7%. In certain breeds, such as the
Belgian Shepherd, the incidence may be much higher.
Diagnosis There are three types of epilepsy in dogs: reactive, secondary, and primary. Reactive epileptic seizures are caused by metabolic issues, such as
low blood sugar or
kidney or
liver failure. Epilepsy attributed to
brain tumor,
stroke or other trauma is known as secondary or symptomatic epilepsy. There is no known cause for primary or idiopathic epilepsy, which is diagnosed only by eliminating other possible causes for the seizures. Dogs with
idiopathic epilepsy experience their first seizure between the ages of one and three. However, the age at diagnosis is only one factor in diagnosing canine epilepsy, as one study found cause for seizures in one-third of dogs between the ages of one and three, indicating secondary or reactive rather than primary epilepsy. A
veterinarian's initial work-up for a dog presenting with a history of seizures may include a physical and neurological exam, a
complete blood count,
serum chemistry profile,
urinalysis, bile tests, and
thyroid function tests. These tests verify seizures and may determine cause for reactive or secondary epilepsy. Veterinarians may also request that dog owners keep a "seizure log" documenting the timing, length, severity, and recovery of each seizure, as well as dietary or environmental changes.
Treatment Many
antiepileptic drugs are used for the management of
canine epilepsy. Oral
phenobarbital, in particular,
levetiracetam and
imepitoin are considered to be the most effective
antiepileptic drugs and usually used as 'first line' treatment. Other anti-epileptics, such as
zonisamide,
primidone,
gabapentin,
pregabalin,
sodium valproate,
felbamate and
topiramate, may also be effective and used in various combinations. A crucial part of the treatment of pets with epilepsy is owner education to ensure compliance and successful management. == Cats ==