Let me get this straight. A woman has had a seizure just after delivery. One, count it, just one. Six months later, with no intervening seizures, they want to put her on one of two drugs nobody knows anything about? 1. If it were me, I would not go on any medication for a single seizure. The side effects of the medication are likely to be greater than the negative effects of an occasional seizure, but she may never have another ever again. It does happen that someone has a single seizure and never has another, and it ain't rare. 2. Is it not a principle of pharmacotherapeutics, to use the least toxic, most commonly used, oldest (and thus best known) drug, unless it has been shown to be ineffective? In my book, yes, although not in the drug reps' book, since the below options are probably no longer patented, and thus are much less expensive. I mean, if there has been something left out of the story and she really needs to go on a drug, why not phenytoin, which has been around forever, and is effective? Or carbamazepine? Or valproic acid? Or phenobarbital for that matter, which costs about 30 cents a year. I would get another opinion. Jack Newman, MD, FRCPC