I am back after being MOMAIL for a while for vacation time and just saw the anticonvulsant responses. At the NIH, I cannot see where we would put anyone on an anticonvulsant after one seizure six months ago. Is something missing in the picture? Also, we no longer use phenobarbital because of the cognitive problems it causes. For partial or secondarily generalized seizures we tend to use carbamazepine first. We do not use the newer drugs unless side effects from old line drugs (carbamazepine or phenytoin) are too bad or these drugs have not given good seizure control. Frank J. Nice, DPA, CPHP Bethesda, MD via Plymouth, PA