Which statement best describes an effective strategy to improve adherence to antiseizure medications?

• A. Increase dosing without consultation
• B. Provide education, simplify dosing, set reminders, and coordinate with pharmacy and healthcare team
• C. Stop medications when side effects occur
• D. Delay refills to save costs

Answer: (B)

Improving adherence to antiseizure medications works best when you address four interconnected factors: understanding, simplicity, reminders, and access. When patients know why the medicine is essential and how it helps prevent seizures, they’re more motivated to take it consistently. Simplifying the dosing schedule—using the lowest number of daily doses that maintains control—reduces confusion and forgetfulness. Providing practical reminders, such as pill organizers or alarms, supports routine taking. Coordinating with the pharmacy and healthcare team ensures the patient has the right medication on hand, receives timely refills, and has safety checks for interactions or side effects, with adjustments made as needed.

Increasing the dose without medical guidance can cause toxicity or interactions. Stopping medications because of side effects undermines seizure control, and delaying refills creates gaps in therapy and risk of breakthrough seizures.