5th May 2024

A 32-year-old woman, recently diagnosed with epilepsy, has experienced two unprovoked generalised tonic-clonic seizures (GTCSs) without a syndromic diagnosis.

A 32-year-old woman, recently diagnosed with epilepsy, has experienced two unprovoked generalised tonic-clonic seizures (GTCSs) without a syndromic diagnosis. Her EEG and MRI are unremarkable. She has no history of psychiatric illness or skin rash. She is not pregnant but plans to conceive in the future.

Which is the most appropriate initial monotherapy?