1st March 2024

A 5-year-old girl has been referred to paediatrics, after experiencing a few unusual episodes in the last few months.

A 5-year-old girl has been referred to paediatrics, after experiencing a few unusual episodes in the last few months. Her dad describes her as zoning out for a few seconds at a time, if she is talking she will suddenly stop talking and her eyes start to flutter. She is unaware of what has happened but feels confused about where she is afterwards. She has had no loss of consciousness, or unusual jerking or limb movements. Other than this she has been well in herself. She has asthma, for which she has a salbutamol inhaler when required. There is no family history of epilepsy. She has no known allergies. She weighs 20 kg.

Please prescribe an appropriate anti-convulsant.