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Although carbamazepine is by far the best AED in the treatment of focal and secondarily GTCS, it offers no benefit in most other epilepsies, because of ineffectiveness or seizure exacerbation; these include absences and myoclonic jerks of IGE, non-convulsive generalised seizures in Lennox-Gastaut syndrome and epileptic encephalopathies. Exceptionally carbamazepine may exaggerate seizures in Rolandic epilepsy and may induce non-convulsive status and features of serious atypical evolutions.
"the best AED in the..." WOW that is an astounding thing to read re: carb, been on it over 10 years.
whether you're on carb or any epilepsy med, this is the best thorough explanation (from a world-renowned book) i've found...
www.ncbi.nlm.nih.gov/books/NBK2597/