because the client should take their medication at the same time every day to maintain a steady blood level and prevent breakthrough seizures. Anticonvulsant drugs have a narrow therapeutic range and require consistent dosing to achieve optimal efficacy and safety¹². -

because the client should not avoid grapefruit juice while taking their medication, as this is not a known interaction with anticonvulsant drugs. Grapefruit juice can affect the metabolism of some drugs, such as statins, calcium channel blockers, or cyclosporine, by inhibiting an enzyme in the liver called CYP3A4³ . However, anticonvulsant drugs are not metabolized by this enzyme and are not affected by grapefruit juice. -

because the client should not stop taking their medication without consulting their doctor, as this can cause withdrawal seizures or status epilepticus, which are life-threatening conditions. Anticonvulsant drugs should be tapered gradually under medical supervision to avoid rebound seizures¹². -

because the client should not increase their dose if they have a breakthrough seizure, as this can cause toxicity or adverse effects. The client should report any breakthrough seizures to their doctor, who may adjust their dose or add another medication if needed¹².

because the client should have their blood levels checked regularly to monitor the effectiveness and toxicity of their medication. Anticonvulsant drugs have a narrow therapeutic range and can cause adverse effects such as liver damage, bone marrow suppression, or skin reactions if the blood level is too high or low¹². -