1. Altered sleep patterns because of trips, holidays, or parties.
2. A job, exams, or an emotional stress may lead to seizures in active teens. If a pattern develops, knowledge of the pattern is quite helpful in defining treatment.
3. Alcohol use can lower the seizure threshold and can also increase noncompliance.
4. The use of illicit drugs or prescription drugs that lower the threshold. Examples are neuroleptic agents, lindane (Kwell), theophylline, phencyclidene (PCP), LSD, cyclosporine, isoniazid, meperidine, tricyclic antidepressants, stimulants, and certain anesthetic agents (e.g., ethrane).
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