Sorry Dr., but I will dissent with your opinion.
Those drugs are tough on cognitive functions. The fact your patient doesn’t report the problems is anecdotal. Ask their spouse, friends, or employer...
“Those drugs are tough on cognitive functions. The fact your patient doesn’t report the problems is anecdotal. Ask their spouse, friends, or employer...”
They can affect cognitive function, but on objective measures of cognitive functioning, including neuropsychiatric testing, the results haven’t been that impressive, especially with newer medications. For instance, neuropsychiatric testing results have shown improved neurocognitive functioning with lamotrigine or oxcarbazepoine but worsened function with older drugs such as topiramate. This is due to the differences in their actions.
I see a far greater decline in cognitive functioning in those with untreated epilepsy.
Even if you could say that Roberts might have had mild congitive slowing with an AED, attributing his decision to inattentiveness wouldn’t seem relevant.
I’d be far more likely to attribute it to a case of the “too clevers.”