Pill Bottle

Share Your Experience: Take Our Survey

This is a voluntary, anonymous questionnaire designed to determine how often people with epilepsy have problems with switching between brand name and generic versions of seizure medication.

The Epilepsy Foundation is gathering this information to support our advocacy efforts. We invite individuals with seizures or parents of children with seizures to complete this survey.

Yes

No

 

1. While taking a prescribed dose of an anti-epileptic drug, have you ever had a breakthrough seizure?

2. Have you ever switched from a brand name to a generic seizure medication? If no, skip to question #5.

3. Did your seizure control worsen at the time (within a month) of the switch to a generic seizure medication from a brand name seizure medication?

4. Did your side effects worsen at the time (within a month) of this switch to a generic medication?

5. Have you ever switched from a generic to a brand name seizure medication? If no, skip to question #8.

6. Did your seizure control worsen at the time (within a month) of this switch from a generic seizure medication to a brand name seizure medication?

7. Did your side effects worsen at the time of this switch from a generic seizure medication to a brand name seizure medication?

8. Have your seizures ever worsened when switching from one generic drug to another generic drug?

Comments:

OPTIONAL: If you have experienced difficulties with switching medications and would be willing to be contacted by the Epilepsy Foundation, please provide the following information:

Name

Address

City, State, Zip Code
, ,

Phone

Are you an individual with seizures?
Yes No

Or a parent of a child with seizures?
Yes No

How long have you or your child had seizures?

 
   
Contact SiteMap