What is the typical recommended diet for patients with epilepsy who do not respond to traditional drugs?

The ketogenic diet is often recommended for patients with epilepsy, particularly those who do not respond to traditional anticonvulsant medications. This diet is characterized by a high-fat, moderate-protein, and very low-carbohydrate intake, which induces a state of ketosis. In ketosis, the body utilizes fat as its primary source of energy instead of carbohydrates. This metabolic state can help reduce the frequency and severity of seizures in many patients.

The ketogenic diet has been shown through various studies to be effective in managing epilepsy, especially in children with refractory epilepsy. It alters the brain's energy metabolism, which may contribute to its anticonvulsant effects, providing an alternative therapeutic strategy for those for whom medications are ineffective. The dietary approach is often overseen by a healthcare professional, ensuring it is implemented safely and effectively for individuals with specific dietary needs. Overall, the ketogenic diet has substantial evidence supporting its use in this clinical context, making it the typical recommendation for such patients.