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The authors consider the specific features of epilepsy in middle-aged and elderly patients: a preponderance of focal symptomatic and cryptogenic epilepsies, a frequent combination with concomitant mental and somatic diseases, and a relative efficacy of small-dose antiepileptic drugs (AED). Choice of therapy is noted to depend on the form of epilepsy/type of seizures, comorbidity and used medicines. A major focus is on the use of basic AEDs Р carbamazepine and valproates. Data on the promise fordoi:10.14412/2074-2711-2009-25 fatcat:cx43s4357nem3bgto5ljwdib7u