Choosing anti-seizure medications (ASMs) involves considering side effects, seizure types, cost, and physician experience. No single ASM is universally effective; selection depends on individual patient needs. ASMs are categorized as narrow or broad-spectrum, with some seizures resistant to treatment. Generic drugs may differ in effectiveness from brand names. Side effects vary, including weight changes, cognitive issues, and organ impacts. AEDs suppress seizures but do not cure epilepsy. Detailed drug profiles highlight mechanisms, side effects, and dosing strategies.