midwakh (pipe) and seizure: the overlooked link

Objective: numerous drugs and medications from various pharmacological classes can lead to seizures as an unwanted side effect. midwakh is a pipe commonly used to smoke tobacco blend in small quantities. midwakh use is increasing, especially among young people.case presentation: a 17-year-old patient with a history of seizures was provoked by smoking midwakh, despite having no previous disease history.conclusion: although the patient had a negative workup for epilepsy, midwakh should be classified as an epileptogenic drug. more studies need to be conducted on the effects of midwakh on the neurological system.