There is a testimonial of various patterns of drug prescription of anticonvulsant drugs in India. The latest upcoming drugs are extensively available at present, and the way these newer drugs are prescribed is quite interesting to see. Complications in antiepileptic therapy, such as the use of polytherapy, adverse drug reactions, drug interactions, lack of medication adherence, and so on, can be pointed out and cleared up by clinical pharmacists. On consideringall these points, this study was commenced with the title "A study on prescribing patterns of anticonvulsant drugs in epilepsy in a tertiary care hospital." A prospective observational study of 6 months' duration was carried out. Patients prescribed anti-epileptic drugs in the General Medicine and Neurology outclinic department were selected according to inclusion criteria. Data were collected in the pre-prepared data collection form after obtaining the patient's consent and verifying the patient's case sheets/prescriptions. The Morisky Medication Adherence Scale-8 (MMAS-8) was utilized to assess the medicationadherence at baseline. Microsoft Excel was used to summarize the analysis of data. Data were measured in percentage and frequency using descriptive statistics. For testing significant associations, the chi-square test was performed, where P<0.05 was considered as statistically significant. Usage of newer antiepileptic drugs was very low, with high evidence of polytherapy in the prescriptions for treating epilepsy. Clobazam was the most commonly prescribed drug. Medication adherence among these patients was less.