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Can Zonegran , Topamax , Keppra Be Taken Together?

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Posted on Thu, 10 Nov 2016
Question: Can zonegran, topamax, keppra, vimpat and nueduexta be prescribed by an internist ALONE without the consult of a neurologist?


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Answered by Dr. Ishu Bishnoi (17 minutes later)
Brief Answer:
Antiepileptic drug combination valid prescription

Detailed Answer:
Hi Carmendrivera, thanks for asking from HCM.


I can understand your concern. Without consulting neurologist, no internist can prescribe 4 anti epileptic drugs and one CNS suppressants. This is a very serious combination. Usually, neurologist does not prescribe 4 anti epileptics. It is required in highly refractory seizures or status epileptics.

You must consult the Neurologist at first. Instead of prescribing you all this, he/she will try to adjust you on 2 or 3 drugs. Such combination can cause severe sedation, drowsiness, balance difficulty.

Hope it will help you. If any doubt, do let me know.
Thanks. Take care
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

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Can Zonegran , Topamax , Keppra Be Taken Together?

Brief Answer: Antiepileptic drug combination valid prescription Detailed Answer: Hi Carmendrivera, thanks for asking from HCM. I can understand your concern. Without consulting neurologist, no internist can prescribe 4 anti epileptic drugs and one CNS suppressants. This is a very serious combination. Usually, neurologist does not prescribe 4 anti epileptics. It is required in highly refractory seizures or status epileptics. You must consult the Neurologist at first. Instead of prescribing you all this, he/she will try to adjust you on 2 or 3 drugs. Such combination can cause severe sedation, drowsiness, balance difficulty. Hope it will help you. If any doubt, do let me know. Thanks. Take care