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Does Prolonged Use Of Eptoin ER Cause Low Platelet Count In Blood?

Posted on Tue, 19 Jul 2016

Question: Do prolong taking of eptoin Er 300 mg can reduce the platelet count?

Answered by Dr. Neeraj Kumar (5 minutes later)

Brief Answer:
Change eptoin with other drugs like levetiracetam or Valproate

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Rarely eptoin can lead to decreased platelets.
In suspected cases, it should be changed with other available antiepileptics like Valproate, levetiracetam.
Other causes of decreased platelets should also be evaluated if thrombocytopenia persists despite stopping eptoin.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Neeraj Kumar (3 days later)

What are the other causes that reduce the platelet count sir? Since he have undergone bone marrow test, which is reported as normal and no dengue fever observed.

Answered by Dr. Neeraj Kumar (16 hours later)

Brief Answer:
Consult a hematologist

Detailed Answer:
Hello,
You should consult a hematologist.
Decreased platelet can be due to many reasons and Idiopathic thrombocytopenia is one of them.
you should get ultrasound abdomen done for any splenomegaly.
Normal spleen and normal bone arrow may be due to ITP.
Regards
Dr N Kumar
neurologist

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Above answer was peer-reviewed by : Dr. Priyanka G Raj