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How Long Should Epilex Chrono Be Taken For Seizures?
Question: My sone had siezure (jerky movements of limbs,tongue bite and but no frothing from the mouth) in night sleep at 11:45 pm 7 months before (Oct'15). We took him to hospital in emergency and they did MRI, CT scan, EEG, and all tests were normal. However Vid D: 3.1 and B12 was 271, Low Calcium... Doctor prescribed Levilex for 2 months and stopped but Epilex Chrono 300 (2 times per day) is still continue. Other medicines were given - Cap HexaD3, Cap Corus, Cap Ortocal...Last week D3/ B12 test done and now D3: 92.1, B12: 1452. Doctor has stopped Hexa D3, Corus, Ortocal but asked to continue taking Epilex Chrono 300 twice a day....during last 7 months, my son has never had any such siezure or any type of issue....How long epilex chrono 300 shud take? Was this really epilepsy?
Brief Answer:
Drugs for 6 to 18 months. Repeat Investigations before Stopping Drugs.
Detailed Answer:
Dear Sir,
Welcome to HealthCareMagic.com I am Dr.Bruno Mascarenhas, and I am happy to answer your queries. I have read your question with care and understand that
1. Your Our My son had seizures (jerky movements of limbs,tongue bite and but no frothing from the mouth) in night sleep at 11:45 pm 7 months ago.
2. During last 7 months, your son has never had any such seizure or any type of issue....
You want to know How long Epilex chrono 300 shud be taken ? and whether this is really epilepsy
Reply
1. Following an Episode of Fits, Anti Convulsants are given for 6 to 18 months depending on the nature of fit. The investigations shall be repeated then and if they are normal, the drugs are slowly tapered (dose reduced gradually) and stopped
2. Single Episode of Jerky movements of limbs and Tongue bite alone may not constitute Epilepsy. We have to observe for few more months and see if there is any more episodes. Also, as mentioned above, we need to Repeat the Investigations and if they are normal, slowly withdraw and stop the drugs
Hope you found the answer helpful.
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
Drugs for 6 to 18 months. Repeat Investigations before Stopping Drugs.
Detailed Answer:
Dear Sir,
Welcome to HealthCareMagic.com I am Dr.Bruno Mascarenhas, and I am happy to answer your queries. I have read your question with care and understand that
1. Your Our My son had seizures (jerky movements of limbs,tongue bite and but no frothing from the mouth) in night sleep at 11:45 pm 7 months ago.
2. During last 7 months, your son has never had any such seizure or any type of issue....
You want to know How long Epilex chrono 300 shud be taken ? and whether this is really epilepsy
Reply
1. Following an Episode of Fits, Anti Convulsants are given for 6 to 18 months depending on the nature of fit. The investigations shall be repeated then and if they are normal, the drugs are slowly tapered (dose reduced gradually) and stopped
2. Single Episode of Jerky movements of limbs and Tongue bite alone may not constitute Epilepsy. We have to observe for few more months and see if there is any more episodes. Also, as mentioned above, we need to Repeat the Investigations and if they are normal, slowly withdraw and stop the drugs
Hope you found the answer helpful.
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
Above answer was peer-reviewed by :
Dr. Prasad
Dear Sir,
Thanks for your response…
Doctor who is doing treatment of my son has mentioned in his prescription "clinical diagnosis - Fit IGE (JNE) Hypo vit D3", this FYI...
Kindly answer following queries:
1) What is cause of above diagnosis?
2) Vit D3 was very low (3.1 only) when checked after major Fit (such seizure was for last about 2-3 minutes) had noticed? Can low Vit D3 be reason for such fit? My son had also noticed some incidents when he was carrying books but suddenly books fell down and also he noticed some minor jerks in rest room (only in morning time). He told to Doctor during investigation when he got admitted in hospital after major fit..He never told to us (parents- Me or his mother).
3) He is 16 yr old and planning to go to USA for higher study after 14 months. Is it ok if he can travel and stay alone there? His mother got scared due to last major Fit in Oct’15. And never came any such minor or major such seizures any more since Oct’15 till date and his medicine epilex chrono 300 (twice/day) is continue.
4)You suggested to repeat investigation before stopping medicine after 18 months so what type of investigation should be done – CT, MRI, EEG or blood test?
5)Is any side effect of Epilex Chrono 300 if he consumes upto 18 months? In Oct’15, LFT/KFT/CBC tests were done and were ok. Before starting his medicine.
Should we do any blood test now as he has been taking medicine since last 7 months?
Thanks
Thanks for your response…
Doctor who is doing treatment of my son has mentioned in his prescription "clinical diagnosis - Fit IGE (JNE) Hypo vit D3", this FYI...
Kindly answer following queries:
1) What is cause of above diagnosis?
2) Vit D3 was very low (3.1 only) when checked after major Fit (such seizure was for last about 2-3 minutes) had noticed? Can low Vit D3 be reason for such fit? My son had also noticed some incidents when he was carrying books but suddenly books fell down and also he noticed some minor jerks in rest room (only in morning time). He told to Doctor during investigation when he got admitted in hospital after major fit..He never told to us (parents- Me or his mother).
3) He is 16 yr old and planning to go to USA for higher study after 14 months. Is it ok if he can travel and stay alone there? His mother got scared due to last major Fit in Oct’15. And never came any such minor or major such seizures any more since Oct’15 till date and his medicine epilex chrono 300 (twice/day) is continue.
4)You suggested to repeat investigation before stopping medicine after 18 months so what type of investigation should be done – CT, MRI, EEG or blood test?
5)Is any side effect of Epilex Chrono 300 if he consumes upto 18 months? In Oct’15, LFT/KFT/CBC tests were done and were ok. Before starting his medicine.
Should we do any blood test now as he has been taking medicine since last 7 months?
Thanks
Brief Answer:
Please upload discharge summary and all reports
Detailed Answer:
Dear Sir
Please upload the discharge summary and all reports so that I can have a detailed look..
Regards
Please upload discharge summary and all reports
Detailed Answer:
Dear Sir
Please upload the discharge summary and all reports so that I can have a detailed look..
Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Dear Sir,
I have uploaded reports suggested...Kindly respond to my queries..
Thanks
Brajesh XXXXXXX
I have uploaded reports suggested...Kindly respond to my queries..
Thanks
Brajesh XXXXXXX
Brief Answer:
He can Travel. Has to Continue Drugs. Can Stop Drugs next April
Detailed Answer:
Dear Sir
Welcome back and thanks for uploading the results
I will answer one by one
Q 1) What is cause of above diagnosis?
A 1) Idiopathic Means No Reason can be attributed. Generalised means no specific part or body was affected. Epilepsy mean Seizure disorder. Hypovitaminosis means low level of Vitamin D3
Q 2) Vit D3 was very low (3.1 only) when checked after major Fit (such seizure was for last about 2-3 minutes) had noticed? Can low Vit D3 be reason for such fit? My son had also noticed some incidents when he was carrying books but suddenly books fell down and also he noticed some minor jerks in rest room (only in morning time). He told to Doctor during investigation when he got admitted in hospital after major fit..He never told to us (parents- Me or his mother).
A 2) Low D3 can cause fit. But whether there was some other factor which added to that seizure needs to be evaluated
Q 3) He is 16 yr old and planning to go to USA for higher study after 14 months. Is it ok if he can travel and stay alone there? His mother got scared due to last major Fit in Oct’15. And never came any such minor or major such seizures any more since Oct’15 till date and his medicine epilex chrono 300 (twice/day) is continue.
A 3) He can travel. But he should follow the following precautions till next April
a. Normal day to day physical activities.
b. Food: Normal Diet, but Carbohydrates should be restricted.
c. Drugs : as prescribed by your neurologist
d. Follow the instructions of Dotors / Your Family Physician for other ailments
e. Daily bathing, Head bath allowed. Bathroom / Toilet Door Should not be locked from inside
f. Not to step into Wells, Ponds, Lakes, Falls
g. As far as possible, avoid Locking the room from inside when he is alone in the room. Try to get 2 way lock
h. Not to drive
i. Not to use use sharp instruments
Q 4) You suggested to repeat investigation before stopping medicine after 18 months so what type of investigation should be done – CT, MRI, EEG or blood test?
A 4) If there are no further seizure episodes, CT Brain Plain and Contrast, MRI Brain Plain and Contrast, EEG including Sleep Study, Blood Tests have to be repeated in April 2017. If there are any further seizure episodes, these tests have to be done again immediately after the seizures
Q 5) Is any side effect of Epilex Chrono 300 if he consumes upto 18 months? In Oct’15, LFT/KFT/CBC tests were done and were ok. Before starting his medicine.
A 5) Epilex Chrono does have side effects. But Side effects of fits are much more. Hence, in spite of side effects, we need to continue the drugs, till we are sure that there won't be further fits
Q 6 ) Should we do any blood test now as he has been taking medicine since last 7 months?
A 6 ) He has to do Complete Blood Count, Renal Function Tests, Lipid Profile, Liver Function Test, Vitamin D3, Vitamin B12, Thyroid Profile Now. He has to do again in coming October 2016 and next April 2017
Hope you found the answers helpful and all your doubts be cleared.
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
Let me know if I can assist you further.
Take care.
He can Travel. Has to Continue Drugs. Can Stop Drugs next April
Detailed Answer:
Dear Sir
Welcome back and thanks for uploading the results
I will answer one by one
Q 1) What is cause of above diagnosis?
A 1) Idiopathic Means No Reason can be attributed. Generalised means no specific part or body was affected. Epilepsy mean Seizure disorder. Hypovitaminosis means low level of Vitamin D3
Q 2) Vit D3 was very low (3.1 only) when checked after major Fit (such seizure was for last about 2-3 minutes) had noticed? Can low Vit D3 be reason for such fit? My son had also noticed some incidents when he was carrying books but suddenly books fell down and also he noticed some minor jerks in rest room (only in morning time). He told to Doctor during investigation when he got admitted in hospital after major fit..He never told to us (parents- Me or his mother).
A 2) Low D3 can cause fit. But whether there was some other factor which added to that seizure needs to be evaluated
Q 3) He is 16 yr old and planning to go to USA for higher study after 14 months. Is it ok if he can travel and stay alone there? His mother got scared due to last major Fit in Oct’15. And never came any such minor or major such seizures any more since Oct’15 till date and his medicine epilex chrono 300 (twice/day) is continue.
A 3) He can travel. But he should follow the following precautions till next April
a. Normal day to day physical activities.
b. Food: Normal Diet, but Carbohydrates should be restricted.
c. Drugs : as prescribed by your neurologist
d. Follow the instructions of Dotors / Your Family Physician for other ailments
e. Daily bathing, Head bath allowed. Bathroom / Toilet Door Should not be locked from inside
f. Not to step into Wells, Ponds, Lakes, Falls
g. As far as possible, avoid Locking the room from inside when he is alone in the room. Try to get 2 way lock
h. Not to drive
i. Not to use use sharp instruments
Q 4) You suggested to repeat investigation before stopping medicine after 18 months so what type of investigation should be done – CT, MRI, EEG or blood test?
A 4) If there are no further seizure episodes, CT Brain Plain and Contrast, MRI Brain Plain and Contrast, EEG including Sleep Study, Blood Tests have to be repeated in April 2017. If there are any further seizure episodes, these tests have to be done again immediately after the seizures
Q 5) Is any side effect of Epilex Chrono 300 if he consumes upto 18 months? In Oct’15, LFT/KFT/CBC tests were done and were ok. Before starting his medicine.
A 5) Epilex Chrono does have side effects. But Side effects of fits are much more. Hence, in spite of side effects, we need to continue the drugs, till we are sure that there won't be further fits
Q 6 ) Should we do any blood test now as he has been taking medicine since last 7 months?
A 6 ) He has to do Complete Blood Count, Renal Function Tests, Lipid Profile, Liver Function Test, Vitamin D3, Vitamin B12, Thyroid Profile Now. He has to do again in coming October 2016 and next April 2017
Hope you found the answers helpful and all your doubts be cleared.
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
Let me know if I can assist you further.
Take care.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Dear Sir,
As per your suggestion, I have done following test for my son- ripunjay:
KFT, LFT, Lipid, CBC, Thyroid profile, vit D3 and B12...
These report are uploaded ...Kindly let me know:
1) Is everything fine?
2) Any precaution has to be taken now on?
3) What is other suggestion/advise?
Thanks
As per your suggestion, I have done following test for my son- ripunjay:
KFT, LFT, Lipid, CBC, Thyroid profile, vit D3 and B12...
These report are uploaded ...Kindly let me know:
1) Is everything fine?
2) Any precaution has to be taken now on?
3) What is other suggestion/advise?
Thanks
Brief Answer:
Vitamin D3 result has been uploaded and I find that it is Normal
Detailed Answer:
Dear Sir
Welcome Back
Regarding the Results, I find only one Page uploaded
Vitamin D3 result has been uploaded and I find that it is Normal
Please upload the remaining Test Results Sir
Regards
Vitamin D3 result has been uploaded and I find that it is Normal
Detailed Answer:
Dear Sir
Welcome Back
Regarding the Results, I find only one Page uploaded
Vitamin D3 result has been uploaded and I find that it is Normal
Please upload the remaining Test Results Sir
Regards
Above answer was peer-reviewed by :
Dr. Yogesh D
Hi, I have provided some attachments. Please review them.
Brief Answer:
All Reports are Normal. No Need to worry
Detailed Answer:
Dear Sir
I have reviewed the results
1. Glucose, Lipid Profile, RFT, LFT done on 12/05/2016 are within normal limits
2. Thyroid Profile done on 12/05/2016 is within normal limits
3. Vitamin D3 done on 30/04/2016 is normal and Vitamin B12 on the same date is high. B Complex Vitamins will get excreted if they are more and hence there is no need to worry
Hope you found the answer helpful. He has to do again in coming October 2016 and next April 2017
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
All Reports are Normal. No Need to worry
Detailed Answer:
Dear Sir
I have reviewed the results
1. Glucose, Lipid Profile, RFT, LFT done on 12/05/2016 are within normal limits
2. Thyroid Profile done on 12/05/2016 is within normal limits
3. Vitamin D3 done on 30/04/2016 is normal and Vitamin B12 on the same date is high. B Complex Vitamins will get excreted if they are more and hence there is no need to worry
Hope you found the answer helpful. He has to do again in coming October 2016 and next April 2017
If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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