Is Oxeto1300,Frisium5,Zentel400 Appropriate For Treating Neurocysticercosis ?

Posted on Fri, 27 Dec 2013

Question: Sir my son age-13,weight-51kg had been. diagnosed with neurocysticercosis in left frontal lobe with associated perilesional edema.7*6*5mm. Doctor has prescribed-oxetol300twice a day,frisium5 once a day,zentel400 twice a day(21 days) . Is the prescription ok.Can he have seizure while taking this medicine. He had one before treatment startedl

Answered by Dr. Anshul Varshney (20 minutes later)

Brief Answer: Prescription is good ; Discuss to add steroids Detailed Answer: Dear Sir , Thanks for writing to XXXXXXX This prescription is perfect , But i always prefer to add a short course of steroid like dexamethasone , especially if perilesional edema is there. See , when the worm dies by itself or with Albandazole (Zentel) , its creates an intense inflammation in the brain leading to edema and seizure. Steroids help us to reduce that inflammation and peri-lesional edema. Oxetol and Fresium will control the seizure , in most cases , they control them well , but still if a seizure activity occurs , an other drug is added , or changed. He will require a repeat CT Head plain after 6 months. And the treatment will continue minimum for 2 years. After that , a with drawl trial will be given. At this moment , i am more concerned about adding a steroid short course , Discuss with your doctor. I Hope i am able to solve your query , still if you have any query , you may ask me.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Anshul Varshney (17 minutes later)

Thanks, will ask my doctor as u have advised

Answered by Dr. Anshul Varshney (1 minute later)

Brief Answer: My Pleasure Detailed Answer: My pleasure helping you. If you don't have any further query , please close the discussion and rate it. Stay Healthy

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Anshul Varshney (10 minutes later)

Sir do v have to control his diet or activities in any way while this treatment is on is the diagnose perfect is this infection curable 100%

Answered by Dr. Anshul Varshney (42 minutes later)

Brief Answer: Very Common Condition Detailed Answer: Raw Vegetables should be avoided , especially food items like noodles containing improperly cooked cabbage. Avoid outside food. If your doctor says this diagnoses , it should be all right. It's a very common condition easily diagnosed and treated. I very close differential is Tuberculoma , but common in developing countries like india. I need to see CT Film to comment upon the diagnosis. This infection is curable , but sometimes the cyst get calcified in the brain , that can be permanent , but not harmful otherwise , that case may require life long anti--epileptics. If you don't have a further query , please close the discussion and rate it.

Above answer was peer-reviewed by : Dr. Shanthi.E