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Suggest Treatment For Acute Abdominal Pain While On Oxetol

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Posted on Mon, 13 Mar 2017
Question: I consulted Dr XXXXXXX XXXXXXX online through ur site.My daughter who is a patient of seizure disorder was under medication.She was taking Oxetol 300 two times daily when her SGPT XXXXXXX to 305 U/L .She had to be admitted in hospital due to acute abdominal pain.
Consulted Dr XXXXXXX XXXXXXX in XXXXXXX 2016 and he prescribed Levipil 500 two times daily along with Lobazam at night.
On 20/02/17 while she had gone to visit my father in law She had an episode of convulsion.She was senseless for 3 mins.
Now my Question to Dr XXXXXXX XXXXXXX is what should I do now? What should be her MEDICINE.? Plz opine Dr.
doctor
Answered by Dr. Sudhir Kumar (5 hours later)
Brief Answer:
What is the patient's body weight ?

Detailed Answer:
Thank you for getting back.

I have noted the clinical details.

I can assume that this is the first seizure since XXXXXXX 2016 (past 8 months).

Is she taking Levipil 500 mg twice daily regularly (without missing any dose) ?

What is her current body weight?

Is she sleeping well at nights (7-8 hours per night) ?

Please get back with the answers to the above. Based on that, I would be able to guide with her medications.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Sudhir Kumar (13 hours later)
Her weight is 52 kg

She sleeps 8 hours daily.

She was taking Levipil 500 half in the morning and one at night.

After her seizure on 20/02/17 she is taking Levipil 500 one in the morning and one at night.

She has not missed any doses.

She is taking lobazam at night.

This is her first seizure since 2011 March when the AEDs are first started.

This is her first seizure with medication.

Plz opine Sir...

I am Scared as I want her seizure free with MEDICINE.
doctor
Answered by Dr. Sudhir Kumar (2 minutes later)
Brief Answer:
As of now, the medicine and dose are correct.

Detailed Answer:
Thank you for getting back with the information.

The dose increase of levipil to 500 mg twice daily is correct, and no further action is needed.

It is expected to keep her free from seizures.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Sudhir Kumar (2 hours later)
Thank u , Doctor.
Kindly confirm whether other supporting AEDs should be started?
If so,then which AED ?
Thank u again Doctor.Thank u team Healthcare .
doctor
Answered by Dr. Sudhir Kumar (35 minutes later)
Brief Answer:
No additional AED is needed now.

Detailed Answer:
Thank you for getting back.

No additional anti-epileptic drug is needed now. Please continue Levipil 500 mg two times daily.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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Suggest Treatment For Acute Abdominal Pain While On Oxetol

Brief Answer: What is the patient's body weight ? Detailed Answer: Thank you for getting back. I have noted the clinical details. I can assume that this is the first seizure since XXXXXXX 2016 (past 8 months). Is she taking Levipil 500 mg twice daily regularly (without missing any dose) ? What is her current body weight? Is she sleeping well at nights (7-8 hours per night) ? Please get back with the answers to the above. Based on that, I would be able to guide with her medications. Best wishes, Dr Sudhir Kumar MD DM (Neurology)