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Suggest Ways To Lower The Risk Of A Stroke

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Posted on Tue, 3 Jan 2017
Question: I want to know will seizure or stroke recurr even if I am taking medicines regularly ?
doctor
Answered by Dr. Sudhir Kumar (5 hours later)
Brief Answer:
The risk of stroke and seizure reduces after taking medicines.

Detailed Answer:
Hi Mr XXXXXXX

Thank you for posting your query.

I have noted your symptoms and concern.

1. Seizures can occur after stroke in some patients, as the brain tissue gets damaged and forms a scar. Scar tissue in brain causes abnormal electrical discharges leading to seizures.

2. Antiplatelets (blood thinners) and cholesterol lowering medicines would reduce the risk of stroke. Similarly, anti-epileptic medicines would reduce the risk of seizures. It should be noted that the risk of stroke and seizure recurrence "reduces" and does not become "nil". This is because none of the medicines discovered so far have 100% efficacy. At the best, they work in 80-85% patients only. However, if there is recurrence, additional medicines may be added or the dose of current medicines may be increased.

3. You can lead a normal life and travel, as most doctors have a basic knowledge to treat stroke and seizures. Seizures would stop on its own in most cases (within 5 minutes) and you can see the doctor the next day.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (33 hours later)
Doctor,
How long I have to be on these medicines?
What are likely side effect of these medicines specially on lever and kidney ?
Any special preventive measures I have to take other than BP and sugar ?
Thanks.
doctor
Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
Please get back with the list of your medications.

Detailed Answer:
Thank you for getting back.

Please get back with the list of your medications, scan report, and EEG report (if available). Please also send the doctor's prescription.

All these can be scanned and attached here.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)


Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Sudhir Kumar (6 hours later)
List of medicines
Deplatt cv after dinner
Telma am 80 twice a day
Minipress xl 2.5 after dinner
Eptroin 100mg, one in morning and 2 after dinner
Levilex 250mg, twice
Fresium 5 mg after dinner
Trajenta duo one morning and one evening
Hemocit P after dinner
EEG showed normal awake interictal record
MRI showed subacute lacunar infarct in right thalamus with small vessel chronic ischemic changes,gliosis and age related diffuse cerebral atrophy.
doctor
Answered by Dr. Sudhir Kumar (3 hours later)
Brief Answer:
Medicines are safe and are needed long-term.

Detailed Answer:
Thank you for getting back with more details.

You are on good medicines, which are safe. They are required for long term. Deplatt CV is to prevent stroke and is needed life long. Eptoin, frisium and levilex are needed to prevent seizures and are needed for at least three years.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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Suggest Ways To Lower The Risk Of A Stroke

Brief Answer: The risk of stroke and seizure reduces after taking medicines. Detailed Answer: Hi Mr XXXXXXX Thank you for posting your query. I have noted your symptoms and concern. 1. Seizures can occur after stroke in some patients, as the brain tissue gets damaged and forms a scar. Scar tissue in brain causes abnormal electrical discharges leading to seizures. 2. Antiplatelets (blood thinners) and cholesterol lowering medicines would reduce the risk of stroke. Similarly, anti-epileptic medicines would reduce the risk of seizures. It should be noted that the risk of stroke and seizure recurrence "reduces" and does not become "nil". This is because none of the medicines discovered so far have 100% efficacy. At the best, they work in 80-85% patients only. However, if there is recurrence, additional medicines may be added or the dose of current medicines may be increased. 3. You can lead a normal life and travel, as most doctors have a basic knowledge to treat stroke and seizures. Seizures would stop on its own in most cases (within 5 minutes) and you can see the doctor the next day. Best wishes, Dr Sudhir Kumar MD DM (Neurology)