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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Epilepsy Patient. Taking Epsolin Medication, Stress, Epileptic Fits. Hospitalization Required?

My Dad is epileptic since 2004. He takes 3 epsolin tablets daily. He underwent excessive amount of stress as my grandmom expired 4 days back, he missed his medicine dosage, had many sleepless nights too. Yesterday he had an epileptic attack in the morning...it s aftermath continued till evening. He took epsolin medicine. Will his epilepsy be under control or will he need immediate hospitalisation. Please advice.
Wed, 3 Oct 2012
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General & Family Physician,  's  Response
hi meghna.me



thanks for choosing health care magic .



Epsolin or Phenytoin in one of the most commonly used medication for epilepsy . In medical terms it is said to have a very narrow therapeutic index which means that it has to be maintainde within a narrow range for it to be effective .



He most probably had his attack of fits as he mised his dose . If his seizures have reduced now then you can continue giving him the same medications. Also make sure that he does not miss any more of his medication .



In case he continues to have seizures lasting more than 30 minutes with no recovery then its a condition termed as status epilepticus for which he will need to get admitted in the hospital for either a change of medication or increase the dose.



he will also need a serum phenytoin level monitoring to see if his phenytoin (epsolin ) level in the body is adequate .



hope i have answered your question adequately .
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Epilepsy Patient. Taking Epsolin Medication, Stress, Epileptic Fits. Hospitalization Required?

hi meghna.me thanks for choosing health care magic . Epsolin or Phenytoin in one of the most commonly used medication for epilepsy . In medical terms it is said to have a very narrow therapeutic index which means that it has to be maintainde within a narrow range for it to be effective . He most probably had his attack of fits as he mised his dose . If his seizures have reduced now then you can continue giving him the same medications. Also make sure that he does not miss any more of his medication . In case he continues to have seizures lasting more than 30 minutes with no recovery then its a condition termed as status epilepticus for which he will need to get admitted in the hospital for either a change of medication or increase the dose. he will also need a serum phenytoin level monitoring to see if his phenytoin (epsolin ) level in the body is adequate . hope i have answered your question adequately .