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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Temporal Lobe Epilepsy, Short Term Memory, Concentration. Prescribed Epilim. Opinion?

Hi i have temporal lobe epilepsy , with abnormalities on left hand side of brain. My memory has been poor and the epilepsy not too well controlled lately. I am on 2mg rivotril . My neurologist says i must start taking 300cr epilim for the epilepsy and it will help the short term memory and concentration. what do you think?
Fri, 8 Mar 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

It is clear that you have to take additional medication, as your current drug (rivotril) has not controlled your seizures.

Regarding the choice of drug, I would prefer oxcarbazepine or carbamazepine. These medications are very effective for temporal lobe epilepsy. In addition, they do not affect the memory, whereas, epilim (Sodium valproate) can have adverse effects on memory.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Have Temporal Lobe Epilepsy, Short Term Memory, Concentration. Prescribed Epilim. Opinion?

Hi, Thank you for posting your query. It is clear that you have to take additional medication, as your current drug (rivotril) has not controlled your seizures. Regarding the choice of drug, I would prefer oxcarbazepine or carbamazepine. These medications are very effective for temporal lobe epilepsy. In addition, they do not affect the memory, whereas, epilim (Sodium valproate) can have adverse effects on memory. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist