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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Fits During Sleep?

i have fits in sleep before two years, i underwent eeg and mra scan. no defects found. but the doctor suggested me to us eptoin 100 daily 2 at bedtime. after two years i take eeg again, the result was sames as before, so the doctor sugested to take one tablet for one month more and stop the medicine. and i stoped the medicine. but before 2 months i experienced one more fits in sleep. again i went to the doctor, he again suggested me to take the eptoin 2 each for further 2 years. My question is if I can reduce the dosage by one instead of 2?
Mon, 13 May 2019
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Internist / Hospitalist 's  Response
Hi,

Your seizure 2 years ago was probably a temporary abnormal electrical activity of the brain. To prevent it from affecting the body further you were started on anti-seizure medicine.

Now since you did not have any further episode, recent studies have shown that medications can be reduced in a stepwise manner.

This is possible only if MRI and EEG are normal, which is the same for your case. So I concur with your doctor and would advise on tapering the dose based on his advice.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ebenezer Rajadurai, Internal Medicine Specialist
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How To Treat Fits During Sleep?

Hi, Your seizure 2 years ago was probably a temporary abnormal electrical activity of the brain. To prevent it from affecting the body further you were started on anti-seizure medicine. Now since you did not have any further episode, recent studies have shown that medications can be reduced in a stepwise manner. This is possible only if MRI and EEG are normal, which is the same for your case. So I concur with your doctor and would advise on tapering the dose based on his advice. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ebenezer Rajadurai, Internal Medicine Specialist