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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Wean Off Of Epilim?

My daughter has been on Epilim for a few years the Neurologist has told me to take her off it slowly but I have mislaid the instructions on how to reduce it slowly I know it needs to be done slowly She is on 400mg in the morning and 400m at night If you could help me I would appreciate it
Tue, 30 Aug 2016
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Ophthalmologist 's  Response
Hi
Hope your daughter is fine now and hasnt had any seizure episodes. Epilim is a potent antiepileptic and needs to be tabpered and stopped or she will have withdrawal symptoms. It can be tapered only after (and this is important) 2-4 years of disease free interval. It should be tapered to 25% less every 2 weeks i.e, 300mg twice daily for 2 weeks, 200mg twice daily for 2 weeks, 150mg twice daily for 2 weeks, 100 mg twice daily for 2 weeks, 100 mg once daily for 2 weeks and stop. this is the standard regimen followed usually.
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How To Wean Off Of Epilim?

Hi Hope your daughter is fine now and hasnt had any seizure episodes. Epilim is a potent antiepileptic and needs to be tabpered and stopped or she will have withdrawal symptoms. It can be tapered only after (and this is important) 2-4 years of disease free interval. It should be tapered to 25% less every 2 weeks i.e, 300mg twice daily for 2 weeks, 200mg twice daily for 2 weeks, 150mg twice daily for 2 weeks, 100 mg twice daily for 2 weeks, 100 mg once daily for 2 weeks and stop. this is the standard regimen followed usually.