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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Continue With Frisium And Eptioner For Chronic Pain Syndrome?

I am suffering from low grade glioma since 2007 now I have started suffering with cps about 20 to 25 episode daily now iam on 200 mg lacoset tds 300mg eptioner od 10 mg frisium od algouth episode has been reduced to 10 daily should I continued the or take some more opinions neurosurgeon suggest for operation which depends on your decision no other physical deficiency has been noticed so far yearly based mri report conclude no clinical change noticed with previous scan
Mon, 31 Jan 2022
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Cardiologist,  's  Response
Hello,

I would recommend some changes to your therapy: reduce lacoset and switch to carbamazepine and clobazam. Reduce gradually eptioner until stopping it. You should know that polytherapy may lead to adverse effects because of potential pharmacological interactions. A new neurosurgery consult is necessary, because surgery may reduce the seizure frequency. You should discuss with your doctor on the above tests.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka, Cardiologist
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Is It Safe To Continue With Frisium And Eptioner For Chronic Pain Syndrome?

Hello, I would recommend some changes to your therapy: reduce lacoset and switch to carbamazepine and clobazam. Reduce gradually eptioner until stopping it. You should know that polytherapy may lead to adverse effects because of potential pharmacological interactions. A new neurosurgery consult is necessary, because surgery may reduce the seizure frequency. You should discuss with your doctor on the above tests. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist