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Suggest Remedy For Epilepsy
I AM A DOCTOR OF MIDNAPUR COLLEGE WB AGED-54 YRS, HEIGHT- 5.7'' . WEIGHT- 80 KG .
PAST HISTORY:- 1) EPILEPSY- 1st ATTACK OCCUR IN THE YEAR 1969. DIAGONOSED BY THE DOCTORS AT DELHI , MILD FOCUS IN THE BRAIN.
2) SINCE 1963-1973,ABOUT 15-16 ATTACKS OCCURED.
3)BUT NOW THE SEIZURE IS UNDERCONTROL.
4) NO OLD CASE OF HYPERTENSION SINCE LAST 15 YRS AS BP LIE BETWEEN 160/100 mm mg .
5) LACUNAR INFRACT DETECTED BY CT SCAN SINCE LAST 7 MONTHS IN RIGHT MCA TERRITORY AND CEREBRAL ATROPHY.
*INVESTIGATION DONE - a) CT SCAN OF BRAIN
b)EEG- NORMAL REPORT
c)LIPID PROFILE & BLOOD SUGAR
REPORT NORMAL.
d) MRI, MRA & BILATERAL CAROTID
DROPPLER NOT DONE
* CHIEF COMPLAIN- FOCAL SENSORY SEIZURE ATTACK FREQUENTLY PERSIST FOR A FEW SECOND SINCE LAST 7 MONTHS.
* TREATMENT- 1)GARDINEL-60 mg TDS
2)EPTOIN - 100mg 3 TAB IN HS & 2 TAB AFTER
MEAL (TOTAL 5 TAB IN A DAY).
3)OXETOL - 600mg BD
4) TELVAS - H40/12.5 OD
5) ESLO- 2.5 1 TAB BD
6) ECOSPIN - 75 mg 1 TAB OD
7) ATORIIN -20 mg 1 TAB OD
AFTER THE STARTING OF EPTOIN 5 TAB /DAY , I AM BETTER THAN BEFORE. PLEASE GIVE YOUR VALUABLE OPINIONFROM NEUROLOGIST REGARDING TREATMENT , INVESTIGATION & OTHER ADVICE.
PAST HISTORY:- 1) EPILEPSY- 1st ATTACK OCCUR IN THE YEAR 1969. DIAGONOSED BY THE DOCTORS AT DELHI , MILD FOCUS IN THE BRAIN.
2) SINCE 1963-1973,ABOUT 15-16 ATTACKS OCCURED.
3)BUT NOW THE SEIZURE IS UNDERCONTROL.
4) NO OLD CASE OF HYPERTENSION SINCE LAST 15 YRS AS BP LIE BETWEEN 160/100 mm mg .
5) LACUNAR INFRACT DETECTED BY CT SCAN SINCE LAST 7 MONTHS IN RIGHT MCA TERRITORY AND CEREBRAL ATROPHY.
*INVESTIGATION DONE - a) CT SCAN OF BRAIN
b)EEG- NORMAL REPORT
c)LIPID PROFILE & BLOOD SUGAR
REPORT NORMAL.
d) MRI, MRA & BILATERAL CAROTID
DROPPLER NOT DONE
* CHIEF COMPLAIN- FOCAL SENSORY SEIZURE ATTACK FREQUENTLY PERSIST FOR A FEW SECOND SINCE LAST 7 MONTHS.
* TREATMENT- 1)GARDINEL-60 mg TDS
2)EPTOIN - 100mg 3 TAB IN HS & 2 TAB AFTER
MEAL (TOTAL 5 TAB IN A DAY).
3)OXETOL - 600mg BD
4) TELVAS - H40/12.5 OD
5) ESLO- 2.5 1 TAB BD
6) ECOSPIN - 75 mg 1 TAB OD
7) ATORIIN -20 mg 1 TAB OD
AFTER THE STARTING OF EPTOIN 5 TAB /DAY , I AM BETTER THAN BEFORE. PLEASE GIVE YOUR VALUABLE OPINIONFROM NEUROLOGIST REGARDING TREATMENT , INVESTIGATION & OTHER ADVICE.
Mon, 14 Jan 2019
Hello,
Of course, more info on the prior type of seizures, EEG reports, past medications would be needed for more precise recommendations.
From what I can see I would reconsider the combination of drugs. Generally, it is preferred to combine drugs with different mechanism of action and Oxetol and Eptoin act in similar ways so I would gradually withdraw one of the two. If seizures are not improving then would consider adding another drug with a different mechanism of action like Levetiracetam.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Olsi Taka,
Neurologist
Of course, more info on the prior type of seizures, EEG reports, past medications would be needed for more precise recommendations.
From what I can see I would reconsider the combination of drugs. Generally, it is preferred to combine drugs with different mechanism of action and Oxetol and Eptoin act in similar ways so I would gradually withdraw one of the two. If seizures are not improving then would consider adding another drug with a different mechanism of action like Levetiracetam.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Olsi Taka,
Neurologist
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