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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diarrhea And Tiredness

I am taking Dilantin and Phenobarbital. I feel confused and forgetful which are side effects of Dilantin I have been a epileptic for 58 years and taken many different drugs. I have taken Dilantin before but all by itself. I had brain surgery last year and they gave me another drug which caused me to have diarrhea 4 times a day for a year. I lost weight. I come from a family of four children and three had epilepsy. I am very tired and frustrated. Iam drug sensitive and have been given many drugs for epilepsy that did not work. What drug do you suggest?
Fri, 29 Mar 2019
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General & Family Physician,  's  Response
Hello,

Firstly, you should have told me the drug name which you were prescribed after brain surgery.

Now, if your diarrhea too much, I suggest you do the followings:

1. Drink enough fluid
2. Drink ORS
3. I want you to keep 2 drugs namely, Loperamide and a combination of ( atropine and diphenoxylate).

How to take:

Loperamide: 4 mg orally after the first loose stool, then 2 mg orally after each unformed stool REMEMBER: NEVER EXCEED 10mg/DAY.

Diphenoxylate: 5 mg of diphenoxylate, orally, 2 times a day. I have given these very carefully keeping in mind that you are drug sensitive.

I also suggest you take treatment of epilepsy properly. If you can't use Dilantin, can go for Levetiracetam or Divalproex sodium. To buy these drugs, you need to have a prescription.

When you can arrest diarrhea, your tiredness will go away. Take good diet and rest. Take enough water every day.

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

Take care

Regards,
Dr Dipan Samanta, General & Family Physician
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Suggest Treatment For Diarrhea And Tiredness

Hello, Firstly, you should have told me the drug name which you were prescribed after brain surgery. Now, if your diarrhea too much, I suggest you do the followings: 1. Drink enough fluid 2. Drink ORS 3. I want you to keep 2 drugs namely, Loperamide and a combination of ( atropine and diphenoxylate). How to take: Loperamide: 4 mg orally after the first loose stool, then 2 mg orally after each unformed stool REMEMBER: NEVER EXCEED 10mg/DAY. Diphenoxylate: 5 mg of diphenoxylate, orally, 2 times a day. I have given these very carefully keeping in mind that you are drug sensitive. I also suggest you take treatment of epilepsy properly. If you can t use Dilantin, can go for Levetiracetam or Divalproex sodium. To buy these drugs, you need to have a prescription. When you can arrest diarrhea, your tiredness will go away. Take good diet and rest. Take enough water every day. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dipan Samanta, General & Family Physician