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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Recurrent Episodes Of Seizures

I am a 40 year old female. i had my first seizure at the age of 12 which was deducted to be a small calcination on the left side of the skull.at that time i was put on a dosage of dilantin capsules.after a few years of medication i was recomended to stop the medicine as never had any other seizure at all.after i delievered my son at the age of 24,just within a month of that i had a seizure once again [head going towards left side,lossing consiousness,colapsing and vomiting very badly ,i revived after a few hours of sleep.after that i was put on tegrotol tablet.which i continued regularly..but on my sons 4th birthday i collapsed again .i continued with the same medicine and once while travelling i collapsed in the aircraft while going on a vaccation..after returning i was put on zeptol cr 200 twice daily and frisium as an sos[which actually was never required]after a few years i had a seizure once again and was put on zeptol cr 300 twice daily.just two months back i had a seizure once again even after being regularly on the recomended dosage.apart from that just two days back i felt nervousness ,heart beat going very fast and a twitch in my eye as if seizure was about to come,i started sweating profusely i popped on a frisium 10 and lay down on the bed after a few minutes started feeling better but the very next day the same thing happened in the afternoon although i had taken zeptol400 in the morning as advised by the doctor,i popped one more frisium 10 .now in this situation i am very scsred to go out alone as i feel that the seizure would come at any time even after taking the medication..please suggest me how to handle the situation........P.S.i am on thyronom 75 mg [every morning]for my thyroid .my t3 is2.69,t4 is0.82 and tsh is3.15 on my last thyroid prfile test in the month of may.my haemoglobin count is 13 for which i take ferium xt on alternate days.
Wed, 26 Dec 2018
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Neurologist 's  Response
Hello,

You need detailed evaluation, including MRI brain with contrast, EEG. The dose of carbamazepine should be adjusted according to body weight and drug levels in the blood.

If seizures do not get controlled on maximum doses of Tegretol, a second anti-epileptic drug such as briviact or lacosamide may be added.

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

Take care

Regards,
Dr Sudhir Kumar, Neurologist
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Suggest Treatment For Recurrent Episodes Of Seizures

Hello, You need detailed evaluation, including MRI brain with contrast, EEG. The dose of carbamazepine should be adjusted according to body weight and drug levels in the blood. If seizures do not get controlled on maximum doses of Tegretol, a second anti-epileptic drug such as briviact or lacosamide may be added. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sudhir Kumar, Neurologist