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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Remedy For The Seizures And Depression With Mood Swings?

Hi, my son is experiencing the seizures for the last 8 months and have 4 episodes for 30-40 seconds. It started in Aug 13. He is 16 years old and have 45kg weight. The doctor started the medicine KEPPRA 500mg twice a day and the increased it to 750gms twice a day after the second attack. After the 3rd attack in Dec his medicine potency was increased to 1000mg twice a day. Now 5 days back he has again experienced the attack and the Dr has advised to add another medIcine Oxetol 300MG twice a Day along with KEPPRA1000mg twice a day. But he says that this medicine will be replaced slowly with Oxetol. His Pet Neuro is normal and EEG & MRI are also normal. How to deal with this problem please as he is facing sometime depression and his behaviour also swings and all of a sudden he gets angry ?
Mon, 19 Dec 2016
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Neurologist 's  Response
Hello!

Welcome on HCM!

I carefully read your question and would explain that the changes in his mood can be related to Keppra adverse effects.

From the other hand Oxetol can improve these mood changes.

So, I would recommend follow your doctor advise to gradually switch from Keppra to Oxetol.

Regarding his normal EEG and MRI, I would recommend performing a 24 hours EEG (prolonged EEG) in order to be able to register any possible epileptic activity. Sleep deprivation can help in this regard.

You should discuss with his doctor on the above issues.

Kind regards, Dr. Aida
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What Is The Remedy For The Seizures And Depression With Mood Swings?

Hello! Welcome on HCM! I carefully read your question and would explain that the changes in his mood can be related to Keppra adverse effects. From the other hand Oxetol can improve these mood changes. So, I would recommend follow your doctor advise to gradually switch from Keppra to Oxetol. Regarding his normal EEG and MRI, I would recommend performing a 24 hours EEG (prolonged EEG) in order to be able to register any possible epileptic activity. Sleep deprivation can help in this regard. You should discuss with his doctor on the above issues. Kind regards, Dr. Aida