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Medication to control anxiety and seizure episodes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User :   Hi, My gf has epilepsy and anxiety, and she is 23. The anxiety came before the epilepsy, and her seizures are once a month. Is anxiety making her have seizures
Doctor :   Hi
Doctor :   I am Dr.
Doctor :   I am going to assist you further
Doctor :   Anxiety can certainly worsen the seizures
Doctor :   Anxiety can increase the frequency and the duration of the seizure
User :   she has a state insurance so can only see selective doctors, what is the best way to tackle the seizures?
User :   She was treated by a doctor for a year and half and they could not get the seizures under control! What is another option?\
Doctor :   The seizures can be controlled with proper education and the follow up with the doctor's
Doctor :   prescription
Doctor :   Anxiety, sleep deprivation, too much excitement can initially precipitaate seizure attack
Doctor :   The Doctor shall prescribe antiepileptic medication
Doctor :   which should be reviewed according to the follow up he recommends or once in every 3 months
Doctor :   During the initial days of epilepsy medication, the doctor shall try to put the dose which may not be sufficient, so he asks the person to follow up to see how it responds
Doctor :   He shall reduce or modify the dose according to the response in the initial months
Doctor :   After some days the doctor shall put the person on maintainence medication so that no more attacks come
User :   ok great, a neurologist should be here doctor of choice correct?
Doctor :   Yes, A neurologist or a fellow in epilepsy
Doctor :   So now your gf should get a re check done, get few tests done like serum antiepileptics and know the drug levels in the blood
Doctor :   and how they are metabolizing
Doctor :   in her body
User :   well she has had those with a previous doctor for a year and ahalf and got nowhere.
User :   Will a neurologist be able to diagnose and corectly administer drugs based on having anxiety on top of epilepsy
Doctor :   She has to realize some important facts that the epilepsy medications acts slowly initially
Doctor :   and the medication goes for very long time
Doctor :   for years
Doctor :   The most common reason for having episodes of epilepsy even on medication is irregular intake of medicine and not on time
Doctor :   So she needs an education on this front
Doctor :   If her doctor has no time, his RN should explain her
Doctor :   or his PA should educate her
Doctor :   If all fail, ask her to chat with me, I can assist her
Doctor :   What are the situations that she has to avoid
User :   how does anxiety affect seizures
User :   she lost her license and has a 3yeear old daughter
Doctor :   Anxiety leads to sleeplessness, which leads to seizure attack
User :   she sleeps allot and well tho
Doctor :   Ok
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