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Is Weaning Off Levera Advisable After Non-occurrence Of Seizures For 2 Years?

Posted on Wed, 7 Oct 2015

Question: Hello,
I was prone to seizures in the past. My last seizure was two years back and I have been on levera250 (One tablet every morning) medication everyday.
Please let me know if it would be feasible to start reducing the medication on a daily basis and eventually stop it.
Thank you

Answered by Dr. Neeraj Kumar (1 hour later)

Brief Answer:
Drugs usually tapered in 2-3 years

Detailed Answer:
Hi dear, I have gone through your question and understand your concerns. Drugs given in seizures can be tapered in most cases after 2-3 years after the seizures are controlled on a certain dose.
Please provide more details about:
1. diagnosis (any specific syndrome or infection)
2. Initial investigations like MRI brain, EEG
3. Any other type of seizures
Please do get back with these information so that I can give you more detailed explanation.
Hope you found the answer helpful.
Wishing you both good health.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Neeraj Kumar (17 minutes later)

Thank you very much for your response.

Here is the requested information:

1. diagnosis - Seizure attack caused mainly because of lack of sleep. (Less than 5 hours)
2. Initial investigations - Normal reports pertaining to EEG and MRI scans. Scans were conducted 2-4 days after the seizure.
3. Any other type of seizures - No

Thank you,
XXXX

Answered by Dr. Neeraj Kumar (2 hours later)

Brief Answer:
drug can be tapered slowly

Detailed Answer:
Hello XXXXXXX
Usual protocol to stop anti epileptics is to start gradual tapering after 2-3 years of well controlled seizures.
The continuation is required in some epilepsy syndromes like juvenile myoclonic epilepsy (life long) and can be stopped or epilepsy go into remission in age related epilepsy.
Absence of neuroimaging abnormalities, normal eeg and absence of other seizure types put your disease into idiopathic generalised epilepsy.
You can gradually taper the dose to 125 mg for atlas 1 month , then 75 mg for 1 month and then stop.
Follow general rule in epilepsy that is to avoid sleep deprivation, night awakening and indulging in dangerous situations like swimming pool, open roof top, driving.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Neeraj Kumar (3 hours later)

Thank you for the detailed response to my query.

Have a great day.
Best regards,
XXXX

Answered by Dr. Neeraj Kumar (6 minutes later)

Brief Answer:
Thanks, wishing you good health

Detailed Answer:
Hello dear,
Wishing you good luck and healthy lifestyle.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Neel Kudchadkar