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Suggest Medication For Seizures

Posted on Fri, 20 May 2016

Question: what is the best medication on the market used to treat seizures with the least side effects and will allow one to work and operate a vehicle without warnings?

Answered by Dr. Ajay Panwar (52 minutes later)

Brief Answer:
For which type of seizures-GTCS or Focal?

Detailed Answer:
Hi XXXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

Ok! the question is pretty straightforward and I shall guide you well in this regard,however,beforehand please let me know that -which type of seizures are you referring to here-'Generalized tonic clonic seizures', 'Focal seizures', 'absence seizures' or 'myoclonic jerks'.Drug of choice is different for different types of seizures.So,please let me know that what actually happens in the seizures you are talking about.

Further,what side effect did you have with Keppra?Keppra is otherwise a good drug and side effects are not very common with it except some neuropsychiatric issues.

I shall be glad to have you in follow-up so that I can answer this well.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ajay Panwar (7 hours later)

Grand Mal seizures. I have a series of issues during the episode, loss of muscle control, violent jerking on both sides of the body, and distorted speech where I try to call for help but can't speak correctly. Trying to find the triggers because I did not have seizures as child or during adulthood until around age 35. Currently taking abilify and has taken invega for psychiatric treatment and would like to know if these medicines are possible triggers or if there is another underlying issue that's not being addressed. Scheduled to see the doctor on April 5th.

Answered by Dr. Ajay Panwar (5 hours later)

Brief Answer:
These medicines are not the likely culprits.MRI Brain.

Detailed Answer:
Hi XXXXX,
Thanks for being in follow-up and providing further details.

Abilify and Invega are not the likely triggers.

As a part of evaluation of grand mal seizures,you should undergo MRI Brain with epilepsy protocol.Though,it may come normal and seizures can be idiopathic.

I can understand that Keppra could have caused some neuropsychiatric issues.You can start on another 1st line drug for grand mal seizures preferably sodium valproate.
PLEASE START A MEDICINE ONLY UNDER THE SUPERVISION OF A PHYSICIAN.

Hope that helps.If you have any further questions,I shall be glad to answer them.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar