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Suggest Treatment For Seizures

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Posted on Sat, 8 Nov 2014
Question: My son 14yrs/75kg taking Oxmazetol 750+Lamez 50 mg daily for left focal seizure.Frontal lobe operated in2008 & tegritol 200mg started in july 2009 .Seizure not contolled fully.Sir kindly advise...
doctor
Answered by Dr. Sudhir Kumar (1 hour later)
Brief Answer:
Anti-epileptic drugs need to be readjusted.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your son's symptoms and current medications.

His seizures are most likely due to injury to the frontal lobe.

The medications are good, however, the dose needs to be readjusted as per his body weight.

The dose of oxmazetol (oxcarbazepine) is 10-20 mg per kg body weight and the lames (lamotrigine) can be increased to 100 mg per day slowly.

Please discuss about this with his neurologist.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http:XXXXXXXX


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (11 hours later)
SIR;
His weght is going on increasing by taking antiepileptic medicine ;how to controll?platelate count=190 000-.feeling lazy in study...any problem in future.Dr. advises to switch to encorate crone 300mg BD -Will it be good?
doctor
Answered by Dr. Sudhir Kumar (4 hours later)
Brief Answer:
Regular exercises and diet control

Detailed Answer:
Thank you for getting back.

The weight can be controlled by regular balanced diet and daily exercises such as jogging and cycling.

Encorate chrono is a good anti-epileptic drug.

If seizures get controlled, we do not expect any problems in future.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (13 hours later)
1.Will he continue taking medicine life long?
2.If yes ;what are the side effects & how to manage it?
3.This focal seizure is the out come of drainage of abscess fronto parietal region.
4.What is the best medication & vitamin supliment for him to run a smooth life?
Thanks for your advice sir.
doctor
Answered by Dr. Sudhir Kumar (5 hours later)
Brief Answer:
Lifelong medications are required.

Detailed Answer:
Thank you for getting back.

1. Yes, he needs lifelong medications.

2. There are no significant side effects in most people. If they occur, the dose may be reduced, or the drug changed to another anti-epileptic drug.

3. Yes, the seizures are related to the drainage of abscess.

4. Folic acid supplements are useful.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Sudhir Kumar (11 hours later)
1.what should be the follow up blood/others periodic check fo this.
2.whst will be the effect on brain if seizure occurs 6-8 times per year?pl.advise.thanks
doctor
Answered by Dr. Sudhir Kumar (15 minutes later)
Brief Answer:
No specific blood tests are needed

Detailed Answer:
Thank you for getting back.

1. There is no need of any blood tests. Only periodic review with neurologist is needed to readjust the dose of medications.

2. If there are frequent seizures, it may lead to forgetfulness and memory impairment. No problems are expected with occasional seizures.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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Suggest Treatment For Seizures

Brief Answer: Anti-epileptic drugs need to be readjusted. Detailed Answer: Hi, Thank you for posting your query. I have noted your son's symptoms and current medications. His seizures are most likely due to injury to the frontal lobe. The medications are good, however, the dose needs to be readjusted as per his body weight. The dose of oxmazetol (oxcarbazepine) is 10-20 mg per kg body weight and the lames (lamotrigine) can be increased to 100 mg per day slowly. Please discuss about this with his neurologist. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http:XXXXXXXX