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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Complex Partial Seizures. On Lamictal. Have Fits. On Oxetol. Cannot Write. Chances Of Recovering?

Dear Doctor,
My daughter age 6 years old was diagnosed with complex partial seizures. She started her medicine on April 26th 2012. She was taking depakene(200mg/ml) - 5ml/day, lamictal - 1/day, T. Frisium(5mg) - 1/day. still we noticed her having fits at least 3 per day. she is studying in KGII, but she is lacking writing skills, and do not pay any concentration on writing. orally she is ok. she grasp everything from school. but she is not able to concentrate while writing. In july 2013 we consulted the doctor in Sree chitra Institute of Medical Science, Trivandrum, India. As per the doctors in Sree chithra Medical Institute, we are now giving her only Oxetol (300mg) one tablet in the morning, Frisium(10mg) one tablet in the evening and Oxetol(450mg) one tablet in the evening. We find lot of improvement because after taking these medicines prescribed from Sree Chithra Medical Institute, the fits came into control by 1 per day and even there are no fits some days, but we are more concerned about her writing skills, as we face lot of complaints from the school, how can we bring her up in writing and how can she give concentration in her writing. Once her fits get controlled, will she be able to write. Please advise, we are very much worried about her. Thank you doctor, Mother
Fri, 27 Sep 2013
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Psychiatrist 's  Response
Hello
Welcome to HCM

She is a known case of Complex Partial Seizures and has been prescribed Sodium Valproate, Lamictal and Clobazam with poor results and the medicines are changed to Oxcarbamazepine and Clobazam with good results. She is showing decline in her school performance and is not able to cope up in school. She is having problems in writing skills.
See in a lot of children with history of seizures there occur decrease in school performance, intellectual activity. The main reason behind these problems is subtle seizures. She has shown improvement with her present drugs so she will show improvement in few more weeks. Assisted teaching and special attention to her in class will help in improvement. You can start Vitamin B12 and Folic acid supplements in her. These supplements will help to improve her condition.

Thanks
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Diagnosed With Complex Partial Seizures. On Lamictal. Have Fits. On Oxetol. Cannot Write. Chances Of Recovering?

Hello Welcome to HCM She is a known case of Complex Partial Seizures and has been prescribed Sodium Valproate, Lamictal and Clobazam with poor results and the medicines are changed to Oxcarbamazepine and Clobazam with good results. She is showing decline in her school performance and is not able to cope up in school. She is having problems in writing skills. See in a lot of children with history of seizures there occur decrease in school performance, intellectual activity. The main reason behind these problems is subtle seizures. She has shown improvement with her present drugs so she will show improvement in few more weeks. Assisted teaching and special attention to her in class will help in improvement. You can start Vitamin B12 and Folic acid supplements in her. These supplements will help to improve her condition. Thanks