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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dull Pain In Chest, Strain In Left Hand. Taking Zeptol For Focal Gliosis. Treatment?

Sir, Its about 45 days that I am having dull pain in left region of my chest. The pain occurs few times a day and last for few seconds to few minutes.some times I feel strain on my left hand .My ecg and echo reports are normal. Renal profile is normal.CBC, thyroid also normal. What could be the reason? What should I do next. Also I am having focal gliosis on right temporal region and taking zeptol CR-400 BD
Mon, 5 Nov 2012
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Internal Medicine Specialist 's  Response
Hello,
Thanks for writing your query to us.
Zeptol CR (carbemazepine)is an antiepileptic used to control epilepsy. It has got many side effects & one of it is abnormal heart rhythm commonly called as arrhythmia. Since you have being taking zeptol CR 400 BD , i would advise you to get your serum (blood) levels of carbemazepine. If it is high than its dose needs to be reduced & also get your ECG done during the episode of chest pain. ECG done when you dont have chest pain will not pick up the abnormality of heart.
Wish you good health.
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Dull Pain In Chest, Strain In Left Hand. Taking Zeptol For Focal Gliosis. Treatment?

Hello, Thanks for writing your query to us. Zeptol CR (carbemazepine)is an antiepileptic used to control epilepsy. It has got many side effects & one of it is abnormal heart rhythm commonly called as arrhythmia. Since you have being taking zeptol CR 400 BD , i would advise you to get your serum (blood) levels of carbemazepine. If it is high than its dose needs to be reduced & also get your ECG done during the episode of chest pain. ECG done when you dont have chest pain will not pick up the abnormality of heart. Wish you good health.