thanks for choosing health care magic .
Epsolin or Phenytoin
in one of the most commonly used medication for epilepsy
. In medical terms it is said to have a very narrow therapeutic index
which means that it has to be maintainde within a narrow range for it to be effective .
He most probably had his attack of fits
as he mised his dose . If his seizures have reduced now then you can continue giving him the same medications. Also make sure that he does not miss any more of his medication .
In case he continues to have seizures lasting more than 30 minutes with no recovery then its a condition termed as status epilepticus
for which he will need to get admitted in the hospital for either a change of medication or increase the dose.
he will also need a serum phenytoin level monitoring to see if his phenytoin (epsolin ) level in the body is adequate .
hope i have answered your question adequately .