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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Encephalitis During Childhood. Having Post Encephalitis Problems, Convulsion. On Medicines. Still Agitated. Treatment?

Hi I would like to ask you about my daughter 15 years old girl who had encephalitis at the age of 3 and with post encephalitic problems and convulsion. Right now she is on gardinal 60 -,2-2-2, topamac -25-0-1-1, quetiapine sr-1001-1-1triniclam forte -1-1-1,cloba 5mg -1-0-2, chlorpromazine 50 -0-0-1,halidace 5mg- 1-0 -2 ,risdone plus 1-0-1nitrozan 10 -0-0-1,and injection fludecan 1ml twice in a month .still she is agitated at times and removing the cloth always. so her pstchitrist ordered sizopine . It seems this medicine will lower her blood counts . what is your openion.Is this medicine will really help her to cotrol her agitation.
Sat, 30 Mar 2013
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Neurologist,  's  Response
Hello,

Thanks for the query,

Her agitation could be related to the illness as well as side effects of medications that she is using now. Very high doses of Gardinal, chemically phenobarbitone can cause similar problem in these children. I will advise you to get re-evaluated in a university medical centre before giving any other medications as the list of medications she is already taking is long enough. Please note the clozapine may not result in low count in each of the patient that it takes if the counts are carefully followed. Whether the agitation can come down or not, it will be difficult to comment in a given case unless the medication is taken

Hope this helps
Best wishes

Dr Gopal Krishna Dash MD, DM, PDF (Epilepsy)
Consultant Neurologist and Epilepsy specialist
Narayana Hrudayalaya Hospital
Bangalore
My Blog in this web site:
http://www.healthcaremagic.com/doctors/dr-gopal-krishna-dash/64344
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Had Encephalitis During Childhood. Having Post Encephalitis Problems, Convulsion. On Medicines. Still Agitated. Treatment?

Hello, Thanks for the query, Her agitation could be related to the illness as well as side effects of medications that she is using now. Very high doses of Gardinal, chemically phenobarbitone can cause similar problem in these children. I will advise you to get re-evaluated in a university medical centre before giving any other medications as the list of medications she is already taking is long enough. Please note the clozapine may not result in low count in each of the patient that it takes if the counts are carefully followed. Whether the agitation can come down or not, it will be difficult to comment in a given case unless the medication is taken Hope this helps Best wishes Dr Gopal Krishna Dash MD, DM, PDF (Epilepsy) Consultant Neurologist and Epilepsy specialist Narayana Hrudayalaya Hospital Bangalore My Blog in this web site: http://www.healthcaremagic.com/doctors/dr-gopal-krishna-dash/64344