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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Keppra Advisable For A Person With Epilepsy?

My daughter has epilepsy and she is taking keppra 2000 mg 2x ,lamictal 250mg 2x,folic acid ,acetazolamide 1x250 mg 3 days before period starts and continue for 7 days and juleber birth control ,she is now on vacation in Europe and she just had seizure I can t reach her Dr to ask for advice what to do? Couple months before her Dr put her on double doses of keppra and her last two seizure are totally different then before .We where in Mayo Clinic in January and Dr told that she should be out of keppra (one time her level of keppra was so high) and take only lamictal ,acetalomide birth control and folic acid and I really don t understand why her Dr kept her on keppra and double doses ??? Should she go to Dr in Europe and do some test ,please can anyone answer me because I am lost right now as any mother
Thu, 6 Sep 2018
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General & Family Physician 's  Response
Hi,



Sorry to hear of her suffering and your concern is well taken as a mother. In fact, there are multiple drugs for the control of seizures. The basic principle is to control seizures with minimum drugs. So, basically we start with one drug and increase the dose until maximum. If seizures are controlled, we don't add another one. However, sometimes seizures cannot be controlled by a single drug, so we add another one.



If she still has seizures we probably would need to increase the dose of Lamictal to its maximum until seizures are controlled. I don't think, it would be wise to stop Keppra, until it is causing her any problem. If it is causing any problem, then we can replace it with other drugs.



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Is Keppra Advisable For A Person With Epilepsy?

Hi, Sorry to hear of her suffering and your concern is well taken as a mother. In fact, there are multiple drugs for the control of seizures. The basic principle is to control seizures with minimum drugs. So, basically we start with one drug and increase the dose until maximum. If seizures are controlled, we don t add another one. However, sometimes seizures cannot be controlled by a single drug, so we add another one. If she still has seizures we probably would need to increase the dose of Lamictal to its maximum until seizures are controlled. I don t think, it would be wise to stop Keppra, until it is causing her any problem. If it is causing any problem, then we can replace it with other drugs. Hope I have answered your query. Let me know if I can assist you further.