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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It OK To Give My Daughter Eptoin Syrup 5ml Who Has Seizure

HI Doctor my daughter had first seizure . The only symptom we observed was her eyes went up. After that Doctor took her to Emergency ward and gave her oxygen and some injection. She started crying and so i believed she came conscious. After that Doctor was keep on treating her by sending us out. Finally Doctor said my daughter had 2 hours of continous fits. She too CT- Brain and EEg which were normal. She also suggested to give Eptoin syrup 5ml in the morning and in the evening. Is that good? Is this the right suggestion? Does Eptoin has side effects? I dont believe a baby can have 2 hours of continous fits if she is having consciousness. So please guide us.
Wed, 9 Mar 2011
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General & Family Physician 's  Response
Hi Welcome to healthcaremagic.com

Witnessing the seizures by a family member is utmost important to make the diagnosis. CT brain and EEG may be normal.

Doctor do treat seizures with Eption when they are having seizures (in hospital).

However, treating first episode of seizures is controversial. Some agree and some do not agree to treat. Risk of seizures is >50% in 2 yrs.

If there are no underlying causes, you can watch.


I also like to know the age of chil/baby who got seizures. If underer 21, phenytoin is not a good choice.

Adverse Drug Reactions:
"Hypersensitivity, lack of appetite, headache, dizziness, tremor, transient nervousness, insomnia, GI disturbances (e.g. nausea, vomiting, constipation), tenderness and hyperplasia of the gums, acne, hirsutism, coarsening of the facial features, rashes, osteomalacia. Phenytoin toxicity as manifested as a syndrome of cerebellar, vestibular, ocular effects, notably nystagmus, diplopia, slurred speech, and ataxia; also with mental confusion, dyskinesias, exacerbations of seizure frequency, hyperglycaemia. Solutions for inj may cause local irritation or phlebitis. Prolonged use may produce subtle effects on mental function and cognition, especially in children. Potentially Fatal: Toxic epidermal necrolysis, Stevens-Johnson syndrome." (http://www.mims.com/Page.aspx?menuid=mng&name=phenytoin).


Regards Dr. Jagdish
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  User's Response
jayaluck6's  Response
Hi Doctor,

Thanks for the reply. The baby age is 1 year 3 months. She was very active without cold and fever. While she wake after sleep she had shivering with no temperature.

When we took her to hospital in 10 minutes she got sudden fever and her eyes went up. After that Doctor started treating her in Emergency ward for 2 hours almost. But she was crying once in every 5 mins or 10 mins. So i dont believe 2 hours of continous fits( as doctor said) is not possible for my baby.

So please let me know im i correct and also can i continue to give Eptoin(4ml) for a month as Doctor said?

Regards,
Jaya.
General & Family Physician Dr. Jagdish's  Response
Hi Welcome to healthcaremagic.com

one month course of Eptoin does not hurt and indeed she does not need. But surely she does not need medication after one month because she has no neurological/developmental problems. Her seizures are febrile seizures.


Regards Dr. Jagdish
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Is It OK To Give My Daughter Eptoin Syrup 5ml Who Has Seizure

Hi Welcome to healthcaremagic.com Witnessing the seizures by a family member is utmost important to make the diagnosis. CT brain and EEG may be normal. Doctor do treat seizures with Eption when they are having seizures (in hospital). However, treating first episode of seizures is controversial. Some agree and some do not agree to treat. Risk of seizures is 50% in 2 yrs. If there are no underlying causes, you can watch. I also like to know the age of chil/baby who got seizures. If underer 21, phenytoin is not a good choice. Adverse Drug Reactions: Hypersensitivity, lack of appetite, headache, dizziness, tremor, transient nervousness, insomnia, GI disturbances (e.g. nausea, vomiting, constipation), tenderness and hyperplasia of the gums, acne, hirsutism, coarsening of the facial features, rashes, osteomalacia. Phenytoin toxicity as manifested as a syndrome of cerebellar, vestibular, ocular effects, notably nystagmus, diplopia, slurred speech, and ataxia; also with mental confusion, dyskinesias, exacerbations of seizure frequency, hyperglycaemia. Solutions for inj may cause local irritation or phlebitis. Prolonged use may produce subtle effects on mental function and cognition, especially in children. Potentially Fatal: Toxic epidermal necrolysis, Stevens-Johnson syndrome. (http://www.mims.com/Page.aspx?menuid=mng&name=phenytoin). Regards Dr. Jagdish