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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Starting With Encorate Chrono For Epilepsy. Why Am I Shivering And Unable To Concentrate On Work?

Hi sir, I am a degree student,i had started my medicine course from 2007..starting with encorate chrono 200 for epilepsy ,but gradually my condition got worse,and started to get shaked up..then i started having encorate 300 along with levipil 250..after 2-3 years..i started getting shivering problems with ma hands ,my hands do shiver when i do each and every work..I dont know y this shivering came..and i had found that..its more seen when iam concentearting and working..when i get tensed ..its found morre..what should i do..should i continue with the same medicine??is ther any side effects for these medicines..please help me out..??
Thu, 25 Oct 2012
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Psychiatrist 's  Response
hi..well, this may be a form of drug-induced tremor possibly arising out of valproate..anxiety may also be a cause..whatever is the case, you should consult with your neurologist regarding proper dose-adjustment of the drugs you are taking..you can also repeat your EEG again if you are seizure-free for a considerable period..have a good health..thanks..
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General & Family Physician Dr. A K M Wasim Rahman's  Response
ENCORATE- Valproate which is drug of choce for most of the seizure disorder.
LEVIPIL- Levetiracetam is a newer drug in epilepsy treatment.
I think your problems are due to anxiety partly and rest due to medicine. Any you shouldnot stop those drugs because that may precipitate seizure which will affect your brain. So you hve to continue those but you can consult a good NEUROLOGIST(particularly EPILEPSY SPECIALIST) for consideration of proper drug and their dose adjustment.

Yes these drugs are not fully devoid ofSIDE EFFECTS.
VALPROATE-common are
Change in appetite; constipation; diarrhea; dizziness; drowsiness; hair loss; headache; indigestion; mild pain or redness at the injection site; nausea; stomach cramps or pain; trouble sleeping; vomiting; weakness; weight changes.
LEVETERACITAM- side effects are minimal, common are
Dizziness; drowsiness; irritability; sore throat; tiredness; weakness.
But the epilepsy is thousand times much more dangerous than this side effects.
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Starting With Encorate Chrono For Epilepsy. Why Am I Shivering And Unable To Concentrate On Work?

hi..well, this may be a form of drug-induced tremor possibly arising out of valproate..anxiety may also be a cause..whatever is the case, you should consult with your neurologist regarding proper dose-adjustment of the drugs you are taking..you can also repeat your EEG again if you are seizure-free for a considerable period..have a good health..thanks..