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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering TBl Advised Eption, Severe Neuropsychiatric Problems Advised Oxetol. Suggested Slowly Taper Eption?

Doctor my sister is TBI patient. So from the day of the accident i.e since 1!/2 years she was advised to take Eptoin But now due to severe Neuropsychiatric problems she has been advised to take oxetol and the psychiatrist told us that as this itself is an anticonvulsant he asked us to slowly taper eptoin. Is it o.k doctor can we proceed
Tue, 23 Oct 2012
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Psychiatrist 's  Response
hi..well, your psychiatrist seems to be wise as prolonged continuation of phenytoin brings forth many side-effects and she requires another anti-epileptic in the long run for which oxcarbazepine is a natural choice as it also has mood-stabilizing property which will take care of her psychiatric problems..so cross-tapering is recommended..so go by his advice..also a neurological consultation should be sought for the possible sequelae of TBI..have a healthy life..
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Suffering TBl Advised Eption, Severe Neuropsychiatric Problems Advised Oxetol. Suggested Slowly Taper Eption?

hi..well, your psychiatrist seems to be wise as prolonged continuation of phenytoin brings forth many side-effects and she requires another anti-epileptic in the long run for which oxcarbazepine is a natural choice as it also has mood-stabilizing property which will take care of her psychiatric problems..so cross-tapering is recommended..so go by his advice..also a neurological consultation should be sought for the possible sequelae of TBI..have a healthy life..