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After any serious head trauma
start of anti epileptic drugs is advised. He is taking phenatoid for last 5 years and recently he has developed vomiting
and omitting. Phenatoin on long term therapy may cause nerve toxicities and it may lead to ataxia and vertigo
which may cause nausea. Levatricetam is a comparatively new and safe anti epileptic drug. So if his doctor is in favor of shifting medicine it can be think of. There is no harm in changing the drug as phenatoin is dosing harm to him.
Dr. Seikhoo Bishnoi, MD