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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Seizures

Hello, My Mom-In-Law has been suffering from Alzeihmer s and is bed ridden since 8 months. Last week within span of 10 days she had 2 episodes of seizures - so we took her to a neurologist. She has been prescribed Levipill 500 Mg 1/2 -0 - 1/2. For Dementia/Alzeihmer s she has been put on Donep M 1-0-0. And we got her Brain CT and found no proper blood circulation, so giving her Ecospriin AV - 0-0-1. Apart from this she is taking 6 units Human insulin every morning. She has become highly irritated, speaks in high pitched voice continously - yesterday from 4 PM till 1AM in night. Also, becomes agitated when we offer her food and spits out. Also, her body has become very rigid. My questions: Is the medication correct? What can be done to calm her down so that we can do the basic care - bathing, feeding etc? What can be done for the rigidity - we tried physiotherapy, but didnt work as the body is too rigid.
Tue, 8 Apr 2014
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Neurologist,  's  Response
Seizure might occur in alzeihmer's disease but they are rare and other possibility of acute onset seizure should be explored. EEG should be done to look for epileptiform discharges. Levipil is good AED but may be avoided in a case of dementia as it may potentially cause further behavior disturbances and confusional states. Please consult your neurologist and express your concern. If even after withdrawing the levipil patient is still aggressive she might have to be put on antipsychotics as psychosis may itself be a part of dementia disorders.
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Suggest Medication For Seizures

Seizure might occur in alzeihmer s disease but they are rare and other possibility of acute onset seizure should be explored. EEG should be done to look for epileptiform discharges. Levipil is good AED but may be avoided in a case of dementia as it may potentially cause further behavior disturbances and confusional states. Please consult your neurologist and express your concern. If even after withdrawing the levipil patient is still aggressive she might have to be put on antipsychotics as psychosis may itself be a part of dementia disorders.