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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Epilepsy Caused After A Brain Stroke

Dear Doctor, My husband is suffering from brain stroke. His brain has clot in left side. so he cannot freely use his right hand, and right leg. He already taken medicine for this. A few days before he suffered with fit. It takes some 3hours he fully goes to unconscious state. Now he is alright. now he take levox, zeptal cr 400 tablet in morning and evening, Clotnil A, nexito plus, Eritel 20mg etc. Is it helpful. How to stop the fit. Now he is get go tired Please give your advice thank you
Mon, 20 Jul 2015
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Neurologist 's  Response
I read your question carefully and I understand your concern.

Seizures are a common complication of stroke, affecting about 5-10% of stroke patients. There are many antiepileptic drugs available which can be used to prevent further seizures. For the moment your doctors have already started such a drug which is Zeptal CR, one of the most used drugs for that purpose.
So for now you should see how effective it will be in preventing your husband's seizures. You state he's alright now, so no reason to change. Only if he gets other seizures can some other treatment be considered (like valproic acid, lamotrigine, levetiracetam etc).

I hope to have been of help.
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Suggest Treatment For Epilepsy Caused After A Brain Stroke

I read your question carefully and I understand your concern. Seizures are a common complication of stroke, affecting about 5-10% of stroke patients. There are many antiepileptic drugs available which can be used to prevent further seizures. For the moment your doctors have already started such a drug which is Zeptal CR, one of the most used drugs for that purpose. So for now you should see how effective it will be in preventing your husband s seizures. You state he s alright now, so no reason to change. Only if he gets other seizures can some other treatment be considered (like valproic acid, lamotrigine, levetiracetam etc). I hope to have been of help.