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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Eptoin For Years. MRI Nad EKG Tells No Definite Electrical Signal In Brain. Suggest?

I am taking eptoin 100mg for a long 35 years.from my child age I got injured in the back side of my head several times. 3-4 times convalsation took place at the age of 6- 14 years. Now for the last 6 years I am facing panic attack as told by a psychiatrist . MRI and EEG reports tell that there is no definite electrical signal in the brain.and as per the advice of a neurologist I stopped eptoin 100mg. one interesting thing that panic attack symptoms started since 2006, when I was using eptoin 100mg daily one tablet. But panic attack, fear, death tendency , insomnia , constipation are stil present. pl. give me advises. Yours truly Dr. H.K. sarma, Assam, India email: YYYY@YYYY
Tue, 7 Aug 2012
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Neurologist,  's  Response
Hello. From your description it appears that convulsions that you had in childhood were totally different from the 'panic attacks' that you are having now. And in that your neurologist is right in stopping medication. The normal MRI and EEG also is a good reassurance before stopping drugs for convulsions. Very rarely convulsions may appear like 'panic attacks' and in that case it is best to have a recording of the EEG during the attack preferably with a video (Video EEG). Once diagnosis is settled, psychiatrist will be able to guide you regarding further treatment. For such problems usually a combination of medications and behavioral therapy is needed. So speak to your neurophysician and decide further. Good luck.
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Taking Eptoin For Years. MRI Nad EKG Tells No Definite Electrical Signal In Brain. Suggest?

Hello. From your description it appears that convulsions that you had in childhood were totally different from the panic attacks that you are having now. And in that your neurologist is right in stopping medication. The normal MRI and EEG also is a good reassurance before stopping drugs for convulsions. Very rarely convulsions may appear like panic attacks and in that case it is best to have a recording of the EEG during the attack preferably with a video (Video EEG). Once diagnosis is settled, psychiatrist will be able to guide you regarding further treatment. For such problems usually a combination of medications and behavioral therapy is needed. So speak to your neurophysician and decide further. Good luck.