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No change after taking levetiracetam and topiramate for seizures. Suggest the right medication
Question: i need to changes the medicine for my daughter.
Brief Answer: My reply is below. Detailed Answer: Hi, Thank you for posting your query. It is unfortunate that your daughter is having seizures (fits) despite being on four good anti-epileptic drugs (AEDs). The current AEDs- rivotril (clonazepam), zonisep (zonisamide), lametec/lamitor (lamotrigine) and sodium valproate are very effective and safe drugs to control seizures. At this stage, one option is to try other good medications to control her seizures such as levetiracetam and topiramate. Other option is to consider epilepsy surgery. This would require evaluation including MRI brain-epilepsy protocol, video EEG and neuropsychological evaluation. I hope it helps. Please get back if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in
Brief Answer: My reply is below. Detailed Answer: In that case, I also would like to admit her and evaluate with the MRI brain epilepsy protocol, and long term video EEG monitoring. This would help in deciding to choose the correct medications, and also whether the surgery would be useful or not. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
Hi Dr XXXXXXX I am satying in Bangalore. please let us know which hospital will fullfill the needful.
Brief Answer: Thank you for getting back. Detailed Answer: You can meet Dr XXXXXXX Iyer at XXXXXXX Hospital, Bangalore or Dr XXXXXXX XXXXXXX at Manipal Hospitals, Bangalore. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
Hi Dr XXXXXXX Thanks for the contact detail. i will take it forward. Thanks, XXXX.
Brief Answer: Thank you Detailed Answer: Thank you and best wishes, Dr Sudhir Kumar MD DM (Neurology)
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