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
Hi Dr XXXXXXX
Thanks for the quick response. we have tried this medicine levetiracetam and topiramate previously, there was no control on seizures. then doctor suggested to with draw. please let us know what other medicine can added or removed.
Brief Answer:
My reply is below.
Detailed Answer:
In that case, I also would like to admit her and evaluate with the MRIbrain 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)
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)
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No Change After Taking Levetiracetam And Topiramate For Seizures. Suggest The Right Medication
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