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On Epilim. Libido Has Gone To Non-existent And Lab Results Shows Polycythemia. Is This Due To Medication?

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Posted on Wed, 6 Nov 2013
Question: I have been on Epilim CR200 mg for 1 month to manage headaches that occurred after a subdural hematoma evacuation. I take 1 pill in the morning and another at night. My libido has gone to non-existent and lab results show that I have polycythemia. Both issues came on after I started taking this drug. Is this a low enough dose for me to quit cold XXXXXXX or do I need to wean myself of this?
Thx, XXXX
doctor
Answered by Dr. Ram Choudhary (3 hours later)
Brief Answer:
may be injury or ptsd related

Detailed Answer:
Hi XXXX,
Welcome to healthcare Magic!
The treatment with Valproate is not a major cause of lack of libido.
You may be suffering due to the aftermaths of head injury.
It can be due to longterm effect of brain injury.
Or there can be the PTSD, a manifestation of mainly depression seen after the recovery from major stressful events like accident or surgery.
You should get an MRI Brain and serum levels of prolactin.
I hope the advise would be informative and useful for you.
Take Care!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ram Choudhary (19 hours later)
Would it be ok for me to quit the meds cold XXXXXXX or not?
Thanks,
doctor
Answered by Dr. Ram Choudhary (39 hours later)
Brief Answer:
Epilim can be tapered in 15days

Detailed Answer:
Hi XXXX
Welcome back.
The Epilim is anti epileptic group medicine and should not be stopped suddenly because it can precipitate seizures.
The drugs should be reduced in a fraction of dose at at a time and whole drug can be stopped in two weeks.
Ideally the drug should be stopped under supervision of a local physician.
I hope the advise will be helpful for you.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ram Choudhary

Internal Medicine Specialist

Practicing since :2001

Answered : 2270 Questions

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On Epilim. Libido Has Gone To Non-existent And Lab Results Shows Polycythemia. Is This Due To Medication?

Brief Answer:
may be injury or ptsd related

Detailed Answer:
Hi XXXX,
Welcome to healthcare Magic!
The treatment with Valproate is not a major cause of lack of libido.
You may be suffering due to the aftermaths of head injury.
It can be due to longterm effect of brain injury.
Or there can be the PTSD, a manifestation of mainly depression seen after the recovery from major stressful events like accident or surgery.
You should get an MRI Brain and serum levels of prolactin.
I hope the advise would be informative and useful for you.
Take Care!