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Dr. Andrew Rynne

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Suffering from epilepsy. Not cured by oxetol. Any suggestion?

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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 5617 Questions

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Posted on Fri, 28 Dec 2012 in Epilepsy
Question: Good afternoon Sir!
since last 23 yrs i am suffering from epilepsy with a frequency of 11/2 yrs to 2yrs.
initially i was not serious. i am Oxetol ( 450 ....900) My present body weight is 92kg.since last 7yrs.still I am getting the attack at same frequency.pl suggest oxetol vs tegretol pl suggest me
doctor
Answered by Dr. Sudhir Kumar 22 minutes later
Hi,

Thank you for posting your query.

Epilepsy is a chronic disease and treatment is required for a long duration.

The correct dose of Oxetol (oxcarbazepine) or Tegrital (carbamazepine) is 10-20 mg per kg body weight per day. As your weight is 92 kg, the lowest dose for you is 900 mg and the highest dose should be 1800 mg per day. However, after 1200 mg per day, the side effects are more.

Both Tegrital and Oxetol have almost similar efficacy, but I prefer Oxetol, as it has less side effects.

If Oxetol alone is not able to control your epilepsy, we may have to add another drug such as levipil (levetiracetam).

I hope it helps you. Please get back if you have any more queries.

Wishing you good health,

Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sudhir Kumar 1 hour later
Sir! prolonged use of OXETOL 300( 1-0-2) my body may got used to it.do you suggest to change the drug.
regards. XXXXXXX
doctor
Answered by Dr. Sudhir Kumar 6 minutes later
Thank you for getting back.

Oxetol is safe over long periods of time. So, if your seizures are well controlled with Oxetol, there is no need to change the drug. If your seizures are not controlled, then levetiracetam is a good alternative.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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