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Suggest Treatment For Epilepsy
Question: Dear Sir,
My daughter Ms. XXXX 11/F who is under your treatment for absence seizure- epilepsy, had undergone a MRI brain scan - epilepsy protocol and EEG as advised by you. Though the EEG report was normal, her MRI brain scan showed Mildly elevated T2 relaxation times in the hippocampi bilaterally. As per report, you had prescribed her the following medicines with a review in November 2014;
1. Tab Valparin Chrorno 300 mg (Twice a day) - for 3 months
2. Tab Oxetol 150 mg (Twice a day) - for 3 months
As per your advise we had administered the above medicines continuously on daily basis. During this period she had not suffered any further attacks of absence seizure and seems normal. She is attending her school regularly.
You are requested to kindly advise us future course of action in this regard.
Thanking you,
Yours faithfully,
XXXX
0000
My daughter Ms. XXXX 11/F who is under your treatment for absence seizure- epilepsy, had undergone a MRI brain scan - epilepsy protocol and EEG as advised by you. Though the EEG report was normal, her MRI brain scan showed Mildly elevated T2 relaxation times in the hippocampi bilaterally. As per report, you had prescribed her the following medicines with a review in November 2014;
1. Tab Valparin Chrorno 300 mg (Twice a day) - for 3 months
2. Tab Oxetol 150 mg (Twice a day) - for 3 months
As per your advise we had administered the above medicines continuously on daily basis. During this period she had not suffered any further attacks of absence seizure and seems normal. She is attending her school regularly.
You are requested to kindly advise us future course of action in this regard.
Thanking you,
Yours faithfully,
XXXX
0000
Brief Answer:
Same medicines may be continued.
Detailed Answer:
Thank you for getting back.
I am glad to note that XXXXXXX is doing well on medications, and has remained seizure-free.
At this point in time, same medications may be continued at the same dose.
However, just to make sure, that there are no side effects of medications, please get the following blood tests done:
1. Liver function tests (LFT)
2. Serum sodium level.
Once the blood reports are ready, you can upload the reports here.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Same medicines may be continued.
Detailed Answer:
Thank you for getting back.
I am glad to note that XXXXXXX is doing well on medications, and has remained seizure-free.
At this point in time, same medications may be continued at the same dose.
However, just to make sure, that there are no side effects of medications, please get the following blood tests done:
1. Liver function tests (LFT)
2. Serum sodium level.
Once the blood reports are ready, you can upload the reports here.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Sir,
Thank you for your guidance. As you have mentioned "side effect of medicine" I would like to inform you that lately she has been complaining of hair fall. Could this be a possible side effect of medicine ?
I would in the meanwhile get the tests done and have them uploaded for your perusal.
Thank you,
XXXX
Thank you for your guidance. As you have mentioned "side effect of medicine" I would like to inform you that lately she has been complaining of hair fall. Could this be a possible side effect of medicine ?
I would in the meanwhile get the tests done and have them uploaded for your perusal.
Thank you,
XXXX
Brief Answer:
Yes, hair fall can occur with medicine.
Detailed Answer:
Thank you for getting back.
Hair fall can occur with the use of Valparin chrono tablets. To reduce this side effect, one vitamin CORUS (made by Intas company) may be used, one tablets daily in morning.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Yes, hair fall can occur with medicine.
Detailed Answer:
Thank you for getting back.
Hair fall can occur with the use of Valparin chrono tablets. To reduce this side effect, one vitamin CORUS (made by Intas company) may be used, one tablets daily in morning.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Sir,
As advised by you I have done the LFT and Serum Sodium level tests for my daughter Ms XXXXXXX Majumder. The report has been uploaded for your perusal and advise.
Thanking you,
Yours faithfully,
XXXX
As advised by you I have done the LFT and Serum Sodium level tests for my daughter Ms XXXXXXX Majumder. The report has been uploaded for your perusal and advise.
Thanking you,
Yours faithfully,
XXXX
Brief Answer:
LFT and sodium reports are not uploaded.
Detailed Answer:
Thank you for getting back.
LFT and sodium reports are not uploaded. On clicking on the reports, it still shows the prescription, MRI and EEG reports.
Please re-upload them.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
LFT and sodium reports are not uploaded.
Detailed Answer:
Thank you for getting back.
LFT and sodium reports are not uploaded. On clicking on the reports, it still shows the prescription, MRI and EEG reports.
Please re-upload them.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Sir,
I am very sorry for the inconvenience caused due to my oversight. I have now uploaded the correct report of LFT & Serum Sodium Level for your perusal and advice. You are requested to kindly intimate how long the prescribed medication needs to be administered so that I can plan accordingly.
I once again apologise for wasting your valuable time.
Thanking you
Yours faithfully
XXXX
I am very sorry for the inconvenience caused due to my oversight. I have now uploaded the correct report of LFT & Serum Sodium Level for your perusal and advice. You are requested to kindly intimate how long the prescribed medication needs to be administered so that I can plan accordingly.
I once again apologise for wasting your valuable time.
Thanking you
Yours faithfully
XXXX
Brief Answer:
Liver enzymes are slightly high.
Detailed Answer:
Thank you for getting back.
Liver enzymes are slightly high.
Please reduce the dose of valparin chrono to 200 mg two times daily (instead of 300 mg two times daily). Discuss about this with your doctor.
Continue Oxetol same dose.
Recheck LFT after 10 days and inform me.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Liver enzymes are slightly high.
Detailed Answer:
Thank you for getting back.
Liver enzymes are slightly high.
Please reduce the dose of valparin chrono to 200 mg two times daily (instead of 300 mg two times daily). Discuss about this with your doctor.
Continue Oxetol same dose.
Recheck LFT after 10 days and inform me.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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