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Suggest Treatment For Myoclonic Seizures In A Child

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Posted on Mon, 8 Aug 2016
Question: My son is 7years old.he is suffering from myoclonic seizures .it causes seizure disorder and ADHD .because of this he is very week in normal skills as well as in academic skills.From last three years we are using 1.tab valparin 300mg 1 BD. 2.tab rivotril 2mg 1/4_____1/4. 3. Tab Axepta 10mg 1 OD .EEG is not normal .No Epilipsy from last 3 years. Should we continue these medicine and for how long.please advice me if possible please send me your contact no so that I can call u. thank you. XXXXXXX XXXX
doctor
Answered by Dr. Pradeep Kumar Jain (45 minutes later)
Brief Answer:
Anti epileptic medications are need to be continued

Detailed Answer:
Hello

Thanks for asking on this platform

Myoclonic seizures are different from other type of seizures and usually difficult to control.
Valparin(valproic acid)and rivotril(clonazepam)are very good medication to control myoclonic seizure.
Axepta contains atomoxetin and is used for ADHD.
The response to the treatment is assessed by serial EEG in followup.The normal EEG shows good response to the treatment and also rules out any subclinical seizure.
Even if EEG is normal treatment is usually continued for 5 years in case of myoclonic seizure.
You have mentioned that the EEG is not normal.
I would like to know,when the last EEG was done and whether he is taking the medicines regularly or not.
In case the EEG is abnormal even after having medications it indicates subclinical seizure and so I suggest you to consult your doctor to assess the need of increase in dose of anti epileptic or any change in anti epileptic.

I hope this helps.
Please let me know if you have any more query.
wishing for your child's good health.
Regards


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2074 Questions

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Suggest Treatment For Myoclonic Seizures In A Child

Brief Answer: Anti epileptic medications are need to be continued Detailed Answer: Hello Thanks for asking on this platform Myoclonic seizures are different from other type of seizures and usually difficult to control. Valparin(valproic acid)and rivotril(clonazepam)are very good medication to control myoclonic seizure. Axepta contains atomoxetin and is used for ADHD. The response to the treatment is assessed by serial EEG in followup.The normal EEG shows good response to the treatment and also rules out any subclinical seizure. Even if EEG is normal treatment is usually continued for 5 years in case of myoclonic seizure. You have mentioned that the EEG is not normal. I would like to know,when the last EEG was done and whether he is taking the medicines regularly or not. In case the EEG is abnormal even after having medications it indicates subclinical seizure and so I suggest you to consult your doctor to assess the need of increase in dose of anti epileptic or any change in anti epileptic. I hope this helps. Please let me know if you have any more query. wishing for your child's good health. Regards