Question: Dear Sir
I am impressed with some of the replies given by you on healthcare magic
My wife aged 44 years is chronic epileptic patient since Last 24 years, As a child she had history of ,meningitis and got cured. she has been on different medications at different points of time, but she never got seizure free for more than a month. At times she get mild fits like arm and mouth twitching with loss of consciousness for few minutes approx(4-5 mts or so ) and at times Violent falls abruptly(with thumping sound) and getting severely hurt because of these falls etc.Mostly happens suddenly without any prior signals or indication or trigger. Most of the violent and abrupt falls usually happen during the morning time ( 5 am -8am) after waking up.
Dicorate ER worked reasonably for some time but resulted in serious side effects like hand tremors and thinning down , loss of apetite etc and tapered down gradually and levipil introduced in its place 1 year back
Currently she is on following medications
1-LOBAZEM MD 10mg 1 time at bed
2-LAMITOR OD 50 mg 9AM
3-LEVIPIL 1000 mg daily twice 8am and 8 pm
4-ZEPTOL CR 300 mg daily twice 8.30 am and 8.30 pm
I am very worried and feel frightened when I look at her abrupt violent falls resulting in severe injuries, kindly advise any add on medication or changes in dosage to the existing medication and also let me know SOS medication strategy in case of mild attacks and abrupt falls to reduce the intensity or further occurance of attacks after some time in the same day.
One more observation I made is some times initially start with 1 or 2 mild attacks and after a day or two it will be followed by a major attack.
Considering her long term chronic epileptic condition , kindly advise
Regards
KRK, New XXXXXXX

Dear Sir

Thanks a lot for the reply, can you suggest any medication on sos basis (with dosage n frequency for usage for a day or two) that can prevent further attacks on the same day or in short duration say day or two days interval when minor/severe attacks initiated suddenly.

Dear Sir
When sudden seizures start( either mild or severe in seizure) what is the best strategy to ward off precipitating further intense attacks in near future.
Either in terms of medication or dosage adjustments etc

Dear Sir

Thanks a lot for your guidance. As i mentioned earlier initially it starts with a mild episode of fit and then gradually over a period of time it builds up and precipitate into a major attack. Is it better to go for change or adjustment in the existing dosage on the same day of minor attack itself instead of waiting for major attack to precipitate and then go to the doctor for doage change to ward off further major attack. Pls advice.
Regards