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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Absence Seizures, Taking Etxosuximide. Will You Have Another Seizure After A Active Seizure ?

My daughter is 15 yr. old , she has absence seizure since she was 10 taking etxosuximide , today she had her first active seizure, is it true that after you have active seizure one time u will have it always unless u outgrove it? is it nasesary to change her meds. right away? she was doing pritty good with it until she went on a long trip with church youth group and start skipping her meds . she just came back yesterday and today this happend. plz let me know
THANK YOU
AAAAA
Wed, 17 Jul 2013
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General & Family Physician 's  Response
Hi and thanks for the query,

its not advisable to change drugs without medical consent in the management of epilepsy for three main reasons. Some patients respond preferentially to certain class of drugs. Secondly, these drugs when taken for some time with well controlled seizures, after a given seizure free period, gradual tapering of the drug could be possible and subsequent complete removal of drug and patient remaining seizure free. Thirdly, most drugs could aggravate certain seizure types.

It is not true what you were told. You might need to consult your epileptologist for a proper clinical review and a night or sleep electroencephalogramme. He should be the one to prescribe or change the child's medications.

Thanks and hope this helps. Kind regards.

Bain LE, MD.
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General & Family Physician Dr. Nehal Mehta's  Response
hello,
thank you for your question,
well its not true that once you get active seizure it will continue so no need to worry,
well from your history it seems that your daughter got episode of active seizure because of missing doses.. its extremely important in epilepsy that you take doses very regularly..
i dont think there is any need to change drug , your daughter responded well to ethosuximide last five years plus in seizure its not advisable to change drug or even brand frequently..
also consult your doctor and let him know about this episode of seizure
hope this helped you ..take care...
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Absence Seizures, Taking Etxosuximide. Will You Have Another Seizure After A Active Seizure ?

Hi and thanks for the query, its not advisable to change drugs without medical consent in the management of epilepsy for three main reasons. Some patients respond preferentially to certain class of drugs. Secondly, these drugs when taken for some time with well controlled seizures, after a given seizure free period, gradual tapering of the drug could be possible and subsequent complete removal of drug and patient remaining seizure free. Thirdly, most drugs could aggravate certain seizure types. It is not true what you were told. You might need to consult your epileptologist for a proper clinical review and a night or sleep electroencephalogramme. He should be the one to prescribe or change the child s medications. Thanks and hope this helps. Kind regards. Bain LE, MD.