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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Epilepsy, Shaking Hands When Nervous. On Devsal. Reduce Dosage, Diet Changes To Control?

I am using 2 tablets of "Desval ER 500mg"daily after dinner(so totally 1000mg per day) for epilepsy from 3years.
i have this epilepsy from 18 years.please let me know the problems/disadvantages of too much dosage and how to overcome that.Now from 3 year, i am not getting any jerks......can I reduce the dosage?
Is there any chances to change in diet naturally to control this.
i also have shaking of hands when lifting objects or when i feel nervous........how can i control this
Mon, 29 Apr 2013
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Psychiatrist 's  Response
Hello

Welcome to Health Care Magic



In epislepsy or fits treatment continue for long time. Usually the neurologists advise that any single episode of fit need urgent attention. As you have multiple episodes so this is the reason that the medicines were prescribed for long time. As you are symptom free with medicines for about three years so as per guidelines the mediciens can be tapered now. But start tapering the medicines only with advise of doctor. Sodium valporate or desval is a good drug but abrupt discontinuation may result in withdrawal seizures.

Thanks

Dr. Seikhoo Bishnoi, MD
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

If there had not been a single episode of seizure in last three years, attempt can be made to reduce the dosage. It should not be stopped...it may lead to rebound. It should only be done under strict neurological supervision...There is a chance for recurrence still...
Diet and 'natural' things may not be much help
You also seem to have Intention tremor - you should see your neurologist / you may need additional investigations and drugs...

Take care
Wishing speedy recovery
God bless
Good luck
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Epilepsy, Shaking Hands When Nervous. On Devsal. Reduce Dosage, Diet Changes To Control?

Hello Welcome to Health Care Magic In epislepsy or fits treatment continue for long time. Usually the neurologists advise that any single episode of fit need urgent attention. As you have multiple episodes so this is the reason that the medicines were prescribed for long time. As you are symptom free with medicines for about three years so as per guidelines the mediciens can be tapered now. But start tapering the medicines only with advise of doctor. Sodium valporate or desval is a good drug but abrupt discontinuation may result in withdrawal seizures. Thanks Dr. Seikhoo Bishnoi, MD