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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High Blood Pressure. Took Phentermine Pill. Had Numbness, Bit Tongue, Incontinence. EEG Abnormal. Suggestions?

I have high blood pressure and recently made a bad decision an took a phentermine pill one morning. That afternoon, I experienced some numbness on the right side of my body and later woke up in an ambulance. I had bitten my tongue badly and suffered incontinence . My CT scan was normal but my neuro said my EEG was abnormal, put me on Keppra and told me I could not drive for 6 mo. When I asked what an abnormal EEG looked like, I was told that it was just a bunch of squiggly lines that I would not understand. An MRI was ordered and I am scheduled to discuss the results with my neuro on Tuesday. Is this normal protocol? What should I ask my neuro about the EEG and MRI results to better understand my condition? Is it possible that this was a one time occurance, if so how long should I expect to take the meds? Can I ask for a reevaluation of the non- driving time?
Sat, 9 Mar 2013
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General & Family Physician,  's  Response
Thank you for your inquiry.
You suffered a seizure which is why you bit your tongue and experienced urinary incontinance. There are a number of reasons the phentermine may have triggered the attack . You may have suffered a stroke or you may have fallen causing a head injury, or the drug may have directly affected your brain to trigger a seizure. The EEG confirms a seizure pattern(and yes you will unable to read it), but gives no information regarding the actual pathogenesis of your seizure . This is why the MRI is needed. Your questions regarding the MRI should be aimed at understanding exactly how the seizure came about. It is impossible to shorten your probation from driving, because any attack whilst driving will threaten your and others lives. You will have to take the mess for at least 3 months depending on the causative mechanism . I wish you a speedy recovery. Kind regards.
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High Blood Pressure. Took Phentermine Pill. Had Numbness, Bit Tongue, Incontinence. EEG Abnormal. Suggestions?

Thank you for your inquiry. You suffered a seizure which is why you bit your tongue and experienced urinary incontinance. There are a number of reasons the phentermine may have triggered the attack . You may have suffered a stroke or you may have fallen causing a head injury, or the drug may have directly affected your brain to trigger a seizure. The EEG confirms a seizure pattern(and yes you will unable to read it), but gives no information regarding the actual pathogenesis of your seizure . This is why the MRI is needed. Your questions regarding the MRI should be aimed at understanding exactly how the seizure came about. It is impossible to shorten your probation from driving, because any attack whilst driving will threaten your and others lives. You will have to take the mess for at least 3 months depending on the causative mechanism . I wish you a speedy recovery. Kind regards.