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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is tegretol advised in case of high fever convulsion?

Hllo my daughter is 1 years and 8 months now...wen she was 11 months old she had her 1 st followed by high fever convulsion which lasted for a couple of minutes n againg wen she was 20 months she had another convulsion which lasted for about 45 minutes again after high...we had to take her to hospital n she was kept in icu for a day n later the doctor gave her tegretol 2.5 ml thrice daily....we were not conviced nand went to a specialised neurologist pediatric n she did an eeg n said its not normal n she suggested epilex 3 ml twice daily......to start she said to take epiles t.5 ml twicw daily n tegritol 2 ml thrice daily for the 1 st week n 3 ml epilex twice daily along with tegritol 1 mil thrice daily for the 2 nd week n frrom 3 rd week jus epilex 3 ml twicw daily........also the doctor said to take cloba tab for 3 days when she gets fever if she gets seizures again..please suggest how to go about it...is it the right direction..also i would like to add that we have a history or convulsion in our family i too had it....
Mon, 8 Jun 2015
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Pediatrician 's  Response
Hi
Welcome to the HCM

As per your description, it's clear that your child has an epileptic disorder. Don't worry as they can be very well controlled now a days with new drugs. Children with family history of epilepsy are more likely to inherit this condition.
Sodium valproate ( Epilex) is definitely a better drug as compared to the Carbamazepine (Tegrital) for most of the epileptic disorders in childhood. Just go for a liver function test before continuing epilex as it may affect the liver in some children.

Also clobazam is a good antiepileptic to add on whenever she has high grade fever spikes because they may lead to break through seizures.

I think this treatment plan is fine and you can continue it with full compliance.

In case of any further information, you may always contact me. I would suggest you to upload your daughter's reports for my reference so that I may help you in a much better way.
Take care

Dr. Archana Verma
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