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Operated for meningioma, taken tegretol, taking tonact 20, polybion capsules. Is it ok to take levipil tablet instead of tegretol?

Hello doctor.. My father is 46 yrs old ... 13 years before he was operated for menangiama ....and he was advised to take tegretal 250mgs tablet in morning and 100mg at night ....Now, after taking EEG , the doctor advised to take levipil 250mgs three times a day ...he is also taking cholestrol tablet tonact 20mgs and polybion capsule .... Is it ok to take levipil tablet 750mg/day instead of tegretal 350mgs/day ??
Asked On : Sat, 12 May 2012
Answers:  1 Views:  200
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Neurologist 's  Response
Nov 2013
Thank you for posting your query.

Both tegretol and levipil are anti-epileptic medications, and are used to prevent epilepsy.

In this case, if your father never had epilepsy, he may not require the medications.

However, if he had fits (sometimes, meningioma can lead to fits), then anti-epileptic medicines are required.

Also, I am not sure why tegretol is being changed to levipil. There are only two reasons to change an anti-epileptic drug-1. If fits are not controlled, or 2. If there are side effects with the drug.

If he has no fits and there are no side effects, you can still continue tegretol.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad
Answered: Sat, 20 Oct 2012
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