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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Seizures

my wife aged 52had ent problem which extended to brain and seizures started she was recomended 100 mg thrice she has been regularly taking for last five yrs. once or twice she forgot to take medicine and she had mild attack of seizures. please advise precautions.
Fri, 26 Aug 2016
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Diabetologist 's  Response
Hi
I am Dr Mittal.
I have read your message.
I think I can help you.

The symptoms that you have put up in the query- ear infection extending to the brain- can possibly suggest a venous sinus thrombosis or meningoencephalitis. Now these are treatable conditions. But sometimes, it does leave a damage behind, and therefore the seizure medicines need to continue.

Your wide is taking 100 mg tablets thrice a day. The most like medicine should be phenytoin. If not, please let me know. My advise will concentrate the precautions based on phenytoin (of course, some of them are generalized precautions and can be followed irrespective of the medicine in use).

Precautions are as follows-
1. Avoid flickering lights.
2. Avoid sign boards.
3. Avoid blinking lights.
4. Avoid driving.
5. Avoid swimming.
6. Avoid skipping medicines without medical advice.
7. Avoid triggers of seizures (these are individual, and only a patient can know them).
8. Take adequate sleep.
9. Avoid stress.
10. Avoid sleeping too late, or getting up too early.
11. Take a tablet of folate regularly. A dose of 5 mg is usually sufficient (if on phenytoin).
12. Eat a regular diet- avoid fast foods.
13. Check drug levels in blood regularly.
14. Meet your neurologist regularly.

I have tried to make it as simple as possible. Please feel free to contact us for more information if you need clarification on any specific issue. Best of luck, Dr Saumya Mittal
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Suggest Treatment For Seizures

Hi I am Dr Mittal. I have read your message. I think I can help you. The symptoms that you have put up in the query- ear infection extending to the brain- can possibly suggest a venous sinus thrombosis or meningoencephalitis. Now these are treatable conditions. But sometimes, it does leave a damage behind, and therefore the seizure medicines need to continue. Your wide is taking 100 mg tablets thrice a day. The most like medicine should be phenytoin. If not, please let me know. My advise will concentrate the precautions based on phenytoin (of course, some of them are generalized precautions and can be followed irrespective of the medicine in use). Precautions are as follows- 1. Avoid flickering lights. 2. Avoid sign boards. 3. Avoid blinking lights. 4. Avoid driving. 5. Avoid swimming. 6. Avoid skipping medicines without medical advice. 7. Avoid triggers of seizures (these are individual, and only a patient can know them). 8. Take adequate sleep. 9. Avoid stress. 10. Avoid sleeping too late, or getting up too early. 11. Take a tablet of folate regularly. A dose of 5 mg is usually sufficient (if on phenytoin). 12. Eat a regular diet- avoid fast foods. 13. Check drug levels in blood regularly. 14. Meet your neurologist regularly. I have tried to make it as simple as possible. Please feel free to contact us for more information if you need clarification on any specific issue. Best of luck, Dr Saumya Mittal