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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Ways To Manage Termination Of Carbamazepine For Seizure

I am currently taking carbamezapine two times daily and have been doing so for 23 years and want to discontinue it safely. I have started other natural medication that stops seizures. Every two weeks I have cut back on 50mg on just my evening dose of 400 mg and have 100mg left to go. There is a morning dose still of 200mg which I haven t started to cut back on. My 1st question is does it matter how evening and morning meds should be discontinued and is the proper amoung of time to taper them off every 2 weeks?
Mon, 22 Feb 2016
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Ayurveda Specialist 's  Response
It is good that you have tapered the dose...the slow tapering is appreciable ...
You may start Smriti sagas Ras 1 bd for 15 days
Tab Manas mitram 1 TDs
Sarpgandha vati 1 tds
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Ayurveda Specialist Dr. Dr. Munish Sood's  Response
**
1. Since carbamezapine is given in certain types of seizure [tonic clonic, mixed], and nerve pain [trigeminal neuralgia] thus do not stop taking carbamezapine without consulting your doctor and before discontinuing/ tapering yourself seek an opinion of Neurologist.

PS. carbamezapine is not a regular pain medicine and should not be used for general aches/pains

2. Stopping/discontinuing/tapering the medicine by oneself in known epileptic may cause seizures that will not stop: status epilepticus.

3. So take the medicine as prescribed initially and do not try to taper it yourself and follow the instructions given below:

. Do not miss the treatment even for 1 day
. Avoid places where convulsions can be dangerous: swimming,driving vehicles, climbing heights,work near moving machinery, standing in train or bus doors, work near fire.
. Drugs to be continued for at least 5 years after the last fit, and then slowly tapered off over 6 months
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Suggest Ways To Manage Termination Of Carbamazepine For Seizure

It is good that you have tapered the dose...the slow tapering is appreciable ... You may start Smriti sagas Ras 1 bd for 15 days Tab Manas mitram 1 TDs Sarpgandha vati 1 tds