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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Medication Is Suggested For Calcified Granuloma In The Frontal Lobe?

hi doctor i am suffering with a calcified granuloma in the frontal lobe for the past two years. i am on t. eptoin 100mg bid. getting recurrent attacks of headache and seizure. do i need to change the anti epileptic drug or to manage. what drug would you suggest?
Thu, 24 Jan 2019
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Neurologist,  's  Response
Hello,

You are not under good control for your seizures so I would agree that a change in management would likely be in your best interest.

If you are not being followed by at least a NEUROLOGIST (better yet, EPILEPTOLOGIST) then, I would make the request of your PMD.

Phenytoin at 100mg. is clearly not therapeutic for you since you continue to have breakthrough seizures.

If you've not had blood levels checked recently then, that would be the 1st step.

The second step, if you ARE therapeutic then, consideration to raising your dose to at least 3X daily should be given as this is a more conventional dose for someone with active seizures.

Your continuous seizures may also be contributing to your headaches so by bringing the convulsions under better control you may automatically reduce headaches.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dariush Saghafi, Neurologist
I find this answer helpful
Neurologist,  Dr. Dariush Saghafi's  Response
Hello,

You are not under good control for your seizures so I would agree that a change in management would likely be in your best interest. If you are not being followed by at least a NEUROLOGIST (better yet, EPILEPTOLOGIST) then, I would make the request of your PMD.

Phenytoin (generic for EPTOIN) at 100mg. is clearly not therapeutic for you since you continue having seizures. If you've not had blood levels checked recently then, that would be the 1st step.

Second step: if you ARE therapeutic then, consideration to raising your dose to at least 3X daily should be given as this is a more convenient way for someone to take this medication.

Your continuous seizures may also be contributing to your headaches so by better seizure control may reduce headaches.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dariush Saghafi, Neurologist
I find this answer helpful
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What Medication Is Suggested For Calcified Granuloma In The Frontal Lobe?

Hello, You are not under good control for your seizures so I would agree that a change in management would likely be in your best interest. If you are not being followed by at least a NEUROLOGIST (better yet, EPILEPTOLOGIST) then, I would make the request of your PMD. Phenytoin at 100mg. is clearly not therapeutic for you since you continue to have breakthrough seizures. If you ve not had blood levels checked recently then, that would be the 1st step. The second step, if you ARE therapeutic then, consideration to raising your dose to at least 3X daily should be given as this is a more conventional dose for someone with active seizures. Your continuous seizures may also be contributing to your headaches so by bringing the convulsions under better control you may automatically reduce headaches. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist