Get the App

For Doctors

Book Appointment

Treatment

Ask a Question

Plan my Surgery

Health Feed

About

Health Feed

AllQ&AsTipsQuizzes

Home > Dexam 4Mg Tablet > Health Feed

Dexam 4Mg Tablet Health Feed

Health Query

I started having seizure from august 2019 and since that I have had 10 seizures but for the past 5 months I have been using carbamazepine and I use that every morning but recently I used it in the morning and later at night, I had seizure while I was sleeping and my bp went high. And after 3-4 hrs it came back to normal. Now the doctor I met prescribed azitop 500 mg and he is treating me of cerebral malaria and brain infection, just in case I have an infection in the brain, I have been told to do the ct scan but I have been unable to because of the location and its hard driving to the city. And ever since I started taking the azitop 500 mg together with the carbamazepine at night before bed. I find it hard falling asleep, and I have headache. And I also feel like my brain is working so fast. Please I need advice on what to do. I am tired of having a seizure. I am worried because I was told I will be on the antibiotic drug for a while but he never told me how long. And I don't think its a good idea. Please what can I do.

Dr. Mrinal Acharya88%(47 ratings)

DM - Neurology, MD (Gold Medal), MBBS (H...read more

Neurologist•Durgapur

What is cause of your seizure need to determined first. Otherwise proper seizure control. Is not possible. It seems that you are having a long standing seizure disorder. Further proper choice of anti-seizure medication depends on the type of seizure you had. Anti-biotics are not effective for seizure control, as of today there is no evidence of using azitop for prolonged duration in any kind of seizure. I think you should stop it.

Asked for male, 55 years old from Bhavnagar

Which is substitute medicine instead of tegrital cr 300 mg tab for trigeminal neuralgia.

Dr. Yeshwanth Paidimarri91%(12 ratings)

MBBS, DM - Neurology

Neurologist•Hyderabad

Tegrital contains carbamazepine, other brands containing carbamazepine are mazetol, zen retard, zeptol, etc,

Health Query

My son who is 20 years old and pursuing Engineering, has been under treatment of Tegrital (carbamazepine) from the age of 3. He had simple partial focal seizures which were controlled by Tegrital. However, whenever tapering was advised after event free period of 3 years, seizures recurred. In last 17 years there have only been 3 or 4 instances of recurrence of seizures. Last he had was in early 2015. My son now plans to pursue his masters in USA. Would it be possible to pursue studies in US with the above pre existing conditions. Secondly, what is the probability of discontinuing Tegrital with no recurrence of seizure.

Dr. Atma Ram Bansal

MD, MBBS

Neurologist•Gurgaon

Epilepsy is not a barrier in success. He can do easily whatever you want whenever he wants to study. Considering that there are multiple failures of stopping medicine ; its better to continue this medicine for many years. It is not a major issue to continue such kind of medicine for many years.

Health Query

Hi there, I am 24 years old, I have headaches similar to cluster and migraines already 8 years, but in the past 3,4 years I have them every single day. From 15 min till 3h and sometimes couple times a day. Last year I had a surgery, nose septum but it didn't help. This year I have done all the tests, blood image is perfect, thyroid is perfect, mri was good except the diagnosis of all 3 sinuses infection and without liquid in them, but it was determined by the neurologist and orl doctor that I have "chronic complicated migraines" after the treatment with carbamazepine and vitamins, the headaches were still there, nothing has changed. So I did couple days ago the angiography and it was determined that everything normal except sinusitis of all 3 sinuses and "hypoplasia left transverse sinus venous" is this hypoplasia dangerous, how can I cure this? Thank you in advance.

Dr. Vilas Misra91%(782 ratings)

MBBS, MS - ENT

ENT Specialist•Lucknow

Dear lybrate-user, how is it possible to have cluster headache, and migraine in a patient. Hypoplasia left transverse venous sinus is not dangerous.

92 people found this helpful

Health Query

Hello, when my sister was few days old, she suffered from stroke (probably from aneurysm and i'm not sure if this is considered cerebral palsy). She developed weakness in one side of her body but she was able to live a relatively functional life until the age of 19 years, when she started developing epileptic attacks. The attacks are mostly myoclonic with occasional generalized stiffness in her body and sometimes they precipitate falls. The doctor put her on carbamazepine which has marginally controlled her attacks. My question is: are medications the only available option for this condition? I've heard that epilepsy that results from fixed brain lesions are poorly controlled by medications, will surgical evacuation of the dead brain area help controlling the condition better than medications? And if so, I would also like to know if these types of surgeries are well established or just experimental. Thank you for being interested.

Dr. Prakhar Singh94%(9607 ratings)

MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi

It may depends upon your sister medical condition. But we have to look into the details of the problem. Let's have a detailed discussion for better advice and medication plan.

372 people found this helpful

Health Query

Good evening, I am diagnosed with bipolar mood disorder after a traumatic brain injury in 2008: impairment in frontal lobe/executive dysfunction, t2 wi am using the above for my brain injury, white matter hyperintensity suggestive of a focal area of demyelination, central nervousness system damage -multiple sclerosis (ms), memory/ concentration, depression and agitation, sleep, epilepsy I had subsequently suffered kidney failure in 2017 and was in a coma for 2 weeks. I am currently on the following medication: I am using the meds below for my brain injury: topamax 200 mg x2 odiven 75 mg x3 yelate 60 mg x2 at night zyprexa 10 mg at night diabetic medications: actraphane hm (ge) 24 units in the morning 22 units at night indo metformin (glucophase) 1000 mg x2 in february 2019 I woke up with the most excruciating pain in my jaw, next to my nose, cheek and lower face area. This intense, stabbing, electric shock-like pain will last for several seconds every 2 to 5 minutes. At the hospital the Dr. said I had a stroke but my brain scan showed that the stroke happened a while back. The neuro specialist diagnosed me with trigeminal neuralgia and is treating me with carbamazepine 400g x2 per day. The side effects are killing me. I have lost 21 kg since feb. I am 52 years old, 1.73 tall and weight 65 kg. I have continuous diarrhea. Can't keep any food in and have abdominal pain. Every time I weigh myself I have lost another kg. Am I busy getting anorexia? Is there any way to manage this? I am short of breath, dizzy and fainting. I am exhausted have no energy my body is tired. Which vitamins can I take to boost my system? Is there any medicine or supplement that is on the market that will make me feel better? The psychiatrist said they can't change the medication (carbamazepine) because of the medication that i'm currently using. Could you please advice.

Dr. Saranya Devanathan93%(3842 ratings)

MBBS, DPM

Psychiatrist•Bangalore

Dear ,
are you still on topamac? Now that you are on carbamazepine (helpful for neuralgia and brain injury), you may not need topamac (for brain injury). Request your doctor whether you can reduce and stop it. Topamac reduces weight. Stopping it may help you to some extent. At this age weight reduction is good for your diabetes and other health conditions. With 65 kg, you are still not underweight.

991 people found this helpful

Asked for female, 21 years old from Delhi

I am 21 years old female under treatment for nausea ,vomiting, diarrhea from last 2 weeks. The prescribed medicine are metronidazole 400 mg 3 times, ciprofloxacin 500 mg 2 times, ranitidine 150 mg 2 times and Racecadotril (for 3 days 3 times a day), Ondansetron (3 times for 7 days). Now I am better with vomiting and diarrhea but I feel lot of gas inside my stomach unable to pass gas, only burps and sometime hiccups and I feel nausea/vomiting at night. My CBC, LFT ,KFT, Ultrasound test are normal. Ps - I have previous medical history, I am under treatment for my depression from the last 2 years. I am taking carbamazepine 200 mg two times a day and clonazepam 0.25 mg two times a day. Please tell me how much time it will take to recover. I am feeling very low just because of my nausea/ vomiting.

Dr. Anupam Malaviya90%(859 ratings)

Bachelor of Ayurveda, Medicine & Surgery...read more

Ayurveda•Sultanpur

Dear friend try to take light easily digestible food and pure water.
Try to engage your self in any activity.
These will help you to get well soon.
You can ask if any questions.

294 people found this helpful

Asked for male, 61 years old from Pune

I have been binging on alcohol since the past 30 years. The binges last for a week up to 20 days and used to occur about 4 times a year. I brought this down to once a year. But, since the last year, I have taken up drinking 3 rounds (120 ml) daily before dinner. I have decided to quit. But like in the past, I do not want detox at a hospital or a spell at a rehab, which, I have realized are just money-making treatments that do not treat. I want to gradually taper the alcohol in-take. Next week, and I am going to come down to 90 ml a day. My problem is AWS - Alcohol Withdrawal Syndrome - that manifests in the form of seizures. I am on Benzodiazepine and carbamazepine. I feel afraid all the time of the day of a impending seizure. Also, a good diet because right now, there is no appetite. Can you recommend any medication that would help me achieve my goal - a alcohol-free life? I don't want a hospital or rehab. I want to give up this habit on my own by tapering off my intake. Thank you.

Dr. Sajeev Kumar91%(40820 ratings)

C.S.C, D.C.H, M.B.B.S

General Physician•Alappuzha

YOu are on the correct path of reducing intake and finally stopping. You need only your willpower and stop taking alcohol.Your fear about AWS is not to be entertained and you leave it out of your mind

81 people found this helpful

Health Query

My brother got a lack of oxygen during birth, which led to his mental disability, he is 12 years old now. He suffers from epileptic seizures too. He takes tegrital (carbamazepine) and phenotal 60 (phenobarbitone ). Phenotal is no longer available in our country and with taking other brands of the drug, his seizure attacks wasn't controlled, the serum level of phenobarbitone was 34.96 umol/l which is below the therapeutic range, so his doctor decided to switch his medication to epanutin (phenytoin sodium) so we stopped phenobarbitone gradually within 5 days and started to give him phenytoin. That was last month. He is tired and upset most of the time and he has sleep disturbances. He had tonsillitis in the last 2 days. Today we were in the car, suddenly his face paled and he closed his eyes and then keep closing and opening them, but he talked to me, I thought that his blood pressure went down because he didn't have breakfast. When we got home he didn't remember that we were in the car, is this a type of absence seizure? Is that related to phenytoin? Is it normal when starting using phenytoin? Thank you.

Dr. Abhaya Kant Tewari92%(308 ratings)

MD Medicine, DM Neurology

Neurologist•

No the episode is not an absence seizure that has different features, but it may be related to his medicine intake and may have been drowsy. I suggest you keep amental note of the episode and continue with medication, in case it recurs you must visit your doctor as it may be a seizure (not necessarily absence) and he may have to be reviewed.

Asked for male, 31 years old from Mumbai

A family member is under treatment for schizoaffective disorder since 10 yrs. Lithium carbazepine risperidone clonazepam apripazole n ativan lorazepam for wen trouble sleeping. She has developed slowness of movement almost walks like penguin n feels rigidness tightness in hips n thigh thus trouble sitting n walking. Her psychiatrist told to do tests serum lithium n carbamazepine were under normal levels Vit b12 normal Only calcium slight lower than normal n vit d3 low Ortho consultation raised query abt extrapyramidal side effects of antipsychotic medication but psychiatrist refuted it. Ortho den gave gabapentin n mecobalamin n ca+vit d improved her walking n stiffness to an extent. I wanted to ask what is the reason for her walking problem n why did she get relief from gabapentin. We were asked to follow up after 15 days. If still stiffness n walking prob to refer neuro physician coz ortho cause was ruled out. I would like to know whats going on with her cause our docs didnt clearly explain d situation? N I cant afford to change docs.

Dr. Indranil Saha92%(235 ratings)

MBBS, MD Psychiatry, DPM Psychological M...read more

Psychiatrist•Kolkata

Hi lybrate-user, I would like to say that the symptoms of slowness of movement what you have mentioned in a patient who is on Rispeidone and aripiprazole is most probably EPS (extra pyramidal Side effects) unless proved otherwise. There may be underlying or Co morbid Parkinsons disease. But in this position its difficult to diagnose as the Pt is on antipsychotic. Gabapentin has no role in decreasing antipsychotic induced slowness in movements. But its often used as a treatment of Akathesia which...more

Ask a free question

Get FREE multiple opinions from Doctors

posted anonymously