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Epilan Tablet Health Feed

Asked for male, 42 years old from Kanpur
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DM - Neurology

Neurologist•Hyderabad
If you are getting repeated seizure attack on reducing the pills, it suggests that you may need this medication for few more days. If want to reduce the dose reduce it very slowly gradually tappering of the dose of medicine. Get an eeg done to see whether it showing some epipesy activity or not. If repeat eeg shows abnormal discharges you will definitely need this medicine for more time period.
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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.

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MD Medicine, DM Neurology

Neurologist•
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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.
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M.D.PSYCHIATRY, Bachelor of Medicine, Ba...read more

Psychiatrist•Jaipur
Hello lybrate-user. In my opinion there is a need to reviewed and adjusted as per your current status. Kindly consult your neurologist again.
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Bachelor of Ayurveda, Medicine and Surge...read more

Ayurvedic Doctor•Zirakpur
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It's cause of concern that your insulin is not acting to neutralize the sugar while you are taking good medicines prescribed by your experience doctor. This is non response of drugs. It's not fault in treatment by your doctor. I would suggest the support of ayurveda medicine as support to your current medicine. Both won't counteract with each other. Observing the response of this integrative approach, further directions would be decided.
If you agree, I would mention the first phase of safe,...more
Asked for male, 1 years old from Delhi
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M.B.B.S

Pediatrician•Kannauj
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Seizures reported early in life like before 1 year of age are long lasting and there are different types of epilepsy syndromes may be associated but maximum are benign type so don't be panic but continue the medicines and consult a pediatric neurologist as early as possible.
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