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Epilan Tablet Health Feed

Asked for male, 29 years old from Hyderabad
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DNB (ENT), MBBS

ENT Specialist•Bangalore
As per standard protocols, there needs to at least 5 years of seizure free period before tapering and stopping medications. Newer protocols followed by some doctors believe in stopping medications even if there is 1 year of seizure free interval. It is best that you consult with your neurologist and let him decide on what is best for you.
Asked for male, 26 years old from Chennai
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Critical Care Training, MD - Internal Me...read more

General Physician•Delhi
Hello, you have to take medicines lifelong for this and keep bp and sugar both under control. If you will keep regular follow up and bp & sugar remains under control, you won't be having any problem. If you have any queries yet or uncontrolled sugar and wanna modify medicines, msg me with details and I will be glad to help.
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MBBS

General Physician•Cuttack
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You have to adjust insulin doses after consulting diabetologist and switch over to other oral drugs since it is not working
1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc)
2. Reduce weight if overweight
3control diet
a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta
b) avoid all refined food like maida, pasta, starchy food like rice, potato, ...more
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Im searching a best seizure medicine which has very low side effect and which do not effect to liver, kidney heart and others organs, my neuro doctor has offered me to choose one medicine from "phenytoin, carbamazepine, oxcarbazepine, eslicarbazepine, sodium valporate, topiramate, levetiracetam, lamotrigine, diavalporex, phenobarbitone, currently i'm taking clobazam 12.5 mg and lacosamide 200 mg per day but nothing improvement. I feels suddenly extreme difficulty till 30 to 50 second, I always remain conscious at that time and can talk with anyone but that difficulty what I feels which is unable to express in words. My mri report show: ring shaped cortical/ subcortical lesion with eccentric dot and blooming on swi and calcification on phage image in the left hippocampal formation with minimal peripheral gliosis/edema. Findings represent calcified granuloma most likely related to neurocysticercosis. Other diagnostic consideration is tuberculosis. 2. Mild increased signal and volume loss of the left hippocampus as compared to right. Finding are suggestive of left mesial temporal sclerosis. Clinical correlation is suggested" while I do eeg test when normal condition always show normal eeg but when 30-50 second extreme difficulty happen during eeg show abnormal ieds: left anterior temporal and there are few sharp wave discharge starting from left anterior temporal region. Now according some above report which medicine is the best for me please suggest. I want to change medicine lacosamide and clobazam. Thank you.

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MBBS, DM - Neurology, MD - Interventiona...read more

Neurologist•Delhi
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Every medicine affects some organ systems. As they get metabolised or excreted or turn into active metabolite. Levetiracetam does not affect liver and is well tolerated but it does negatively affect kidney function.
Asked for male, 29 years old from Srinagar
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PDDM, MHA, MBBS

General Physician•Nashik
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Taenaisis is easily treated with praziquantel (5–10 mg/kg, single-administration) or niclosamide (adults and children over 6 years: 2 g, single-administration after a light breakfast, followed after 2 hours by a laxative.
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Asked for male, 56 years old from Kota
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I was diagnosed with dm 2 about two years back. Iam on amaryl-m1 bd & has hba1c of 7. I started feeling extra sensation under the feet, heaviness in foot, leg, thighs from about a month or two, some pain in hip area and finally difficulty in lifting one leg about 2 weeks days back along with knee weakness in one leg although other leg has been affected to a lesser extent till date. I never experienced very sharp pain & 2 weeks back had mild pain in my buttocks for about a week. The loss of movement in the 2 directions direction in the leg & knee weakness was quite quick about 10-12 days back. Now I do not feel any pain but had some falls primarily on account of knee weakness or weakness in right leg. Mri scan, ct scan were ok but problem was reported in nerve conduction test in both legs but mainly in right leg. Was diagnosed with peripheral neuropathy or diabetic amyotrophy which correlates with my overall symptoms. Doctor put me on 8 day course of prednisone (40mg-10mg) with insulin. My sugar with amaryl m1 as on now is under control & I take light food with reasonable physical activity & sugar levels now seems to be ok 92 fasting /140 pp. Also started visiting a physiotherapist from today. As of know there is appears to be some improvements in my walking (can walk 15-20 min at a stretch inside home) though weakness in one leg & knee persist. I cannot drive due to difficulty in movement of my right leg when trying to move it sideways while sitting. It is also not possible to lift the right leg against gravity when laying down though backward lifting & movement on sideways when lying on one side are intact. Have been prescribed pregaba m 75 (hs, neurkind+. Have no pain of any type. My questions 1) has peripheral neuropathy reached a plateau ie. Stopped or not 2) is pregabalin needed in my case as I have no pain, i. E. Whether it play a role in nerve regeneration or is overall beneficial in such situation 3) can I expect improvement in my right leg in 1-2 months time with sugar control & exercises.

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Diploma in Family Medicine, Fellowship i...read more

General Physician•
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1. Peripheral neuropathy is a on going process even in normal individuvals as age advances due to deficiency of vitamins mainly b12
2. In your case pregabalin is needed for some time 3. Nerve regeneration is impossible for anyone 4. Definitely you can expect improvement in the right leg in 1-2 months with good control of sugar & exercises.
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