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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 female, 62 years old from Yamunanagar
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MBBS, MD - General Medicine, DM - Neurol...read more

Neurologist•Hyderabad
Tegretol (carbamazepine) is a good drug to control fits. The correct dose is 10-20 mg per kg body weight. The medicine should be continued.
Asked for male, 75 years old from Delhi
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MBBS,MD(medicine), DNB (General Medicine...read more

Neurologist•Kota
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You may need carbamazepine therapy with caspaicin 8% patch or the low concentration ointment. Better to get evaluate with ncs and comorbid conditions.
381 people found this helpful
Asked for male, 28 years old from Ernakulam
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PGDHHM, MBBS

General Physician•Delhi
Difference between oxcarbazepine (ox mazetol) and carbamazepine (mazetol) are in terms of efficacy, tolerability and fewer side effects. Used in the various medical problems as advised by treating physician.
55 people found this helpful
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MD - Obstetrtics & Gynaecology, FCPS, DG...read more

Gynaecologist•Mumbai
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Literature mentions that lamictal has drug interactions with: valproic acid, carbamazepine, phenytoin, primidone and olanzapine.
No hormones mentioned. All birth control tablets mainly have similar hormones.
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MBBS, MD - Physical Medicine & Rehabilit...read more

Orthopedist•Mumbai
Keep the wound clean.
If it is deep may require stichesfor proper healing ,otherwise it will form a scar
You can apply framycetin local ointment
Take serratiopeptidase tablets for reducing swelling and Dicofenac for pain relief Keep the limb elevated on a pillow
You can also take Vitamin C for faster healing.
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MD - Psychiatry, MBBS

Psychiatrist•Patna
Dear , zeptol (carbamazepine) is a teratogenic drug, that may harm the foetus. It is ok to take it now. You delay pregnancy by few years (5 years). By the time of pregnancy you may try gradually tapering and stopping it. If not possible few other safer anti-epileptic medicines like lamotrigine may be tried, although small risk of cleft palate is there, but no very serious risk.
1193 people found this helpful
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Bachelor of Medicine and Bachelor of Sur...read more

Neurologist•Warangal
For trigeminal neuralgia, tegrital (carbamazepine) is most effective drug. He is on very minimal dose, dose can be adjusted if required but some effects are possible like sedation, rashes and decreased sodium level. Most of the patients require long term treatment.
62 people found this helpful
Asked for male, 43 years old from Varanasi
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MD - Psychiatry

Psychiatrist•Chennai
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It is an anti seizure medication and since under price control not easily available. It is safe to take that under medical supervision and regular tests. All the best.
981 people found this helpful
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