Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Topirol 50 MG Tablet Tips

Seizures - How To Get Rid of It?

MS - General Surgery, MCh - Neuro Surgery, MBBS
Neurosurgeon, Greater Noida
Seizures - How To Get Rid of It?

The primary aim of the treatment in patients suffering from seizure is leasing a seizure-free life without giving way to any adverse effects. This goal can be accomplished in over 60 percent people with the help of anticonvulsants. Some patients also experience adverse effects since they suffer from a seizure which is refractory to medical therapy. Here are some of the common treatment options for seizures:

  1. Monotherapy: Sometimes, monotherapy is given as it reduces the chance of all sorts of adverse effects and even avoids drug interactions. Moreover, this type of treatment approach is much less expensive than polytherapy since many older generation of the anticonvulsant agent comprises of hepatic enzyme which is responsible for reducing the serum level of the concomitant drug which leads to an increase in the dosage level of such medicines.
  2. Social And vocational rehabilitation: People suffering from problems in psychosocial adjustments after the diagnosis may also need social and vocational rehabilitation. Many physicians do not pay enough attention to the consequences that an epilepsy diagnosis may leave on the patient. For instance, people with epilepsy may have a fear of experiencing next attack of seizure and they may be unable to work at heights or drive.
  3. Consulting an expert: It is important to refer patients with intractable spells to epileptologist or neurologist for subsequent workup. A neurosurgical consultation may also be needed when the patient has to be treated surgically.

Importance of anticonvulsant therapy
Patients who have had already suffered from recurrent attacks of unprovoked seizure may need treatment with an anticonvulsant. This treatment is not recommended until the person has risk factors for suffering from the problem yet again. The primary means of treating seizure is anticonvulsant therapy where the most suitable drug is chosen based on accurate diagnosis of the syndrome as a response to specific anticonvulsants may vary from one patient to another. The difference in response may reflect the various pathophysiologic mechanisms in different types of seizures.

Types of anticonvulsant therapy
Some of the anticonvulsant therapy medication may have multiple action mechanism while some have an only single mechanism of action. Some of the most common variants of the therapy include:

  1. Neuronal potassium channel referred to as KCNQ opener
  2. Blockers of unique binding sites such as perampanel, gabapentin, and levetiracetam
  3. H-current modulators such as lamotrigine and gabapentin
  4. Carbonic anhydrase inhibitors such as zonisamide and topiramate
  5. Alpha-amino 3-hydroxy 5-methyl 4-isoxazole propionic acid receptor blockers like topiramate and perampanel.
  6. N and L-calcium channel blockers like zonisamide, valproate, topiramate, and lamotrigine

Even though there are so many types of drugs available, all of them cannot be used for the treatment of seizures. Doctors would evaluate the condition thoroughly before prescribing a medication that can be helpful in reducing the severity of the condition. In case you have a concern or query you can always consult an expert & get answers to your questions!

2541 people found this helpful

Seizures - 3 Ways It Can Be Treated!

MCh - Neurosurgery, MS-General Surgery, MBBS
Neurosurgeon, Delhi
Seizures - 3 Ways It Can Be Treated!

The primary aim of the treatment in patients suffering from seizure is leasing a seizure-free life without giving way to any adverse effects. This goal can be accomplished in over 60 percent people with the help of anticonvulsants. Some patients also experience adverse effects since they suffer from a seizure which is refractory to medical therapy. Here are some of the common treatment options for seizures:

  1. Monotherapy: Sometimes, monotherapy is given as it reduces the chance of all sorts of adverse effects and even avoids drug interactions. Moreover, this type of treatment approach is much less expensive than polytherapy since many older generation of the anticonvulsant agent comprises of hepatic enzyme which is responsible for reducing the serum level of the concomitant drug which leads to an increase in the dosage level of such medicines.
  2. Social And vocational rehabilitation: People suffering from problems in psychosocial adjustments after the diagnosis may also need social and vocational rehabilitation. Many physicians do not pay enough attention to the consequences that an epilepsy diagnosis may leave on the patient. For instance, people with epilepsy may have a fear of experiencing next attack of seizure and they may be unable to work at heights or drive.
  3. Consulting an expert: It is important to refer patients with intractable spells to epileptologist or neurologist for subsequent workup. A neurosurgical consultation may also be needed when the patient has to be treated surgically.

Importance of anticonvulsant therapy

Patients who have had already suffered from recurrent attacks of unprovoked seizure may need treatment with an anticonvulsant. This treatment is not recommended until the person has risk factors for suffering from the problem yet again. The primary means of treating seizure is anticonvulsant therapy where the most suitable drug is chosen based on accurate diagnosis of the syndrome as a response to specific anticonvulsants may vary from one patient to another. The difference in response may reflect the various pathophysiologic mechanisms in different types of seizures.

Types of anticonvulsant therapy
Some of the anticonvulsant therapy medication may have multiple action mechanism while some have an only single mechanism of action. Some of the most common variants of the therapy include:

  1. Neuronal potassium channel referred to as KCNQ opener
  2. Blockers of unique binding sites such as perampanel, gabapentin, and levetiracetam
  3. H-current modulators such as lamotrigine and gabapentin
  4. Carbonic anhydrase inhibitors such as zonisamide and topiramate
  5. Alpha-amino 3-hydroxy 5-methyl 4-isoxazole propionic acid receptor blockers like topiramate and perampanel.
  6. N and L-calcium channel blockers like zonisamide, valproate, topiramate, and lamotrigine

Even though there are so many types of drugs available, all of them cannot be used for the treatment of seizures. Doctors would evaluate the condition thoroughly before prescribing a medication that can be helpful in reducing the severity of the condition.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2752 people found this helpful

Migraine - How To Tackle It?

Dr. Pranab Kumar Chowdhury 87% (14 ratings)
MBBS, MD, Fellow Rheumatology
Internal Medicine Specialist, Guwahati
Migraine - How To Tackle It?

One of the most debilitating conditions that anyone can experience is migraine. They can severely limit you by affecting your personal and professional life as you are in constant pain. Migraine can manifest in a type of headache with intense pain, an acute sensitivity to light, vomiting and nausea. Often described as a severe throbbing pain in the head, it may stop you from completing regular daily tasks and may delay or postpone your work.

How can migraines be treated?

The exact cause for these debilitating migraine pain hasn't been pointed out yet, but certain triggers such as stress, hormonal changes in the menstrual cycle, sun exposure, bright or flashing lights, among many others have been identified. The first line of defense for you would be to understand and identify what your triggers are. Once that is done, you can try and avoid them. If these still trigger a migraine or are about to trigger one, you can immediately take medications or steps to control it or at least lessen the pain to go through your day. Some of the options you can employ to this effect are mentioned below.

  1. Medications to prevent a migraine attack: The medications mentioned here are specialized treatments and can only be taken after a consultation with a doctor. If you are deemed as a candidate for preventative medication for migraines, then either one or a combination of drugs from the following may be prescribed to you.
    • Valproate and Topiramate are anti-seizure medications which can be used to prevent migraines.
    • Propranolol, a type of beta blocker and used for cardio vascular problems, has proven to be very effective in preventing migraines.
    • Onabotulinumtoxin A or a type of Botox, has shown a lot of promise in preventing migraines and is being slowly rolled out as a proper drug as a treatment option.
    • Certain antidepressants have also shown to be quite effective in reducing the symptoms of migraines as well.
  2. Medications to relieve pain: Some of the go to medications that help relieve your pain from migraine are mentioned below. Although some of them are OTC (over the counter) drugs, it is best advised that you consult with your doctor for medications which suit you better. The side effects of these medications can be bad and thus, it is not advised to continue them in the long run and to find other means to control pain from migraines. Some of the medications to relieve pain temporarily are:
    • Triptan is a drug used to treat severe migraines
    • Caffeine along with Ergotamine can also help dull the pain and deal with it.
    • Ibuprofen and aspirin and Acetaminophen are common pain killers that you can use
    • Codeine, which contains opioids are also used to treat this problem.
    • Metoclopramide and chlorpromazine are two examples of anti-nausea medications as vomiting along with nausea may frequently accompany your migraine.

Always remember that these medications can have strong side effects if not taken properly, therefore do not just pop a pill, consult your physician first and know which one should you take and how frequently. 

4454 people found this helpful

Severe Headache - Can it Be Migraine?

Dr. R.S. Saini 93% (9332 ratings)
MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Severe Headache - Can it Be Migraine?

One of the most debilitating conditions that anyone can experience is migraine. They can severely limit you by affecting your personal and professional life as you are in constant pain. Migraine can manifest in a type of headache with intense pain, an acute sensitivity to light, nausea and vomiting. Often described as a severe throbbing pain in the head, it may stop you from completing regular daily tasks and may delay or postpone your work.

How can migraines be treated?
The exact cause for these debilitating migraine pain hasn't been pointed out yet, but certain triggers such as stress, hormonal changes in the menstrual cycle, sun exposure, bright or flashing lights, among many others have been identified. The first line of defense for you would be to understand and identify what your triggers are. Once that is done, you can try and avoid them. If these still trigger a migraine or are about to trigger one, you can immediately take medications or steps to control it or at least lessen the pain to go through your day. Some of the options you can employ to this effect are mentioned below.

  1. Medications to prevent a migraine attack: The medications mentioned here are specialized treatments and can only be taken after a consultation with a doctor. If you are deemed as a candidate for preventative medication for migraines, then either one or a combination of drugs from the following may be prescribed to you.
    • Valproate and Topiramate are anti-seizure medications which can be used to prevent migraines.
    • Propranolol, a type of beta blocker and used for cardio vascular problems, has proven to be very effective in preventing migraines.
    • Onabotulinumtoxin A or a type of Botox, has shown a lot of promise in preventing migraines and is being slowly rolled out as a proper drug as a treatment option.
    • Certain antidepressants have also shown to be quite effective in reducing the symptoms of migraines as well.
  2. Medications to relieve pain: Some of the go to medications that help relieve your pain from migraine are mentioned below. Although some of them are OTC (over the counter) drugs, it is best advised that you consult with your doctor for medications which suit you better. The side effects of these medications can be bad and thus, it is not advised to continue them in the long run and to find other means to control pain from migraines. Some of the medications to relieve pain temporarily are:
    • Triptan is a drug used to treat severe migraines
    • Caffeine along with Ergotamine can also help dull the pain and deal with it.
    • Ibuprofen and aspirin and Acetaminophen are common pain killers that you can use
    • Codeine, which contains opioids are also used to treat this problem.
    • Metoclopramide and chlorpromazine are two examples of anti-nausea medications as vomiting along with nausea may frequently accompany your migraine.

Always remember that these medications can have strong side effects if not taken properly, therefore do not just pop a pill, consult your physician first and know which one should you take and how frequently. If you wish to discuss about any specific problem, you can ask a free question.

5504 people found this helpful

Know The Cure For Recurrent Headaches!

Dr. Anusha 90% (26 ratings)
MBBS, Post Graduate in Anaesthesiology, DA DNB Anaesthesiology (Gold Medalist)
Pain Management Specialist, Hyderabad
Know The Cure For Recurrent Headaches!

Headaches arise due to various reasons. Stress, tension, migraine, overwork and several medical conditions may cause headaches of different types. Such headaches are also called chronic headaches, and many cases of headaches are recurrent in nature. This indicates that the headaches might reappear or reoccur.

Headaches are quite frustrating and affect your entire health and performance. Recurrent headaches are even more troublesome as they strike back when you almost thought they were gone. There are several ways to deal with or control recurrent headaches. They include the following:

A. Medical treatment: Medicines can be used to treat the underlying cause of a headache and if these fail, medicines to cure the headache are used.

The different preventive medicines for recurrent headaches are:

  1. Antidepressants: Tricyclic antidepressants by the likes of nortriptyline can be prescribed for treating recurrent headaches. These medications help in curing any kind of depression, anxiety and disturbances in sleep, which usually lead to recurrent headaches. Antidepressants like the selective serotonin reuptake inhibitor or SSRI and fluoxetine are also used.
  2. Beta blockers: Beta blockers, commonly used to treat hypertension, also prevent migraine-related headaches. They include atenolol, metoprolol and propranolol.
  3. Anti-seizure medicines: Several anti-seizure medicines help in the prevention of migraine and also cure daily recurrent headaches. They include topiramate, divalproex sodium and gabapentin.
  4. NSAIDs: Prescribed nonsteroidal anti-inflammatory drugs like naproxen sodium also help in reducing headaches, which appear daily. NSAIDs are used in cases of a severe headache.
  5. Botulinum toxin: Onabotulinum toxin A or Botox injections can be used to get relief from recurrent headaches and are ideal for people whose daily medications are not effective enough.

B. Alternative medicine procedures
Other than medications, alternative therapies to get relief from concurrent headaches can be utilized. They include:

  1. Acupuncture: This ancient procedure involves the use of thin needles, which are inserted into certain areas of the skin at defined points. Acupuncture reduces the frequency and intensity of headaches.
  2. Massage therapy: Massage therapy reduces stress, gives relief to pain and provides relaxation. Massaging of the tight muscles at the back of the head provides relief.
  3. Herbs and nutrients: Several organic herbs help in preventing migraine headaches and reduce the intensity of headaches. They include butterbur and feverfew. Vitamin and mineral supplements can be taken to reduce headaches and prevent them from reoccurring. Coenzyme Q10 supplements, magnesium sulfate supplements can reduce the frequency of several headaches as well.
  4. Investigational approach: A surgical implant, which is a battery operated electrode, can be placed around the occipital nerve. The electrode implant sends energy pulses to the nerve, and headache is eased.

Recurrent headaches can be controlled in various ways, which include medicines and several alternative procedures. You should consult a doctor before you start using some method.

1 person found this helpful

How to Control Recurrent Headaches?

Dr. Sanjay Sharma 89% (304 ratings)
Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
How to Control Recurrent Headaches?

Headaches arise due to various reasons. Stress, tension, migraine, overwork and several medical conditions may cause headaches of different types. Such headaches are also called chronic headaches, and many cases of headaches are recurrent in nature. This indicates that the headaches might reappear or reoccur.

Headaches are quite frustrating and affect your entire health and performance. Recurrent headaches are even more troublesome as they strike back when you almost thought they were gone. There are several ways to deal with or control recurrent headaches. They include the following:

A. Medical treatment: Medicines can be used to treat the underlying cause of a headache and if these fail, medicines to cure the headache are used.

The different preventive medicines for recurrent headaches are:

  1. Antidepressants: Tricyclic antidepressants by the likes of nortriptyline can be prescribed for treating recurrent headaches. These medications help in curing any kind of depression, anxiety and disturbances in sleep, which usually lead to recurrent headaches. Antidepressants like the selective serotonin reuptake inhibitor or SSRI and fluoxetines are also used.
  2. Beta blockers: Beta blockers, commonly used to treat hypertension, also prevent migraine-related headaches. They include atenolol, metoprolol and propranolol.
  3. Anti-seizure medicines: Several anti-seizure medicines help in the prevention of migraine and also cure daily, recurrent headaches. They include topiramate, divalproex sodium and gabapentin.
  4. NSAIDs: Prescribed nonsteroidal anti-inflammatory drugs like naproxen sodium also help in reducing headaches, which appear daily. NSAIDs are used in cases of severe headache.
  5. Botulinum toxin: Onabotulinum toxin A or Botox injections can be used to get relief from recurrent headaches and are ideal for people whose daily medications are not effective enough.

B. Alternative medicine procedures
Other than medications, alternative therapies to get relief from concurrent headaches can be utilized. They include:

  1. Acupuncture: This ancient procedure involves the use of thin needles, which are inserted into certain areas of the skin at defined points. Acupuncture reduces the frequency and intensity of headaches.
  2. Massage therapy: Massage therapy reduces stress, gives relief to pain and provides relaxation. Massaging of the tight muscles at the back of the head provides relief.
  3. Herbs and nutrients: Several organic herbs help in preventing migraine headaches and reduce the intensity of headaches. They include butterbur and feverfew. Vitamin and mineral supplements can be taken to reduce headaches and prevent them from reoccurring. Coenzyme Q10 supplements, magnesium sulfate supplements can reduce the frequency of several headaches as well.
  4. Investigational approach: A surgical implant, which is a battery operated electrode, can be placed around the occipital nerve. The electrode implant sends energy pulses to the nerve, and headache is eased.

Recurrent headaches can be controlled in various ways, which include medicines and several alternative procedures. You should consult a doctor before you start using some method.

4575 people found this helpful

Treatment of Grand Mal Seizure!

Dr. Radhika A (Md) 89% (13 ratings)
MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Treatment of Grand Mal Seizure!

Treatment of Grand mal seizure

Homeopathic Treatment of Grand mal seizure
Acupuncture & Acupressure Treatment of Grand mal seizure
Psychotherapy Treatment of Grand mal seizure
Conventional / Allopathic Treatment of Grand mal seizure
Surgical Treatment of Grand mal seizure
Dietary & Herbal Treatment of Grand mal seizure
Other Treatment of Grand mal seizure
What is Grand mal seizure
Symptoms of Grand mal seizure
Causes of Grand mal seizure
Risk factors of Grand mal seizure
Complications of Grand mal seizure
Lab Investigations and Diagnosis of Grand mal seizure
Precautions & Prevention of Grand mal seizure
Treatment of Grand mal seizure 

Homeopathic Treatment of Grand Mal Seizure

Homeopathy calms nervous system. It has reputation of curing seizures and convulsions. It treats the person as a whole. Treatment is constitutional. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. It balances the energy system, improves immunity and body functions. It naturally cures the root cause of disorder. Some of the homeopathic medicines for treatment of Grand Mal seizure are:

Bufo
Calc ars
Cuprum
Oena
Caust
Hyos
Viscum

Acupuncture and Acupressure Treatment of Grand Mal Seizure

Acupuncture has unique reputation in treatment of all neurological disorders. It uses condition specific acupoints to re-establish normal energy flow along channels and improves organ system physiology.

Conventional / Allopathic Treatment of Grand mal seizure

In the allopathic Treatment of Grand mal seizure, medications used are Oxcarbazepine, Gabapentin, Topiramate, Phenytoin, Valproic acid, Pregabalin, Zonisamide, and Levetiracetam etc.

Surgical Treatment of Grand mal seizure

For brain lesions or tumors, a neurosurgeon may surgically remove the tissue causing grand mal seizures.

Dietary & Herbal Treatment of Grand mal seizure

Low carbohydrate diet increases ketones in the body, which may decrease overall seizures.

What is Grand mal seizure?

A grand mal seizure features a loss of consciousness and violent muscle contractions. It is also known as a tonic-clonic seizure.

 Symptoms of Grand mal seizure

A warning feeling (aura) before a grand mal seizure
Loss of bowel and bladder control
Unresponsiveness after convulsions
Fatigue
Severe headache
People may cry out at the beginning of a seizure

Causes of Grand mal seizure

Brain tumors
Strokes
Very low blood levels of glucose, sodium, calcium or magnesium
Traumatic head injuries
Using or withdrawing from drugs, including alcohol
Encephalitis or meningitis
Injury due to a previous lack of oxygen
Blood vessel malformations in the brain
Genetic syndromes

Risk factors of Grand mal seizure

Any injury to the brain
Family history of seizure disorders
Sleep deprivation
Medical problems that affect electrolyte balance
Alcohol and drug abuse

Complications of Grand mal seizure

Changes in brain function and structure
Joint dislocations
Head injuries
Bone fractures 

Diagnosis of Grand mal seizure

Diagnosis of Grand mal seizure involves the following tests:

Medical history
Neurological exam
Blood tests
Electroencephalogram (EEG)
Magnetic resonance imaging (MRI)