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Tromadex 0.1%/0.3% Ointment Health Feed

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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.
Asked for male, 31 years old from Mumbai
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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.

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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
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MD - Homeopathy, BHMS

Homeopath•Vadodara
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Chalazion is a cyst and will not go by antibiotics...
You can consult for homoeopathic treatment.. or will need to remove it with surgery.
Asked for male, 38 years old from Mumbai
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DO , DOMS

Ophthalmologist•Kanpur
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Ikul won't help. Use Antibiotic such as Obra (TOBRAMYCIN) eye drop 4 times or ACULAR LS drops. Three times a day, and consult an eye specialist.
Asked for male, 31 years old from Delhi
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Asked for female, 27 years old from Pune
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MD - Homeopathy, BHMS

Homeopath•Vadodara
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No... Never take Medicine like that..
If it is a viral infection then ciplox has no role...
Better Consult and take proper Homoeopathic treatment...
32 people found this helpful
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This started in feb 2011 since I was having inferiority complex towards my short hight. Sometimes I felt like socially abused due to this. i developed social anxiety due to this .things related to hight or to improve it keeps running on my mind and I was unable to come out this. Latter I diagnosed as a case of OCD. Finally in july 2011 I admitted to the hospital due to depression and diagnosed as a case of bipolar disorder (taken carbamazepine 800 mg for 3 years) then stopped by my Dr. After 6 month I again relapsed and now taking lithium 800 mg daily and stable .my problem other than depression is a kind of ocd. Due to my short height I developed sever social anxiety. I keep on checking my height to others and to give me assurance I think of some person who are of my height and looks better. When I pass to a person of my height I compare it with mind in my mind only. Latter on images of those people keep running on my mind. Those images of short people and thought related to my height bothered me a lot when I told this to doctors they told that it will go away with the time. Latter on situation improved and these thought and images gone away completely. I started living a normal life like others. Now these thoughts and images still comes but after many months and only for a week or two and then goes off automatically. This time after so many months (almost a year) it came back and bothering me lot. Now these image and thoughts keeps running on my mind so frequently that it interrupts daily routine .unable to focus on things like tv and all. I do not want to those images to irritate me. Now from few days I am having problem with my sleep. It gets interrupted and I feel like frightened, anxious and wake up with little racing heartbeat. By the time I have started lorazepam 2 mg at night. How to stop these racing thoughts. Is there any medicine or therapy can help me? Can I live a secure life? Will it be passed to my son?

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MBBS, MD Psychiatry, DNB Psychiatry

Psychiatrist•Nagpur
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Dear lybrate-user you seem to be running a commentary of questions. First of all, let me reassure you that it is not at all compulsory that your son would have your illness. Psychiatric disorders have a hereditary role but the risk if calculated as compared to general population (I mean the ones that do not have any diagnosed psychiatric disorder) is greater.
As far as your complaints are concerned being a case of bipolar your treating psychiatrist must have informed you about the nature of ...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 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.
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