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Zen 200 MG Tablet Health Feed

Asked for male, 36 years old from Hyderabad
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Hi sir,I am 36 years old, I have my first fits or seizure in sleep 18 years back. This happened when I lost my mother, before night I got severe headache like nerves pain, after three days I faced epileptic. Then onwards im facing two to 3 times in a year, and first medication I had enchoratechrono 300 mg for 3 yrs, due to relocation with a suggestion of another neurologist I had ZEPTOL CR 200 mg with missdosed some times and some days, in summer 3 months back I roamed a lot in hot sun, getting very tired night I had fits in sleep by 2 am then I gone for treatment ,i had videoEEG, MRI and got result everything negative ,no clots found ,but suggested according to my first medication VALPARIN OR VALPROL CR 300 MG, and all of the above I used to drink alcohol, recently I had seizure in day time that to a hurriness to avoid a car come over me, I felt vomiting sensation, anxiety and at last I tried to call somebody for help but unable to speak gradually I lost my consciousness and wake up after sometime ,i do not know what happened. So can you suggest me which medicine I have to follow, what type of epilepsy is mine focal or general. Thank you.

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BASM, MD, MS (Counseling & Psychotherapy...read more

Psychologist•Palakkad
Dear user. I can understand. Please don't be panic. I suggest you to consult a neurologist in person. We are here to help you in every aspect of your mental and physical health. Any sexual or psychological problems can be cured with the help of various methods and therapies. I suggest you to post your query with every detail here. We will help you in overcoming your problems certainly. Take care.
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Hi Sir, My brother had cough & fever from Sept-Nov 2015 he was on Antibiotics, Paracetamol and cough syrup for same time but didn't got any relief finally done Chest CT scan in Nov and found Pleural Effusion, pleural fluid aspirate done on 24th Nov but whole fluid didn't not aspirated because patient get vertigo problem during aspiration so doctor stop aspiration, from 24th Nov TB treatment started. He got mild relief from cough and fever But after 15-20 days he again faced severe cough and mild fever, again CT scan and Chest sonography done and found some pleural fluid. Again, pleural fluid aspiration done and TB treatment continue, from that day he started getting relief day by day. Now is feeling absolutely fine. TB treatment is continue from Nov till today. From April he started feeling Hip shoulder back knee and Feet pain, some blood test done and found Vitamin B12 & Vitamin D is very much deficient. Both vitamin B12 and D injections and capsules Tablets supplement started and got felling better but didn't get any relief in Feet pain. Since last 40 days he having pain, pin needles and burning sensation in both feet. As per doctor prescription all types pain killer reliever like Dynapar SR, Zobid Zerodol SP etc taken but till today didn't got any relief in feet pain, even pain killer didn't work for 1 hour. We took opinion from Orthopedic and Neuro Surgeon and done MRI of Spine and Feet, MRI is normal as per MRI report but Feet pain and burning is still persist Now we consult with Neurologist, he said it look that it's Neuropathy due to TB medicine Isonizad. He said to consult TB physician and stop taking Isonizad and he prescribed Tab Pregabalin, Zen 100, Ultracet and Deep Senz ointment. We again consult with our TB physician, he said TB drug Isonizad can't be withdrawal because if we stop it TB May relapse later. As per doctor TB treatment will continue for more 3 months i. E. Till the end August Feet pain burning pin needles sensation is still persist after 4-5 days treatment of Tab Pregabalin, Zen 100, Ultracet and Deep Senz ointment. Pain is severe that patient not getting any relief. So now we are very confused and can't understand what to do. Pls advise what to do to get relief from pain Thanks & regards.

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MPT - Orthopedic Physiotherapy, BPTh/BPT...read more

Physiotherapist•Noida
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Tb treatment must and tk a so don't ignore that's medicine apply cold pack and gentle massage of foot and also a checkup of suger and keep continue vit b12 and vit d complete course.
452 people found this helpful
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
Asked for male, 77 years old from Coimbatore
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MBBS, Diploma In Otorhinolaryngology (DL...read more

ENT Specialist•Bangalore
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I would suggest you meet a good audiologist for tinnitus retraining therapy or if you also have a hearing loss, a good ric type hearing aid with zen program should cancel out the tinnitus.
203 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.
381 people found this helpful
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Hi Sir, My brother had cough & fever from Sept-Nov 2015 he was on Antibiotics, Paracetamol and cough syrup for same time but didn't got any relief finally done Chest CT scan in Nov and found Pleural Effusion, pleural fluid aspirate done on 24th Nov but whole fluid didn't not aspirated because patient get vertigo problem during aspiration so doctor stop aspiration, from 24th Nov TB treatment started. He got mild relief from cough and fever But after 15-20 days he again faced severe cough and mild fever, again CT scan and Chest sonography done and found some pleural fluid. Again, pleural fluid aspiration done and TB treatment continue, from that day he started getting relief day by day. Now is feeling absolutely fine. TB treatment is continue from Nov till today. From April he started feeling Hip shoulder back knee and Feet pain, some blood test done and found Vitamin B12 & Vitamin D is very much deficient. Both vitamin B12 and D injections and capsules Tablets supplement started and got felling better but didn't get any relief in Feet pain. Since last 40 days he having pain, pin needles and burning sensation in both feet.As per doctor prescription all types pain killer reliever like Dynapar SR, Zobid Zerodol SP etc taken but till today didn't got any relief in feet pain, even pain killer didn't work for 1 hour. We took opinion from Orthopedic and Neuro Surgeon and done MRI of Spine and Feet, MRI is normal as per MRI report but Feet pain and burning is still persist Now we consult with Neurologist, he said it look that it's Neuropathy due to TB medicine Isonizad. He said to consult TB physician and stop taking Isonizad and he prescribed Tab Pregabalin, Zen 100, Ultracet and Deep Senz ointment. We again consult with our TB physician, he said TB drug Isonizad can't be withdrawal because if we stop it TB May relapse later. As per doctor TB treatment will continue for more 3 months i. E. Till the end August Feet pain burning pin needles sensation is still persist. So now we are very confused and can't understand what to do. We have following questions 1 Please advise us what to do 2 Is Neuropathy is permanent? 3 Can neuropathy can be cured? 4 Can we stop Isonizad? Thanks & regards.

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DNB(Respiratory Diseases), MBBS

Pulmonologist•Jabalpur
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Neuropathy is usually irreversible, but can be benefited after some time and taking few drugs with tb drugs to prevent further neuropathy. Isoniazid can be stopped but it may weaken the course of treatment and the chances of getting tb again may increase with a weak course.
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.
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