BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Dear lybrate-user, welcome to lybrate. Bipolar affective disorder (bpad) is a psychological illness that involves severe mood swings. These mood swings take the form of depression or mania and may last for several months at a time. The given medicines are usually prescribed to treat manic episodes and general bpad.
epilepsy is a very broad diagnosis and you seem to be taking medicines for the last 33 years. For treatment of Epilepsy the type of Seizure and epilepsy you are having needs to be clarifies , how much doses are you taking (its according to your weight) and what is the control are all important markers without these details it is not correct to advise you about the epilepsy. I also would be interested in knowing exactly what do you desire as what help you want has not been mentioned. Please revert with full details for correct adv on epilepsy
1. The first thing is to shift to the lowest dose possible of Carbamazepine, if you have not had seizure for 2-3 years try to taper it off. Get the level tested to confirm lowest pharmacologic level essential. Take Folic Acid supplement 4 mg /day.
No, nothing will occur in your body because of this reason. It is recommended but not compulsory. Blood donation helps in reducing the risk of heart and liver ailments caused by iron overload in the body that by the process of blood donation are maintained at healthy levels. These heart or liver related ailments can be avoided by indulging into a healthy diet and lifestyle too.
Patient on chronic antiepileptic therapy tend to develop vit deficiency manifestations. Usually oral lesion can be due to plethora of reasons and maybe completely unrelated to antiepileptic therapy as such. But usually we give patients with antiepileptic medication a supplemental therapy of vit b12 and folic acid. Folic acid is more important with or without vit b12 to check homocysteine levels in thes patients. The dose and drug recommendation wrt antiepileptic therapy is best done with your treating physician. So I will advise you to supplement your child with folic acid with or without vit b12 and also consult your treating physician regarding the same.