Common Specialities
Common Issues
Common Treatments

Side Effect Of Carbamazepine

HI, I had complex partial seizure since childhood since 40 years ,on medication (carbamazepine1000 and leveracitam600) though MRI shows no sclerosis now .I am a single mother undergone divorce10 years back. Just want to ask what to do of low thoughts about self. How to control it and live a peaceful life.

Hi, it's good your mri is clean. Alot of times such conditions can alter a person's emotional status. Also, the medicines taken for seizures for a long time can also shave such effects. You must consider seeing a psychologist / counsellor for help. If their opinion is that you may require medication, do consider Homoeopathic treatment as it will not affect you adversely and will help you get out of this situation.
Submit FeedbackFeedback

My mother is suffering from bipolar disorder from last 25 years she was taking medicines and was absolutely fine from past 20 years but from past 5 years her medication are not working very efficiently, her sleep patterns are messed up either she wakes up too early or goes on to sleep till afternoon. She is also having diabetes type 2 but it is well controlled. I have consulted various senior psychiatrists in Delhi but no solution. She is getting maniac episodes every 6 months I want to know is this treatable or she's gonna be like this for rest of her life. Thank You.

My mother is suffering from bipolar disorder from last 25 years she was taking medicines and was absolutely fine from...
Dear Harshit, It looks as though Kavita was given tablets for manic episode at present. There is no mood stabilizer in the list you have given. For 20 years, what are the medicines she was taking that kept her fine for many years. Lithium carbonate, divalproex or carbamazepine? At what dose and what blood level (lithium and divalproex). Probably the same drug, if it does not cause disturbance in her diabetes treatment, will be prescribed to her after controlling the present manic episode. Did she stop mood stabiliser, just because she was normal? Bipolar disorder is a lifelong illness. Recurrences are difficult to treat, more so with diabetes, so it is better to prevent the recurrences with proper dose of mood stabilizers.
1 person found this helpful
Submit FeedbackFeedback

Hi Sir, I had the problem of constipation. But now I'm better but still I smell like poop all the time. And feel I need to go to the washroom. Why do I smell like that?

Hi Sir, I had the problem of constipation. But now I'm better but still I smell like poop all the time. And feel I ne...
Hello, thank you for informing me about your problem, Constipation is a condition of the digestive system where an individual has hard feces that are difficult to expel. In most cases, this occurs because the colon has absorbed too much water from the food that is in the colon. The slower the food moves through the digestive tract, the more water the colon will absorb from it. Consequently, the feces become dry and hard. When this happens, emptying the bowels can become very painful. This article will cover the main causes of constipation and how it can be treated and prevented. Fast facts on constipation Here are some key points about constipation. More detail and supporting information is in the main article. * Constipation generally occurs because too much water is absorbed from food * Causes of constipation include physical inactivity, certain medications, and aging * Some cases of constipation can be relieved by lifestyle changes * Laxatives should only be used as a last resort Symptoms A diet that contains a good quantity of fiber helps prevent constipation. The main symptoms of constipation are increased difficulty and straining when passing stools. Passing fewer stools than usual can be a sign of constipation. Other symptoms include: * stomach ache * stomach cramps * feeling bloated and nauseous * losing appetite Causes Constipation happens when the colon absorbs too much water. This can occur if the muscles in the colon are contracting slowly or poorly, causing the stool to move too slowly and lose more water. These are the most common causes of constipation: 1) Lack of fiber in the diet People whose diets include a good quantity of fiber are significantly less likely to suffer from constipation. It is important to consume foods rich in fiber such as fruits, vegetables, and whole grains. Fiber promotes bowel movements and prevents constipation. Foods that are low in fiber include high-fat foods, such as cheese, meat, and eggs. 2) Physical inactivity Constipation can occur if someone becomes too physically inactive. This is especially the case in older adults. For individuals who have been bedridden for a long time, perhaps for several days or weeks, their risk of having constipation is significantly increased. Experts are not sure why. Some believe that physical activity keeps the metabolism high, making the processes in the body happen more rapidly. Older adults tend to have a more sedentary life compared with younger people and are therefore at higher risk of constipation. Physically active people are much less likely to become constipated than inactive people. 3) Medications The most common medications to cause constipation are: * narcotic (opioid) pain drugs including codeine (Tylenol), oxycodone (Percocet), and hydromorphone (Dilaudid) * antidepressants including amitriptyline (Elavil) and imipramine (Tofranil) * anticonvulsants including phenytoin (Dilantin) and carbamazepine (Tegretol) iron supplements * calcium channel blocking drugs including diltiazem (Cardizem) and nifedipine (Procardia) * aluminum-containing antacids including Amphojel and Basaljel * diuretics including chlorothiazide (Diuril) 4) Milk Some people become constipated when they consume milk and dairy products. 5) Irritable bowel syndrome People who suffer from irritable bowel syndrome (IBS) get constipation much more frequently, compared with the rest of the population. 6) Pregnancy Pregnancy brings about hormonal changes that can make a woman more susceptible to constipation. Also, the uterus may compress the intestine, slowing down the passage of food. 7) Aging As a person gets older, the metabolism slows down, resulting in less intestinal activity. The muscles in the digestive tract do not work as well as they used to. 8) Changes in routine When a person travels, their normal routine changes. This can affect the digestive system, which sometimes results in constipation. Meals are eaten at different times, or a person might go to bed, get up, and go to the toilet at different times. All these changes can raise the risk of constipation. 9) Overuse of laxatives Some people believe a person should go to the toilet at least once a day - this is not true. However, to make sure this happens, some people self-medicate with laxatives. Laxatives are effective at helping bowel movements. However, using them regularly allows the body to get used to their action and gradually the dose needs to increase to get the same effect. Laxatives can be habit-forming. When a person becomes dependent on them, there is a significant risk of constipation when they are stopped. 10) Not going to the toilet when needed If individuals ignore the urge to have a bowel movement, the urge can gradually go away until the individual no longer feels the need to go. The longer it is delayed, the drier and harder the stool will become. 11) Not drinking enough water If constipation is already present, drinking more liquids might not relieve it. However, regularly drinking plenty of water reduces the risk of constipation. Many sodas and drinks contain caffeine which can cause dehydration and worsen constipation. Alcohol also dehydrates the body and should be avoided by individuals who are constipated or very susceptible to constipation. 12) Problems with the colon or rectum Tumors can compress or restrict the passages and cause constipation. Also, scar tissue, diverticulosis, and abnormal narrowing of the colon or rectum, known as colorectal stricture. People with Hirschsprung disease are susceptible to constipation (a birth defect in which some nerve cells are absent in the large intestine). 13) Some diseases and conditions Diseases that tend to slow down the movement of feces through the colon, rectum, or anus can cause constipation. These include the following: * Neurological disorders: Multiple Sclerosis (MS), Parkinson's disease, stroke, spinal cord injuries, and chronic idiopathic intestinal pseudo-obstruction can lead to constipation. * Endocrine and metabolic conditions: Uremia, diabetes, hypercalcemia, poor glycemic control, and hypothyroidism. * Systemic diseases: These are diseases that affect a number of organs and tissues, or affect the body as a whole, they include lupus, scleroderma, amyloidosis. * Cancer: Constipation occurs in people with cancer, mainly due to pain medications and chemotherapy. Also, if a tumor blocks or squeezes the digestive system. Treatment In the majority of cases, constipation resolves itself without any treatment or risk to health. The treatment of recurring constipation can include lifestyle changes such as doing more exercise, eating more fiber, and drinking more water. Usually, laxatives will successfully treat most cases of constipation - but should be used with care and only when necessary. In more difficult cases, the person may need a prescription medication. It is important to understand the cause of constipation - there could be an underlying illness or condition. Some people with recurring constipation use a daily diary where they record their bowel movements, stool characteristics, and other factors that may help both the doctor and patient devise the best treatment. Some gastroenterologists comment that there are people who do not allocate enough time for their defecation. Set aside enough time to allow your toilet visit to be unstressed and uninterrupted, and do not ignore an urge to have a bowel movement. OTC laxatives Only use these laxatives as a last resort: * Stimulants: These make the muscles in the intestines contract rhythmically. These include Correctol, Dulcolax, and Senokot. * Lubricants: These help the stool move down the colon more easily. These include mineral oil and Fleet. * Stool softeners: These moisten the stool. Stool softeners include Colace and Surfak. * Fiber supplements: These are perhaps the safest laxatives. They are also called bulk laxatives. They include FiberCon, Metamucil, Konsyl, Serutan, and Citrucel and should be taken with plenty of water. If you want to buy bulk laxatives, then there is an excellent selection online with thousands of customer reviews. * Osmotics: These facilitate the movement of fluids through the colon. These include Cephulac, Sorbitol, and Miralax. * Saline laxatives: These draw water into the colon and include milk of magnesia. * Chloride channel activators: These require a prescription and include lubiprostone (Amitiza). * 5-HT-4 agonists: They increase the secretion of fluid in the intestines and speed up the rate at which food passes through the colon. They include Prucalopride. If the constipation does not respond to any treatment, as a last resort, surgery to remove part of the colon may be undertaken. In the procedure, the segment of the anal sphincter or rectum that causes the constipation is removed. Natural remedies There are a few ways to ease the symptoms of constipation without using medication. These include: * Increasing fiber intake: People with constipation should eat between 18 and 30 grams (g) of fiber every day. Fresh fruits and vegetables and fortified cereals have high fiber content. * Drinking water: Consuming lots of water can help to rehydrate the body. * Bulking agents: Adding these to your diet can help soften stools and make them easier to pass. Examples of bulking agents include wheat bran. * Regular exercise: This can help to make bodily processes more regular, including the passing of stools. * Routine: Having a place and time of day where you can put aside time to visit the bathroom without forcing a stool. * Avoiding holding in stools: Responding to your body's natural urges to pass stools when they happen is key to reducing the impact of constipation. * Elevate your feet: Place your feet short platform, such as a step, and make sure the knees are above hip-level while passing stools. This can reduce constipation. * Homeopathic remedies: While their effectiveness is disputed, some studies have suggested that treatments for constipation offered by homeopathic doctors can be successful. These include calcarea carbonica, nux vomica, silica, bryonia, and lycopodium. Speak with your doctor about the best course of action if symptoms are not responding to natural or home remedies. Complications Constipation on its own can be uncomfortable but not life-threatening. However, severe constipation can develop into more serious conditions, including: * rectal bleeding after continually straining to pass stools * anal fissure, or a small tear around the anus * hemorrhoids, or swollen, inflamed blood vessels of veins in the rectum * faecal impaction, in which dried stools collect in the anus and rectum, leading to an obstruction in the path stool would take to leave the body Dealing with constipation before it becomes one of these conditions can prevent further discomfort. Feel free to get connected and clarify your queries in the private section. Wish you best of health!
4 people found this helpful
Submit FeedbackFeedback

Hi Sir, Is mazetol 300 mg and ox mazetol 300 mg different. If yes what is difference.

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.
Submit FeedbackFeedback

I had complex partial seizure since childhood since 40 years ,on medication (carbamazepine1000 and leveracitam600) though MRI shows no sclerosis now .I am a single mother undergone divorce10 years back. Just want to ask what to do for the wavering thoughts of guilt of what others think of me knowing I am not involved. How to control it and live a peaceful life.

Hi Xyz.... this kind of problems... respond to homoeopathic treatment well... And as far as I know it is the only permanent solution without any side effects... You can consult to a good homoeopath nearby or me through lybrate..
Submit FeedbackFeedback

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.

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 is also a kind of EPS. So indirectly gabapentin may decrease Slowness of gaits by working through GABA neurotransmitter system. I would suggest to change the antipsychotics if possible after discussing with your doctor. Preferably Quitiapine may be a good choice. Or anticholinergic medicine can be added to alleviate the side effects. Thanks.
1 person found this helpful
Submit FeedbackFeedback

My granddaughter has got tests done for thyroid. The results show T3 total =1.19 T4 Total =6.00 TSH =8.25 (higher than the reference) All other blood tests are normal she is 19+ (years) has added about 10 kg in one year.

Hi, Good Foods For Hypothyroidism Foods that are rich in iodine are highly recommended in the struggle to ward off hypothyroidism. Below is a categorized list of good food sources. Iodine-Rich Foods For Hypothyroidism •Iodized Salt •Seaweeds and Seafoods •Salt Water Fish •Sushi •Nori Rolls •Celtic Sea Salt Selenium-Rich Foods For Hypothyroidism •Meat •Chicken •Salmon •Tuna •Whole Unrefined Grains •Brazil Nuts •Dairy Products •Garlic •Onions Iodine For Hypothyroidism The thyroid gland needs iodine, therefore if you have an underactive thyroid gland you should increase the iodine intake in your diet. A well-balanced diet that includes iodine can help in alleviating the symptoms that you encounter with your condition. With the simplest intake of the foods mentioned above, you can greatly assist your thyroid in keeping up with your body's metabolism. Foods To Avoid For Hypothyroidism These foods must be avoided in order to prevent recurrence of hypothyroidism symptoms. Avoiding them will also prevent aggravating the already aggravated thyroid glands. Here is a list of foods to be avoided: •Cassava •Linseed •Kohlrabi •Peanuts •Kale •Turnips •Mustard Greens •Mustard •Millet •Cauliflower •Rutabagas •Peaches •Coffee •Spinach Goitrogenic Foods To Avoid For Hypothyroidism The food items listed below can impede your body's ability to absorb iodine. And when your body can't absorb iodine, your thyroid gland will swell and you will eventually develop goiter. Some of the food listed above can also be goitrogenic. P.T.O •Bamboo shoots •Soybeans and related products •Canola Oil •Horseradish •Bok Choy •Foods with Gluten •Garden Kres •Tempeh •Babassu •Sweet Potato Goitrogenic Chemicals These chemicals, when ingested through processed food or medications can cause goiter: •Amiodarone •Lithium •Oxazolidines •Iopanoic acid •Minocycline (MN) •Propylthiouracil •Thioureylene •Sulfadimethoxine •Carbamazepine •Phenobarbitone as per Lybrate policy you have to paid consultation for prescription or visit clinic (1).
1 person found this helpful
Submit FeedbackFeedback

Respected doctors, I have severe anxiety due to which I get burning sensations and numbness ,hyperventilation and giddiness. I was prescribed escitalopram 10 mg and carbamazepine 300 mg. How safe is carbamazepine 300 mg for Indians? M so scared to take it..

Respected doctors, I have severe anxiety due to which I get burning sensations and numbness ,hyperventilation and gid...
All drugs ahve side effects and if you have an need for taking it you can take them as side effects are less when compared to the benefits of curing the disease.
Submit FeedbackFeedback

For health all alcohol item we Need to take? On which age we want to take alcohol? And how many years we will be strong. For taking alcohol into our body?

For health all alcohol item we Need to take? On which age we want to take alcohol? And how many years we will be stro...
Dear lybrateuser, -It is better to avoid alcohol if you do not take, as after starting it becomes a habit & the intake also keeps increasing -it adds only empty calories to the diet which can increase weight along with the snacks which one has, also increases body & blood fat which is harmful for the body .
Submit FeedbackFeedback