Anti-epileptic Drugs

Anti-epileptic drugs help prevent the rapid and repetitive electrical changes in the brain that cause seizures. The drugs in this class include Carbamazepine, Valproate, Gabapentin, Pregabalin, Topiramate, and Oxcarbazepine. Some of the side effects of these drugs are drowsiness, ataxia, headache, blurred vision, and nausea.

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Query: Hello doctor, My symptoms started a few months back. The symptoms are mostly neurological, eyesight, fatigue, depression, anxiety, and nausea. I am currently taking 500 mg Depakote ER and 150 mg Lamictal ER daily for seizures and have been taking them for several years now. My questions are not rel...  Read Full »


Dr. Arul Amuthan

Ayurveda Specialist, Naturopathy Specialist, Pharmacologist, Siddha Medicine Specialist, Toxicologist

Answer: Hi, Welcome to icliniq.com. The mentioned symptoms might be due to the antiepileptic drugs also, so do not confuse too much. Due to climate change, changing the brand, stress level, changing dietary patterns all can facilitate antiepileptic drugs to produce the above symptoms. Consume more fresh f...  Read Full »

I am having feeling of deja vu and memory loss after seizure. Why is it so?

Query: Hi doctor, I am having the following symptoms for the past three years. It includes very overwhelming feeling of doom, hand is frozen and unable to move, rising feeling in stomach making me feel sick, swallowing repeatedly, memory loss of what I was thinking about and also general memory loss after ...  Read Full »


Dr. Kumarshri Shriniwas Saraswat

Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist, Sleep Medicine Physician

Answer: Hi, Welcome to icliniq.com. Your description of the episode is typical of partial seizure. It is likely to be complex partial seizures because of the deja vu (already experienced feeling) and memory loss. Since you are having recurrent seizures, you are suffering from epilepsy. It needs to be inv...  Read Full »

For the diagnosis of epilepsy, is a PET scan mandatory?

Query: Hi doctor, My four year old son, weighing 16 kg is taking medicine for benign childhood epilepsy. Medicines he is taking are namely Topamac 100 mg a day in two divided doses and Lobazam 15 mg a day (5-0-10).  His MRI for epilepsy protocol is normal without abnormalities. I would like to know whethe...  Read Full »


Dr. Lalit Bansal

Paediatrician, Neurologist

Answer: Hello, Welcome to icliniq.com. For benign childhood epilepsy (BCE) your child is on 6.25 mg/kg/day of tablet Topiramate (anticonvulsant) which is a medium dose and is fine. Side effect to look from Topamac is dehydration. For dehydration, he needs to drink at least 700-1000 mL water daily. He can...  Read Full »

What are the drugs incompatible with Quetiapine and Lamotrigine?

Query: Hi doctor, My query is regarding the incompatibility of Quetiapine and Lamotrigine with other groups of drugs. Now I have to get treatment for an anaerobic infection. I was prescribed Azithromycin, Clindamycin, Metronidazole and Mycomax. However, I will be extremely grateful if you list me all grou...  Read Full »


Dr. Bharat Udey

Geriatrician, Psychiatrist, Sexologist, Sleep Medicine Physician

Answer: Hello, Welcome to icliniq.com. As such for Lamotrigine following drug interactions need to be considered as important. Valproate increases plasma level of Lamotrigine, hence dose need to be decreased if given with Valproate. Also there are increased chances of rash if given with Valproate. Ant...  Read Full »

Is the behavioral changes in my child due to antiepileptic drugs?

Query: Hi doctor, My son is 3 years 9 months now. He has been diagnosed with benign childhood epilepsy. He is taking Clobazam 15 mg at night and Topiramate 100 mg per day for last four months. His seizures are under control and he attends LKG. The issue is that he is not able to concentrate in his studies...  Read Full »


Dr. Deepak Patel

Child Health Specialist, Paediatrician

Answer: Hi Welcome to icliniq.com. I have read your question in detail. The initial dose of Topiramate is 1 mg/kg/day which is gradually increased to 5-10 mg/kg/day. Your child is getting 100 mg Topiramate which is around 6 mg/kg/day. So, the dosage of Topiramate is correct. There are some side effects ...  Read Full »

Does my daughter have epilepsy?

Query: Hello doctor, Please help! I am so upset. My daughter had a seizure. She had one 7 months ago too. We thought it was syncope, but now we think it is a seizure. She had CAT scan, blood work, and EKG and all the reports are fine. We saw a neurologist, and he said everything seemed all right. He gave ...  Read Full »


Dr. Ajay Panwar

Internal Medicine Physician, Neurologist

Answer: Hi, Welcome to icliniq.com. I have gone through your daughter's comprehensive medical history written by you. Tongue bite and urination indicate that these episodes are seizures. The probable diagnosis would be epilepsy. Tongue bite is not seen in syncope, though urinary incontinence may be rare...  Read Full »

Can I take epilepsy tablets when I am pregnant?

Query: Hello doctor, I am a 30 year old female. I am 8 weeks pregnant. I have been having epilepsy since 10 years. I had the last seizure a year ago. I am taking the following tablets: tablet Tegretol CR 200 (1-0-2), tablet Frisium 5 mg (0-0-2) and tablet Folic acid 5 mg (0-0-1). Can I take these tablets ...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hello, Welcome to icliniq.com. Tablet Tegretol should not be used in pregnancy. Only pregnancy-safe drugs should be taken during pregnancy. It is categorized as category D of FDA drugs in pregnancy. Category D means, there is enough evidence that it causes risk to the fetus. So, I would advise y...  Read Full »

Is my mother's epileptic treatment going the right way?

Query: Hello doctor, My mother is a patient of epilepsy for 22 years. Earlier she was diagnosed as GTCS (generalized tonic-clonic seizures) and CPS (complex partial seizures) and given Eptoin 100mg BD at first, then Zeptol CR 400mg BD with Cloba 10mg for fits, convulsions, and senselessness. But still, it...  Read Full »


Dr. Aida Quka

Neurologist

Answer: Hello, Welcome to icliniq.com. Your mother's situation seems to be very complicated. I would like to explain that it is true that Carbamazepine (Zeptol) can have no good effect or even worsen idiopathic generalized seizures. I would not recommend Topiramate for this type of epilepsy, because i...  Read Full »

Is dizziness a side effect of tablet Levera?

Query: Hello doctor, Two years back, I had a left PICA Aneurysm (Posterior Inferior Cerebellar Artery), for which it was coiled. Since then, I am taking tablet Levipil. Right now, I am taking tablet Levera XR 750 mg once daily. Sometimes, when I sit for a long time that too only when I use the Indian styl...  Read Full »


Dr. Ajay Panwar

Internal Medicine Physician, Neurologist

Answer: Hi, Welcome to icliniq.com. Dizziness that you are having is a very normal phenomenon, which occurs in a large number of normal individuals. It may happen while standing from sitting position, because of a relatively low cerebral perfusion (blood supply to the brain) for a few seconds. It is durin...  Read Full »

Why is there shaking of the whole body during the night sleeps at times?

Query: Hello doctor, My brother-in-law, aged 15 years was seen to be shaking the whole body during the night sleeps at times during the last six months. But during this problem, he remains unconscious. He does so only when he is in deep sleep. We consulted a doctor locally and he suggested MRI of the brai...  Read Full »


Dr. Devavrat Harihar Nene

Neurologist

Answer: Hi, Welcome to icliniq.com. The diagnosis seems to be correct (attachment removed to protect patient identity). It indeed looks like epilepsy. Sometimes, the cause is unclear. Sometimes it is due to an underlying genetic problem. However, MRI being normal there is no need for any kind of surgical ...  Read Full »

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