Recently Answered Questions
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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 »
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. Anti... Read Full »
Is it safe to take Carbamazepine while breastfeeding?
Query: Hi doctor, I am a mother of 1 month old baby, who is exclusively breastfed. My baby is healthy and gaining normal weight. The problem is that he sleeps a lot. I have been taking Carbamazepine and Eslicarbazepine tablets for partial seizures. Are these tablets safe while breastfeeding? When I consul... Read Full »
Answer: Hi, Welcome to icliniq.com. Your doctor is right. Carbamazepine can get secreted in breast milk and it is the safest antiepileptic during lactation. 1 month old baby sleeps a lot. They can sleep for about 18 to 20 hours a day. They will wake up only for feeds. As long as the baby is gainin... Read Full »
My daughter bit her tongue during seizures. Can this be 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 »
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 »
I am pregnant, so is it safe to take epilepsy tablets?
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 »
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 »
Even after taking Carbamazepine, why does my cousin have seizures?
Query: Hi doctor, My cousin has a history of epilepsy and using Depakine Chrono 750 mg twice daily. He used Allopurinol and got allergy and fever along with seizure. He was given Hydrocortisone injection and Carbamazepine 100 mg twice daily for 10 days and increased to 200 mg twice daily after that. But, s... Read Full »
Answer: Hi,Welcome to icliniq.com.I read your query and understand your concerns.If your cousin was seizure free before Allopurinol, then I do not think Carbamazepine is the right thing for her. She should be given anti-epileptic such as Clobazam, which has immediate action. I think Carbamazepine should be ... Read Full »
What is the treatment for epilepsy who has had it for the past 22 years?
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 »
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 it is ... 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 »
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 side effects of antiepileptic drugs?
Query: Hi doctor, I am a 20-year-old girl and it has been almost four years that I have been suffering from epilepsy. The medicines I take are Levipil 500 mg, Rivotril 0.5 mg and Cetadom for headache. Recently, I am feeling that my memory power and concentration are falling down. I have also been facing ho... Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, all antiepileptic drugs cause weight gain. In fact, Levipil (Levetiracetam) is also known to cause weight gain and hair loss. You do not have an option till your primary doctor agrees to give you Topiramate as an antiepileptic instead of Levipil, as Topiramate is k... Read Full »
Query: Hello doctor, My child is 11 years old and is epileptic. She is taking the tablet Epliex Chrono 300 mg. She always complains of headaches and seizures. Her MRI reports are normal. However, the EEG shows an ictal headache. She always passes stools without informing. Please suggest some other medicine... Read Full »
Answer: Hello, Welcome to icliniq.com. Epilepsy is a long-term disease that needs long-term medication, and nothing can be done. I cannot change the medications. I suggest your son undergo a colonoscopy to know if you have intussusception. Please attach the colonoscopy and ultrasound reports. Read Full »
Can complex partial seizures be cured?
Query: Hello doctor, Recently my neurologist diagnosed me with complex partial seizure. However, after taking two different medications and increase in doses has not helped. So here is my story: several years back I had been going through an extreme amount of stress. I had some migraines: occasional sharp ... Read Full »
Answer: Hello, Welcome to icliniq.com. Based on the description of these episodes, I agree with your doctor that these episodes seem to be related to complex partial seizures. I would like to directly review your EEG (electroencephalogram) reports if you can upload it. A normal EEG is not surprising i... Read Full »