How to manage seizures after brain hemorrhage treatment?

Question

Hello doctor,

My father is 66 years old. He had a brain hemorrhage two months back, and an operation was held the next day itself. His left side upper and lower limbs are weak, so physiotherapy is going on and improving day by day, but three weeks ago he had fits and again twice this month. The intensity was high and lasted for five minutes.

His medicines are Phenytoin 100 mg, Xarelto 10 mg for DVT in the left leg, Amlodipine 2.5 mg, and yesterday Clobazam 10 mg at night started. What can we do to stop seizures and anxiety?

Please guide.

Answer 1

Hi,

Welcome to icliniq.com.

Seizures can occur following a brain hemorrhage. His current medications, Phenytoin and Clobazam, are anti-seizure medications. He needs to take these medications regularly without missing any doses. Sometimes two or more anti-seizure medications are required to prevent seizures. Wishing him a speedy recovery.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

If he develops seizures again, then the dose of Phenytoin or Clobazam may have to be adjusted, or a new drug may have to be added. Anxiety can be treated by discussing and explaining it to the patient. Sometimes anti-anxiety medications and a consultation with a psychiatrist may help.

I hpe this helps you.

Thank you.