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Talk to General Practitioner on About The Risk Of Epival Tablet Withdrawal?

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Asking For Father, Male 56, jampur

my father had TIAS last year in november.and had epilaptic seizures for which taking elival tab 500mg once daily.And had 3 4 attacks of seizured in whole period.seizure free interval is 6 months and now tappered off the tablet. i want to ask is there any risk for seizures to start again? or do we need some other medication? Bcz currently he is taking no medicine for seizures. PLEASE HELP ME IN THIS REGARD

General Practitioner in Karachi - Dr. Marium Ajmal

Better to consult neuro physion

General Practitioner in Wah Cantt - Dr. Nasir Mehmood Khan

wat was the underlying cause of TIAs ..is he Diabetic hypertensive or having dyslipidemia..any Carotid Doppler report or MRI brain available ..kindly sharevthe report

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Post Owner


dnt have any risk factor.
no diabetes no hypertension no smoking.Echocardiography and ECG was also normal.

3 years ago

General Practitioner in Pakpattan - Dr. Kiran Farooq

kindly share reports of your father

General Practitioner in Gujar Khan - Dr. Muhammad Usman Shaikh

Tab Topamax 25mg 1 day

General Practitioner in Nowshera - Dr. Arif Zaman

if seizures start again then start epival for 2 years . also do EEG, MRI

Member

Post Owner


can we restart tablet?bcz now he is not taking.
isn't there any harmfull effects of starting again?

3 years ago

General Practitioner in Nowshera - Dr. Arif Zaman

u had already stopped it so if fits occurs again then only start & continue for 2 years & then tapper off

3 years ago

Member

Post Owner


amp?

3 years ago

General Practitioner in Nowshera - Dr. Arif Zaman

sorry its tapping mistake

3 years ago

General Practitioner in Gujrat - Dr. Shahzaib Fida

Patient having history of epilepsy can have an attack again at any time.so its best to consult with neuro physician before withdrawing the medication completely.

General Practitioner in Lahore - Dr. Mohammad Abid Shahwar

if there is 2 yr seizure free time, then no treatment is required. I think he shd continue epival 250 mg 1+1, tab ascard 75 mg 1 daily fr 2 yrs. I don't know if MRI was done or not.

Member

Post Owner


yes it was done in start...that was normal.

3 years ago

General Practitioner in Lahore - Dr. Mohammad Abid Shahwar

TIA & Epilepsy r diff conditions with diff treatment

3 years ago

General Practitioner in Karachi - Dr. Warda Maqsood

usually antiepileptics are only tapered off if the seizure free interval is 2 years. Chances of recurrence are 25 to 30% but vary from patient to patient. This should be discussed and decided by a neurologist alongwith detailed history, exam and relevant investogations so please consult one.

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