Suggest Medication For Myoclonic Seizures

Posted on Sun, 13 Mar 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 13 Mar 2016 Answered on

Fri, 20 May 2016 Last reviewed on

Question : I am having tonic clonic and myoclonic seizures what are the best medications on the market right now for prescription medications to remedy the problem? I assure you that I will continue to ask you further questions on this particular answer if I am not certain or if I'm confused based on your answer please be in depth with your answer
Thank you for your response previously in the past I have found your response is helpful

Answered by Dr. Sudhir Kumar (5 hours later)

Brief Answer:
Sodium valproate is the best.

Detailed Answer:
Hi,

Thank you for posting your query.

Sodium valproate (brand name- depakote/depakine) is the best anti-epileptic drug, which can control both myoclonic and generalized tonic-clonic seizures. It is a broad spectrum drug and can be used long-term as monotherapy (single drug).

The second best option is levetiracetam (brand name-Keppra).

Other alternatives are clonazepam (Klonopin) and lamotrigine (Lamictal).

I hope this helps. Please get back if you have any follow up queries.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Sudhir Kumar (1 hour later)

they are using capital and McDowell and Klonopin right now however they're not quite controlling them the dose of Keppra is 1500 bid Lamictal 200 a.m. 300 p.m. and Klonopin .5 am and 1.5 milligrams p.m.

Answered by Dr. Sudhir Kumar (9 hours later)

Brief Answer:
Sodium valproate should be tried once.

Detailed Answer:
Thank you for getting back.

You are on fairly good (on the higher side) doses of current medications (keppra, lamictal and klonopin).

Since they are not controlling the seizures, you should try sodium valproate once. Kindly discuss the same with your treating neurologist

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Sudhir Kumar (4 days later)

hello sir my doctor said he has already tried that and it was an epic failure
What is the generic name for that medication I may have already tried it I was in the seizure precautions and still am on seizure precautions in the hospital? I had one on Friday of last week so he wants to know what the generic name for the brand name of that particular medication is a brand-new neurologist

Answered by Dr. Sudhir Kumar (6 hours later)

Brief Answer:
Brand names include Depakine, Depakote, etc

Detailed Answer:
Thank you for getting back.

The brand names for sodium valproate include depakine, depakote, valparin chrono, encorate chrono, valprol CR.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Sonia Raina