What Can Cause Dizziness, Blackout And Restlessness After Changing Dosage Regimens Of Eptoin And Encorate Chrono?

Posted on Wed, 22 Aug 2018

Question: Hi Doctor my maid 21 years of age had some cystic problem in head 2 years back and since then she is on epileptic medicine. 2 weeks back her doctor has increased dose of eptoin to 3 from 2 and decreased dosage of encorate chrono to 200 from 300 but since then she complaining dizziness.. blackness .. restlessness. then doctor stopped eptoin and introduced lavera with encorate and also chloba ..prescription is enclosed... it's 2 days with changed medicine but situation is same now since yesterday doctor has reduced chloba to 1. her situation is better but not ok. can you please advise if it sok.

Answered by Dr. Neeraj Kumar (55 minutes later)

Brief Answer:
Continue treatment as advised.

Detailed Answer:

Hello,

I have gone through your question and report and understand your concern.

The cause of seizure is not clear with prescription and old CT or MRI report may be required.

Drugs for seizure control is required.

Uncontrolled seizure requires increase in dose or change in drug.
Eptoin dose increase lead to side effects and needs to be stopped.

Valproate related PCOS has occurred and so it also needs to be stopped gradually.

Levetiracetam and Clobazam is ok and can be continued as suggested.

20 mg of Clobazam may cause some fatigue and sedation and should be 10 mg .

Levetiracetam can cause concentration and memory issues along with some behavioral symptoms like agitation.

Report to doctor if such symptoms occurs.

Hope you found the answer helpful.

Do get back to me for further information.

Regards.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Neeraj Kumar (6 hours later)

hi .. yes in fact it's the plan of doctor also to gradually stop encorate and keep lavera. she is taking clobazam 5mg only in night since yesterday ... if clobazam is causing sedation ...can we try stopping it from tonight and give only lavera and encorate

Answered by Dr. Neeraj Kumar (23 hours later)

Brief Answer:
Do changes as advised.

Detailed Answer:

Hello,

Yes, you can do that.

Stop Clobazam.

Regards.

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

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

Thanks..I will stop cloba as suggested by you...

Answered by Dr. Neeraj Kumar (1 hour later)

Brief Answer:
Wishing her speedy recovery.

Detailed Answer:

Hello,

Feel free to review again if some symptoms occur.

Take care.

Dr. Neeraj Kumar , Neurologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee