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What Causes Weight Gain While Frisium And Tegrital?
Question: I got NCC in childhood and got a seizure after 13 years , now I am on Tegrital 900 mg + Frisium 20 mg, I am not able to reduce my weight (92.5 kgs with 6 feet height),can the medicines be a problem , for how long do I need to take them , it has already been 1.8 years since I am there medications.
Brief Answer:
Continue drugs and repeat imaging before tapering drugs under guidance
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Seizures due to NCC if controlled well for 2-3 years can be managed without medication.
The weight gain may be due to hypothyroidism.
The drug dosage required is higher according to weight.
At present if seizures are well controlled, frisium can be tapered and stopped.
Tegrital should be attempted to be tapered after 2 years with a repeat imaging and EEG.
Drugs may also cause mild weight gain but in presence of hypothyroidism, drug should not be held responsible.
Hope you found the answer helpful.
Do get back to me for further queries.
Dr N Kumar
Neurologist
Continue drugs and repeat imaging before tapering drugs under guidance
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Seizures due to NCC if controlled well for 2-3 years can be managed without medication.
The weight gain may be due to hypothyroidism.
The drug dosage required is higher according to weight.
At present if seizures are well controlled, frisium can be tapered and stopped.
Tegrital should be attempted to be tapered after 2 years with a repeat imaging and EEG.
Drugs may also cause mild weight gain but in presence of hypothyroidism, drug should not be held responsible.
Hope you found the answer helpful.
Do get back to me for further queries.
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Yogesh D
Doctor attached my latest MRI report, my neurologist said that the cyst might need reduce furthur in size 3.3*2.7mm , do i need to take the anti epileptic drugs for lifetime then?
Brief Answer:
Continue medications and repeat imaging after 1 year
Detailed Answer:
Hello XXXXXXX
I have gone through your MRI report.
According to me, you need to continue medications and get repeat imaging after 1 year from this MRI. Since the lesion is present with superficial location near cortex and associated with perifocal edema, the possibility of seizure recurrence can not be ruled out.
In most cases, the drug may be required for 3 years. NO need for lifelong therapy.
Try to avoid food stuff or fast foods having raw cabbages, salads, spinach. Avoid eating radish or carrots without peeling it nicely.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist
Continue medications and repeat imaging after 1 year
Detailed Answer:
Hello XXXXXXX
I have gone through your MRI report.
According to me, you need to continue medications and get repeat imaging after 1 year from this MRI. Since the lesion is present with superficial location near cortex and associated with perifocal edema, the possibility of seizure recurrence can not be ruled out.
In most cases, the drug may be required for 3 years. NO need for lifelong therapy.
Try to avoid food stuff or fast foods having raw cabbages, salads, spinach. Avoid eating radish or carrots without peeling it nicely.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Prasad
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