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Dr. Andrew Rynne

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Blood Clot, Fracture In Brain After Accident. Side Effects With Eptoin, Levipil. Medication To Follow?

hi i am a software engineer, 29 year old. I met with an accident 1 month back and my head was injured with blood clott and fracture at right side of my brain. After 2 weeks of bed rest my doctor said i was doing ok, and they insisted me to take eptoin tablet. Initially i had the side effects like lymph noids around my throat and repeated fever , later on consulting my doctor they told me to stop eptoin tablet and told me to take Levipil 500 mg twice a day in morning and evening. After i started taking the Levipil , i feel disinterested in what ever the work i do and feel bit tired and moodiness. As i am now in software field this is affecting my work and career. How much ever i try to concentrate on my work its going way worst. can somebody give me some suggestion which would help me a lot at this moment, as i am becoming mentally disturbed because of all these things.
Sat, 9 Feb 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

As you did not have fits or seizures after the accident, and about one month has passed after the head injury, you do not require long term anti epileptic drugs.

I think you should stop levipil now. Levipil is known to produce behavioural side effects.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad
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Dermatologist Dr. Neera Kataria's  Response
Thanks, these minor symptoms can be because of Levipil. You have not mentioned if you had seizures/fits after the head injury? In case you never had fits Levipil can be stopped after consulting with your treating doctor. In case your doctor wants to continue anticonvulsants, request him/her to change to some other drugs such as Sod valproate/lacosamide/oxecarbamazepine etc.
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Blood Clot, Fracture In Brain After Accident. Side Effects With Eptoin, Levipil. Medication To Follow?

Hi, Thank you for posting your query. As you did not have fits or seizures after the accident, and about one month has passed after the head injury, you do not require long term anti epileptic drugs. I think you should stop levipil now. Levipil is known to produce behavioural side effects. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad