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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Complex Partial Seizures In A Child

my son aged 5 1/2 yrs has been on tegretol and encorate to help him with his complex partial seizures. Tegretol, 10ml, 3 times a day and encorate 7.5ml twice a day. We had reason to believe that encorate was not such an effective drug and are in the process of tapering it down. We have reached 6ml twice a day. His attacks tho have suddenly increased, frequency and intensity. Does this mean that we have to go back to 7.5ml. We came down to 6ml, only .5ml at a time. Which means that we were on 7ml for 15 days, then 6.5ml for 15 days. Only when we reached 6ml is when his frequency has increased. Should we then go back to 6.5 or 7ml?
posted on Thu, 13 Mar 2014
Twitter Sat, 11 Apr 2020 Answered on
Twitter Tue, 14 Apr 2020 Last reviewed on
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Pediatrician,  's  Response
Hi,

Both Valproate / encroate and tegretal (carbamazepine) are a good choices in complex partial seizure. I am not aware about the reason for interchange. Anyhow, if the seizure was well controlled on 7.5ml encroate, I would recommend to revert back to the same dose (tegretal to be continued as such) and review with your doctor for further decision making.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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Suggest Treatment For Complex Partial Seizures In A Child

Hi, Both Valproate / encroate and tegretal (carbamazepine) are a good choices in complex partial seizure. I am not aware about the reason for interchange. Anyhow, if the seizure was well controlled on 7.5ml encroate, I would recommend to revert back to the same dose (tegretal to be continued as such) and review with your doctor for further decision making. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician