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Will The Discontinued Medicine Without Consulting A Doctor Cause Any Big Problem?
Hai I am Rajesh 42 years old
During 1991 - 94 I had fits very frequently. And my doctor prescied
Eptoin 100 mg 3 tablet in night
Valparin 200 mg 1 tablet in night
I was taking the above Medicine till 15 August
In 2003 I was diagnosed with hypertension / Highh BP and palpitation and the follow medicine was advised to take
I to had cholesterol
Nicardia r 10 mg
Calaptin 40 mg
Lipicure
Last month I had an stomach problem and consulted an gastroloust and adv tht I hv fatty liver may be because of eptoin / cholesterol tablet / Valparin
So without consulting the doctor I hv stopped eptoin and Valparin now whe I checked the below test
Therapeutic Drug Monitoring
Phenytoin (Serum/Chemiluminescence) 0.9
Time of last :
Therapeutic range: 10 - 20 ug/mli
I am little worried rage is vey low what should I do now is this cause big problem
During 1991 - 94 I had fits very frequently. And my doctor prescied
Eptoin 100 mg 3 tablet in night
Valparin 200 mg 1 tablet in night
I was taking the above Medicine till 15 August
In 2003 I was diagnosed with hypertension / Highh BP and palpitation and the follow medicine was advised to take
I to had cholesterol
Nicardia r 10 mg
Calaptin 40 mg
Lipicure
Last month I had an stomach problem and consulted an gastroloust and adv tht I hv fatty liver may be because of eptoin / cholesterol tablet / Valparin
So without consulting the doctor I hv stopped eptoin and Valparin now whe I checked the below test
Therapeutic Drug Monitoring
Phenytoin (Serum/Chemiluminescence) 0.9
Time of last :
Therapeutic range: 10 - 20 ug/mli
I am little worried rage is vey low what should I do now is this cause big problem
Mon, 12 May 2014
Hi,
Thank you for posting your query.
I have noted your details. It is not good to stop anti-epileptic drugs (AEDs) without doctor's advice. This is because you may have recurrence of fits.
I agree with the gastroenterologist that AEDs may cause liver damage, especially valparin (sodium valproate). However, we need to assess the risk of seizures in future. If there is a risk, then, you need to be on AEDs. A drug such as levetiracetam may be used, which is safe for liver.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Thank you for posting your query.
I have noted your details. It is not good to stop anti-epileptic drugs (AEDs) without doctor's advice. This is because you may have recurrence of fits.
I agree with the gastroenterologist that AEDs may cause liver damage, especially valparin (sodium valproate). However, we need to assess the risk of seizures in future. If there is a risk, then, you need to be on AEDs. A drug such as levetiracetam may be used, which is safe for liver.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
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