Talk to Neuro Physician on Epilepsy
Asking for Brother, Male, 20 years old, karachi
my younger brother had a colostomy surgery in 2011 since then he is facing severe epilepsy problem. he is taking epival 250 mg twice daily but problem still there. he has some intestinal issues for which he has to go through anesthesia almost every six months. after anesthesia he has severe attack of epilepsy.
Dr. Gohar Ali - Neuro Surgeon
MBBS, FCPS | Peshawar
Well there is no such direct connection of colostomy with epilipsey however things happens.. epival 250 mg is quite low dose for a 20 yrs old male..u should increase the dose to 500 mg twice daily 12hourly. It wil solve the problem IA.
Regards
MRI brain with contrast should be done
if these epileptic fits only occur during aneasthesia he must take some stress done durin ths anaesthesia , otherwise if such episodes also occur in between he must have to increase the dose as he is already taking vsey low dose of epival
Member
Anonymous User
Dear
Seizures can be control
But he is not on proper medication
Member
what u suggest about his medicines? he was born premature. i think now at the age of 20 his brain health is at 18 years of age.. and anesthesia given every six months is not good for him you know. but he has to through this. i want his fits to be controlled properly and also his brain health must be good enough to tolerate this anesthesia.
1 month ago
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Member
a doctor checked epival level in his blood then given 250 mg twice. i want to know can i increase his dose now? and he doesn't sleep at night. taking rivotril 0.5 mg but still doesn't sleep. u said there isno connection with colostomy but he has to go through anesthesia after that he faces severe attacks. what's the reason for that? kindly tell me epival dose again and also a medicine in replacement of rivotril.
1 month ago
MBBS, FCPS | Peshawar | Book Appointment
If the fits are not controlled forget about the blood levels.. give 500 mg 12 hourly.. u can safely switch to tab Lerace (leviteracetam) 500 mg 12 hourly with less side effects. Continue revotril at night..meanwhile try alp .5 mg at night for sleep
1 month ago
Member
i forgot to mention.. previous doctors say he is a cp child.. therefore doses should be given very carefully. is alp suitable for him? before colostomy he didn't had fits problem like now.
1 month ago