First of all we need to review old reports which point out to the diagnosis of JME. Well, levipill though not the drug of choice is very well indicated in JME. Dose titration depends on body weight, clinical improvement and side effect profile. Nocturnal jerks need not always be pathological. We need to review the symptomatology of nocturnal jerks in detail if they are significant
Next Steps
Fix an appointment with neurologist
Health Tips
Continue to use anti epileptics ( levipill ) till further consultation. Have adequate sleep ( 7-8 hrs)