Hello,
Yes, Tab. DVENIZ 50 mg (likely an antiepileptic such as sodium valproate/levetiracetam, depending on brand) and Nexito Forte (escitalopram + clonazepam) can be prescribed together, especially after meningioma excision, but with caution.
About drowsiness:
Yes, drowsiness can occur, particularly because:
Clonazepam (in Nexito Forte) is sedating
a. Post-brain surgery patients are more sensitive to CNS medications
b. Antiepileptics themselves can cause sleepiness, fatigue, or slowed thinking, especially initially
What to keep in mind:
a. Initial drowsiness is common
b. This usually improves over 1–2 weeks as the body adjusts.
c. Monitor for excessive sedation, such as:
- Excessive sleep
- Confusion
- Poor balance or falls
- Slurred speech
If present → dose adjustment is needed
Timing helps
Nexito Forte is usually better taken at night
Antiepileptic timing should follow neurologist’s advice
Do NOT stop or change doses on your own, especially after brain surgery.
Coordination between neurologist & psychiatrist is important
This ensures seizure prevention, mood stability, and minimal side effects.
Next Steps
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