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Suggestion to restart medicine
Subject: Recurrent Seizure – Guidance Required
I am 30 years old male, currently posted in Leh, Ladakh on duty. Neurologist is not available here. I need your guidance regarding seizures.
My seizure history:
First seizure – January 2021
Second – May 2021
Third – 1 January 2022
Latest – 10 days ago
In my last episode (10 days ago), I had:
Sudden blurred vision and darkness before the event
Gradual dizziness
Loss of consciousness for around 15 minutes
Teeth clenching and body stiffening
Memory loss for about 5 minutes after regaining consciousness
MRI and ECG were reported normal earlier. After the 1 January 2022 episode, I took Levetiracetam 500 mg for about 5 months and then stopped on my own as reports were normal.
Recently, I had been consuming alcohol regularly for 2 weeks before this latest seizure. I have now completely stopped alcohol.
Currently, neurologist is not available here.
Kindly advise:
1. Should I restart Levetiracetam?
2. What dose should i take?
Answers (1)
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Typically for a Breakthrough seizure like in your case, ( previously on Levetiracetam), We start with same old drug - Levetiracetam with slightly higher dose than normal.
U can start it at Levetiracetam 500mg and tapper gradually over 2 years.
But, you need to start after proper evaluation of history by a qualified Neurosurgeon/ neurologist
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.