If a patient has repeated attacks of convulsions or abnormal EEG pattern, he should be put on regular anti-epileptic treatment. Tab. DILANTIN 100mg. 1 OD to 1 tds. Tab. Gardenal 60mg 1 HS to 1 tds. If Epilepsy is not controlled instead of Phenytoin, Give Tab. TEGRETOL 200mg ½ to 2 tds. If still not controlled. Tab. Mysolin 250mg ½ HS to 2 HS. Instruction to Epilectic patients: Do not miss the treatment even for one day. Avoid places where convulsions can be dangerous. E.g. Swimming, Driving vehicles, Climbing heights, Standing in train or bus doors, work near fire. Drugs to be continued for at least 5 years after the last fit, and then slowly tapered off over 6 months. If treatment is stopped suddenly, rebound may occur and patient may even go into status epilepticus. So stress repeatedly, the importance of taking treatment regularly. The treatment may be started with carbamazepine, instead of Phenytoin particularly in children to minimize neurological deterioration. Instruct all relatives about the possibility of recurring fits, If they see the patient getting convulsions, support him immediately and make him lie on the ground, Then put a spoon or wooden ruler between the teeth between the teeth and wait for convulsion to stop. If Patient has Petit Mal Epilepsy: Tab. Valparin 200mg 1-2 tds (Sodium Valproate) or Syp. Zarontin 1 tsp OC to BD or Cap. Tridione 1-2 tds (Trimethadiaone) Tab. Gardenal 15 to 60mg HS. Tab. Gardenal Tab. Mysolin Tab. Valparin Syp. Zarontin Cap. Tridione
DILANTIN TEGRETOL |