Why did increasing Eptoin dosage cause dizziness and visual problems?
Patient: I am 30 years old boy and have seizure problem from last 3 years. Doctor suggest me Eptoin 100 mg (3 tablets) per day. Since last 2 years I have no problem and do my regular jobs and doctor also suggest me to take 200 mg daily. But recently before 15 days I have another attack and doctor suggest me to take 300 mg daily sir, after increasing the dosages I have some problems like shades on my left side of eye and feel weekness and i feel the attack will repeat. Sir please suggest me what I have to do. Doctor: Hello,You may experiencing the aura (symptoms before attack). Eptoin intake for long term may lead to encephalopathy, psychosis, locomotor dysfunction, hyperkinesia, megaloblastic anemia, decreased serum folate level, decreased bone mineral content, liver disease, IgA deficiency, gingival hyperplasia, and a lupus-like hypersensitivity syndrome etc. Hence, please consult with your neuro-physician he will examine and take EEG then treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further.  Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist