Teenager. History of cerebral palsy and type 1 diabetes, seizures. Diagnosed epilepsy. Depression, mood swings after taking epilim. Any other medication?
Patient: Hi my son aged 19 with a history of cerebral palsy and type1 diabetes(diagnosed aged 16) has had 2 seizures within the last 8 weeks. He was diagnosed with epilepsy and started on epilim 500mg twice daily. His mood was not particularly good before the diagnosis of epilepsy as he was struggling to adjust to diabetes and the frustrations of cp. Since being on the epilim his mood has been very low and he has had an episode of acute anxiety. I feel that the epilim is making his mood worse and wondered are there any better drugs out there with better effect on mood eg lamictal? (i have read a little about this drug) Doctor: hi,epilim is very good for seizure, but before this first tell me about his seizure episode.which type of symptoms he had during seizure??is there history of tongue bite, incontinence of urine, unconsiousness, automatism, alter behavior during seizure??depend upon type of seizure if seizure are partial in nature then carbamazepine (mazetol) is also a very good option.and what about seizure control with epilim??? if seizure control is not good then patient may develop mood and anxiety symptoms, with change in medication it will subside within few days.if symptoms lasted for more than 15 days and more disturbing then antidepressant( sertraline ) and antianxiety (clonazepam ) will helpful.so please discribe type of symptoms during his seizure episode, then i will suggess other better medication for epilepsy.