Assessment of Current Condition

• Evaluate the nature and frequency of the episodes since stopping Gardenal.
• Determine if these are seizure recurrences or withdrawal symptoms.

Importance of Medication Adherence

• Discuss risks of abrupt discontinuation, including seizure relapse and withdrawal seizures.

Diagnostic Evaluation

• Recommend EEG and possibly neuroimaging to assess brain activity and rule out other causes.

Management Plan

• Consider reinitiating antiepileptic therapy to control seizures.
• Explore alternative antiepileptic drugs if phenobarbitone is unsuitable.
• Plan a gradual tapering schedule if medication changes are needed.

Patient and Family Education

• Emphasize medication adherence and regular follow-up.
• Educate about seizure triggers and safety precautions.

Referral and Follow-up

• Suggest referral to a neurologist or epilepsy specialist.
• Schedule close follow-up to monitor treatment response and adjust as needed.