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  5. I have epilepsy, with most seizures occurring around midnight. Despite taking Valance OD 1g Tablet and Torleva XR 750 Tablet for 13 years, my seizures have increased over the last three years. What alternative treatments or management options are available?

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I have epilepsy, with most seizures occurring around midnight. Despite taking Valance OD 1g Tablet and Torleva XR 750 Tablet for 13 years, my seizures have increased over the last three years. What alternative treatments or management options are available?

Asked by Male, 42 · 3 months ago

Dr S Aneela

Dr S Aneela

M. Pharm (Pharmacology)., PhD

3 months ago

Since your seizures have increased despite long-term use of Valance OD 1?g Tablet (Divalproex) and Torleva XR 750?mg Tablet (Levetiracetam), you should consult your doctor or neurologist for a reassessment. Your doctor may suggest adjusting your current medications, switching to newer anti-seizure drugs, or exploring other treatment options such as vagus nerve stimulation, a ketogenic diet, or epilepsy surgery, depending on your type of epilepsy and test results.
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What are the side effects of alternative epilepsy medicines?How effective is vagus nerve stimulation for seizures?Can diet changes help control my seizures?What are the risks of epilepsy surgery?How often should I have follow-up tests for epilepsy?

  1. Review Current Treatment

    • Evaluate the effectiveness of Valance OD and Torleva XR. Consider timing of seizures and potential need for dose adjustment.

  2. Diagnostic Reassessment

    • Recommend advanced diagnostics like EEG or MRI to identify any changes in seizure focus.

  3. Medication Adjustment

    • Discuss switching to or adding other medications such as Lamotrigine or Brivaracetam.

  4. Alternative Therapies

    • Consider ketogenic diet, vagus nerve stimulation (VNS), or responsive neurostimulation (RNS).

  5. Surgical Evaluation

    • If seizures are focal and drug-resistant, explore surgical options with an epilepsy specialist.

  6. Lifestyle Management

    • Focus on sleep hygiene, stress reduction, and avoiding known triggers.

  7. Multidisciplinary Care

    • Engage with neurologists, dietitians, and counselors for comprehensive management.

  8. Regular Follow-up

    • Ensure ongoing monitoring of seizure control and medication side effects.

Answered 3 months ago