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What are the substitutes for Levipil for my ADHD child with epilepsy? He has been on Risperidone and Levipil since April 2016 but shows irritability.

Asked by Female, 46 ยท 1 month ago

For a child with ADHD and epilepsy who is taking Levipil and Risperidone but shows irritability, it is important not to change medicines on your own, as seizure control must be maintained. Discuss your concerns with your pediatric neurologist, who can adjust medications safely to reduce irritability while keeping seizures under control.
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  1. Substitutes for Levipil (Levetiracetam-500mg)

    • Consider alternatives like:a. Valproate (e.g., Depakote)b. Lamotrigine (e.g., Lamictal)c. Carbamazepine (e.g., Tegretol)d. Oxcarbazepine (e.g., Trileptal)
  2. Considerations for ADHD and Epilepsy

    • Coordinate treatment with ADHD management and Risperidone use.
    • Monitor for mood and behavior changes.
  3. Next Steps

    • Consult the neurologist or psychiatrist before changing medications.
    • Consider additional therapies to manage irritability.
  4. Medical Specialties Involved

    • Neurology and Psychiatry for comprehensive care.
  5. Monitoring Recommendations

    • Follow-up EEG and mood assessments may be needed during medication changes.

Answered 1 month ago

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