Qny Suggestions?

[Candy1962]

I'm a 48 yr old black female who began having seizures 7-8 yrs ago. they have increased to about 1 time a week.  I'm taking 750 mg of Keppra and Dilantin 100mg 2 x a day. Any suggestions

[Dr Sharma]

Hi there. Since your frequency of seizures has increased you need to have a fresh evaluation of your neurological function clinically, with a recent MRI brain and an EEG. The antiepileptic drugs need to be checked for a dosage modulation, assessment of adverse effects due to chronic usage over years like megaloblastic anemia, gingival hypertrophu and osteomalacia with phenytoin.
Take care.

[Londres70]

Have you had any recent imaging done of your head, i.e. CT or MRI?  

Are your dilantin levels therapeutic? (this is a lab).