A.
If he is responding to Valparin, then the dose should gradually be increased till the seizures are controlled. A dose of 40-50 mg/kg can be reached if required get his liver function test (LFT) and platelet count done monthly till 3 months to monitor side effects. I have noted that children on Valparin tend to pass stools often in a day (give him an apple daily and avoid juices, colas, and too much milk), and occasionally bed wet at night.
As regards his behaviour, it is likely he is suffering from Attention Deficit Disorder with Hyperactivity (ADHD) - get a feedback from his teacher and ask the Clinical Psychologist to do a Connors Scale. But his reluctance to study may indicate that he is having problems with it and the problem could be a Learning Disability (LD), which occurs in up to 12% of school going children. Assessing for a LD is a must in your child's case. As a fact, you must insist with the psychologist to do the evaluation.
Some behavioural problems can occur with all antiepileptic medications. He may need medications to control his ADHD. It is essential that his management start early, as the classes will get tougher as he grows.
A few tips in the meanwhile:
- Child should sleep by 9 pm
- Restrict TV/Computer to one and a half hours/ day - cancel it if he doesn't study
- A fixed time when he has to study - studies for 1/2 hr and give a break, and then 1/2 hr study - the room should have no distractions like TV, phones, etc.
- Make him sit in the front of the class away from the window
- Cut down his chocolates, sweets, colas.
- Encourage him and applaud his good performances.