Q: I am a 46 years old man suffering from erectile dysfunction and epileptic seizure for the last 20 years. The problem started with me after my marriage due to the indifferences with my in laws. I started consuming alcohol but EEG every time came negative. I am taking Tegrital 200 mg, Prothiaden 75 mg and Restyl 0.5 or 1 mg. Is there any anti-depressant, which can be given in combination along with Prothiaden 75 mg? Please suggest.

A:Tegrital (carbamazepine) is being prescribed to control epilepsy. However if no seizures occur for three consecutive years, then an attempt is made to withdraw the medication. Prothiaden (dothiepin) should not be given to patients of epilepsy because it increases the risk of seizures and reduces the efficacy of anti-epilepsy drugs. Prothiaden also causes impotence. Restyl (alprazolam) is not supposed to be taken for long durations. It is to be used only for short periods, say 5-7 days. Restyl also causes sexual dysfunction and impairment of libido. Tegrital is also an anti-depressant in addition to being an anti-epileptic.