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What are the chances that my seizures will recur?

Q: I am 28 years old and diagnosed with GTCS - seizures 2 months back. I have been using Oxetol 300mg 1-0-1. After 2 months, the neurologist reviewed my condition and told me that everything is normal, but continue the medication for another 2 months. The seizures did not repeat in these 2 months. Is there any thing to worry about? Is there a chance for the seizures to repeat? For how long should I take medicines?

A:You have not given adequate details such as how many times you have had seizures, the results of neurological examination and EEG apart from any positive family history etc. In any case based on the information supplied, I will try to answer your enquiry. The drug of choice in Generalized, Tonic-Clonic Seizures is valproic acid preferably a controlled release brand such as Valcontin 200mg or Valcontin 500mg daily to remain effective for 24 hours. Oxcarbazepine sold under various trade names such as Oxetol is indicated in Partial Seizures with/without secondary generalisation. Once recurrent seizures have occurred, the chances of a repeat attack are quite high: up to 70% if medicines are not given. It is too risky. An attack free period of two months with medication is too short. Depending on a number of factors, the attack free period should be a minimum of one year though in most cases we prefer three years and sometimes even five years. Till then medication must continue. There is absolutely no cause for worry if you take medicine regularly without fail. There is a great risk of seizures if medication is interrupted even for 1-2 days.

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