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Hello and thank you for your question.
Clear fluid was coming out from nose?
okay. The clear liquid or fluid that you have ,mentioned can be saliva which would occur when one has a seizure activity.
So I would suggest to have EEG to evaluate further. Moreover was you had lack of sleep which is a major trigger of a seizure activity.
So if you get evaluated that you had a seizure activity than yes you may need higher dosage of the medication or change the medication which can help prevent seizure activity.
Please get back to me if you have any further questions. Thank you.
I know tiredness is a trigger but not a big trigger. I will now be taking care more and look into your advice. Thank you for helping. Bye.