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DrRussMD, Board Certified MD
Category: Neurology
Satisfied Customers: 65671
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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I have been on escitalopram from 2005 in 2011 this was changed

Customer Question

I have been on escitalopram from 2005 in 2011 this was changed by my gp to sertraline 50mg due to panic attacks after a diagnosis of cauda equina syndrome.
I have also been on gabapentin for nerve pain since 2011.
Recently in oct 2014 I suffered a seizure whilst out shopping.
Though I have not had a seizure involving loss of consciousness since
I suffer regular nsusea and dizziness which my neuro described as episodes.
I have had an mri and eeg which both were normal.
My neurologist has diagnosed epilepsy.
The episodes I have been having can last for hours and as mentioned do not
Involve loss of conscience but I feel really unusual and weird and sometimes have
A headache and my feet clench a little.
I have been told to take keppra 250mg twice daily but am reluctant at this stage.
I an unsure the diagnosis based on one seizure and episodes since can be attributed to
Epilepsy so easily and am worried in case itvis something else.
Submitted: 3 years ago.
Category: Neurology
Expert:  Shantal-Mod replied 3 years ago.
I'm Shantal and I'm a moderator for this topic.
I've been working hard to find a Professional to assist you with your question, but sometimes finding the right Professional can take a little longer than expected.
I was checking to see if you had already found your answer or if you still need assistance from one of the Professionals.
Please let me know if you wish to continue waiting or if you would like for us to close your question?
Thank you,
Expert:  DrRussMD replied 3 years ago.
We do not diagnose, treat, or replace your doctor on this site.
We answer questions.
Although you have not asked a specific question, I will assume you are asking is there a better way to confirm the diagnosis prior to using the medication.
Yes, you should have a sleep deprived EEG.
If this is an odd seizure, it might not show up on regular EEG.
A sleep deprived EEG has more yield.
OK, so that is an initial answer….
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.