Patient's question:
The child has been taking oxcarbazepine for 16 days, half a tablet in the morning and one tablet at night, and Depakine 5ml in the morning, 4ml at noon, and 5ml in the evening. However, the condition is not well-controlled. Last night, upon waking up, she suddenly experienced hallucinations and auditory hallucinations, shouting that she was very scared and asking her parents to hold her. What should we do?Doctor's answer:
Do not stop taking medication casually. The process of discontinuing medication should be gradual. Patients with obvious neuroimaging abnormalities and neurological deficits have a significantly higher recurrence rate. The treatment of epilepsy involves maintaining complete seizure control, and if no adverse reactions occur, medication should be continued for 3 to 5 years before considering discontinuation. Currently, it is recommended to use a single drug, and only after confirming that monotherapy has failed should a second drug be added.