Posted by: Waters | 2004/10/20



Hi Doctor

I have been studying the causes, symtoms and treatments of epilepsy since my own son was diagnosed with it. I have also visited your site for the first time tonight and have scrolled down all the letters of concerned parents.

In the case of parents Ian and Cathy with their 3yr old son taking Epilim 300, 2,5ml 3 times per day, I personally find it extremely high as dosage, from a layman's perspective. Just by reading the leaflet in the medication's box, you can find overdose results, which tend to comply with the problem that they mention.

I do agree with your answer that you should stick to one paediatrician who knows your child's history as far as their medical situation is concerned, but should they not get a second opinion as far as the volume of a central nervous system medication is applicable?
(Please see this only as a layman's opinion, I am not a doctor, or close to it, I am just a parent struggling with a child with epilepsy, while having heartfelt sympathy with other parents with the same heartbreaking situations.)

With kind regards and concerns

Expert's Reply



Thank you for your opinion and it is true that one cannot be too carefull with drug dosages. The optimal Epilim dosage may range between 20mg/kg/day to 40mg/kg/day, but it is the responsibility of the treating physician to identify the optimal dose. The doctor that has all the patients detail and record of previous treatment are usually in the best position to make this judgement, but obviously one is always free to get a second opinion.

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