Attention Epilepsy Patients and Families.
Dear epilepsy patients, thank you for your trust in us. Although epilepsy is a difficult disease to treat, as long as there is good cooperation and communication between the patient, family and doctor, and after regular, regular treatment, the majority of seizures can be well controlled or eradicated, and most patients heal well. Please read the following carefully.
Medication
1, during the medication period, your condition may recur, please do not terminate the treatment for a single seizure, you should contact us in a timely manner and inform us of the patient’s condition in order to establish an individualized treatment plan for the patient;
2. Never reduce or stop taking each medication at random;
3. Add or subtract medications must be done under the guidance of a specialist;
4. Never miss a dose of medication;
5. Regular antiepileptic drugs (whether Chinese or Western) are relatively safe, but all drugs may have side effects, so please read the instructions carefully before using the drugs; make sure that you or your family members fully understand the contents of the instructions before starting to take the drugs;
6.After taking the drug, if any adverse reactions occur, you should promptly consult a doctor or inform us; (for example: rash, itchy skin, unexplained fever, significant loss of appetite, etc.)
7.After taking the drug for one month, the blood routine, liver and kidney function tests should be performed according to the situation;
8. Do not take the so-called pure Chinese medicine: tablets, capsules, pills and powders at will. Most of these so-called pure Chinese medicines have cheap western drugs, and some of the so-called pure Chinese medicines without side effects even have 4~5 cheap western drugs (mostly Valium, sodium phenytoin, phenobarbital, carbamazepine, etc.), which have great toxic side effects and can easily lead to the formation of intractable epilepsy, making the regular treatment ineffective.
The following foods and drugs are inappropriate.
1, various types of alcohol and alcoholic beverages, mash;
2, strong tea and beverages containing caffeine and excitatory ingredients, such as: coffee, Coca-Cola, Pepsi, very cola, Red Bull drinks, Sanle syrup, life one, onli one, etc.;
3, do not take the following drugs when you have a cold.
1) anti-cold medicines containing paracetamol, such as: ketamine, cold clear, cold pass, cold spirit, fast-acting cold capsules, silver warp vitamin C, Likshu, Tylenol, (new) Contec, etc.
2) Cough medicines containing opioids, codeine or paracetamol, such as: compound licorice tablets, strong cough syrup, federal cough syrup, Chili cough syrup, rock cabbage, etc.
3) Caffeine-containing antipyretic and analgesic drugs, such as: APC (compound aspirin), depot tablets, etc.
4) Do not intravenous drip penicillin (can be taken orally and intramuscularly).
4, a variety of weight loss drugs ;
5, Chinese medicine of ephedra, poppy husk, epiphyllum, etc. ;
6, should not watch TV and gaze at the fluorescent screen of computers and game consoles for a long time. When watching TV, you should try to stay away from the TV and change the channel with the remote control. It is best to wear a pair of light filtering glasses (especially for occipital lobe epilepsy);
7. Pay attention to avoid staying up late and being overly tired (especially in patients with primary epilepsy).
In case of cold, the following drugs can be used according to the needs of the condition.
Aspirin, paracetamol, paracetamol preparations, various antimicrobials (such as: anti-inflammatory tablets, penicillin V potassium tablets, Yandi, haloperidol, vincristine, etc.), Yin Chai punch, antiviral punch, anti-inflammatory tablets, must be cushioned, Chuanbei cough syrup.
When you see someone or your relative fall to the ground and have a generalized twitching attack, the right thing to do is to
1. Stay calm;
2, place the patient in a lateral position, so that the secretions in the mouth can flow out of the mouth during the attack, without backing up into the respiratory tract and causing asphyxiation;
3. Loosen the patient’s collar and trouser belt to avoid further restriction of breathing by these things;
4. Move things around the patient that may cause damage to the patient, such as fires, water bottles, glassware and tables and chairs away from the seizure site; if possible, stuff something light and soft, such as a pillow, clothing, etc. under the patient’s head to avoid bruises or abrasions during a seizure;
Be careful not to do the following things.
1. Do not insert anything into the patient’s mouth, especially hard openers, spoons, etc. Because the patient’s teeth are tightly closed at this time, it is difficult to stuff things into their mouths, hard line into the plug, it is possible to pry loose teeth;
2. Do not put your finger into the patient’s mouth, otherwise you will bite your finger. If possible, insert a hand towel or washcloth between the patient’s upper and lower teeth when the patient opens his mouth to prevent the patient from biting his tongue;
3. Do not press the patient’s hands and feet hard with your hands, as this is unlikely to reduce the intensity of the attack. Sometimes improper force may also cause soft tissue injury or fracture to the patient.
4. Do not use your fingernails to pinch the person excessively to avoid local tissue damage; most patients’ seizure intensity will diminish on its own and gradually calm down;
5, when the patient is tonic, do not do mouth-to-mouth artificial respiration;
6, seizures in 10-15 minutes or less, do not panic to send to the hospital emergency; if the patient seizure time lasts more than 15 minutes, should be sent to the hospital immediately, because this seizure too long convulsions, may need to inject antiepileptic drugs to control;
When the seizure stops, the brain is in a post-ictal resting state and the patient may appear to be unconscious and think sleep. This post-ictal state may last 10-15 minutes or several hours, at which time the patient should be allowed to rest quietly to facilitate the recovery of his or her brain function. The patient should be guarded until the patient is awake. If there is no abnormality after the seizure, the patient should be encouraged to carry out daily work and study.
Common sense of medication for chronic epilepsy
In clinical work, I often encounter situations where patients and their families ask me, “Doctor, prescribe the best medicine, no matter how expensive it is.” We often reply habitually, “Of course, prescribe the best, but not necessarily the most expensive is the best.”
So, what kind of medicine is the best antiepileptic drug? For every person with epilepsy, a drug that can completely control his/her seizures without significant toxic side effects and is inexpensive is clearly the best drug. However, to date, there is no single drug that can have this effect on every patient. The type of seizure, the response to the medication, the age of the patient and the length of time the medication has been taken are all factors that should be considered for each patient. For example, children who have only occasional facial twitching on one side of the mouth at night respond very differently to the same medication than those with complex partial seizures caused by hippocampal sclerosis.
Therefore, proper drug treatment depends on the cooperation of doctors and patients, accurate diagnosis, proper drug selection, and timely monitoring; it also depends on the patient’s understanding of the drugs used, taking the drugs regularly, keeping detailed records and descriptions of the various reactions to the drugs, and cooperating with doctors to make necessary and timely monitoring.