Asked by Ram Prasad Pokhrel

on 29/5/20

मैले यो Clobazam 5 mg औषधि 5 महिना देखि दिनको दुई पटक खाइ रहेको छु। मलाई at least 40 Second वा सो भन्दा short duration को टाउको मा extreme strange difficulty हुने र 40 second पछि सब normal हुने र दिनमा 6/7 पटक वा सो भन्दा बढी repeat भइ रहने समस्या थियो र MRI गर्दा report "1. Ring shaped cortical/ subcortical lesion with eccentric dot and blooming on SWI and calcification on phase images in the left hippocampal formation with minimal peripheral gliosis/edema. Findings represent calcified granuloma most likely related to neurocysticercosis. Other diagnostic consideration is tuberculosis. 2. Mild increased signal and volume loss of the left hippocampus as compared to the right. Findings are suggestive of left mesial temporal sclerosis. Clinical correlation is suggest " र VEEG गर्दा "Abnormal : IEDs : Left anterior temporal ( Abnormal VEEG record )" थियो त्यस पछि Doctor ले Clobazam सुरु गरे पछि 4 महिना सम्म यो टाउको मा हुने 40 second जतिको strange repeated difficulty हुने समस्या ठिक भएको थियो तर अहिले अहिले 15 दिन देखि सोही समस्या पुनः पुरानो किसिमले भइ रहेको छ, औषधि बिहान साझ continue खाइ रहेको छु तर पनि समस्या ठिक भएको छैन। म Kathmandu देखि उपचार गरि रहेको थिए तर अहिले म Arghakhanchi जिल्लामा छु र अहिलेको परिस्थितिले गर्दा regular follow up check up गर्न Kathmandu जान सम्भव छैन। दिन दिनै टाउकोमा time to time, repeated short duration difficulty ले एक दम गाह्रो बनाएको छ, अहिले को अवस्था अनुसार कुनै सम्भव विकल्प केही छ होला ? के गर्दा उचित होला ? केही सल्लाह को अपेक्षा गर्दछु।

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Thank You so much Doctor. I will do as your suggestion.

Answered on 31/5/20
Dr. Ghanshyam Kharel

Neurology (MBBS, MD, DM), 14 Years of practice

yes....morning 5mg one tab and evening 2 tab

Answered on 30/5/20

It means sir now I need to take 5 mg clobazam at morning and 10 mg at evening. But now I have only 5 mg clobazam medicine. So can I take 2 clobazam 5 mg tablet medicine at night for 10 mg ? this will be okey or risky sir ? please suggest me.

Answered on 30/5/20
Dr. Ghanshyam Kharel

Neurology (MBBS, MD, DM), 14 Years of practice

Ramji, increase to of clobazam to 5mg in morning and 10mg in evening. if problem persist, consult again.

Answered on 30/5/20

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