A 65 year old family member has been taking dilantin and depakote for approx 40 years to control seizures caused by a head injury. This person still has seizures. The long term effects are memory loss, hand tremors, toxicity, huge loss of appetite causing weakness, falls, hospitalizations and injuries. Dilantin dose is decreased when toxicity occurs and then seizures occur. Is there another medication that would be helpful. Current appetite loss is of major concern.
Hello! Welcome to Chat Doctor ! There are many options nowadays for this type of situation, but it does require more detail about the SEIZURES themselves, their localization would also be helpful, and also some blood work to see the levels of the 2 Chat Doctor.  Many adjunctive options which will work well BUT ALL ANTI-SEIZURE