My sister 35 years old,suffering from chronic epilepsy for the past 15 years,behaves as though she bipolar, Aggressive,feels very great about herself, doesnt accept that she creates hell in the house.Shes on Encorate Chrono 500mg and levipil 500.She was given arpizol 10 some time ago,but she doesnt want to continue as she feels shes very normal.How do I treat her?
Hi, Thanks for using Chat Doctor. She has bipolar mood disorder along with epilepsy. You should consult your psychiatrist for detailed evaluation and management. Doctor may advise having some fresh investigations like CAT scan. She might be benefited by increasing the dose of sodium valproate (enc orate). Usual dose is 20-40 mg/day, but you must consult your doctor before increasing the dose. In some cases, Lithium may be required. Thanks.