3. • REASON FOR ADMISSION : c/o Generalized
weakness with slurred speech since 3
days,fatigue,fever on and off from 3
days,constipation,cough,expectoration
• PAST MEDICAL HISTORY : k/c/o Epilepsy
• PAST MEDICATION HISTORY : Eptoin 100mg
9. ASSESSMENT
Based on Subjective and Objective evidence
the patient was assessed with “HEAD INJURY
with EPILEPSY “ and “HYPERTENSION”
10. GOALS OF TREATMENT
• To releive signs and symptoms
• To control or reduce the frequency and
severity of seizures
• To improve the patient compliance
• Maintaining or restoring quality of life
12. DRUG INTERACTIONS
• Amlodipine + Phenytoin
Amlodipine will increase the level or effect of
phenytoin by affecting hepatic /intestinal
enzyme CYP3A4 metabolism.
• Levetiracetam + Acetaminophen
Levetiracetam decreases levels of
acetaminophen by increasing metabolism.
• Phenytoin + Acetaminophen
Phenytoin decreases levels of acetaminophen by
increasing metabolism
13. PHARMACIST INTERVENTION
• No proper treatment is given to releive cough
and expectoration.
• Drug duplication is found (paracetamol and
T.Hifenac
• No proper inference is given regarding
investigations done like chest x ray and EEG.
14. PATIENT COUNSELLING
• Take medications regularly and properly as indicated.
• Avoid more salt intake into your diet.
• Drink plenty of water to keep body hydrated.
• Get enough sleep.
• Intake Ketogenic diet which involces low in carbohydrates and high
in protein and fats.
• Try relaxation or slow breathing exercises when anxious or if you
begin to hyperventilate.
• Avoid white products like white sugar,table salt,white rice
• Take Epsom salt bath (2/3 times per week)
• Do exerises regularly like walking for 45mins but stop and rest if you
feel tired
• Manage stress and avoid stressful situstions.
