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| One of the most important steps in managing epilepsy is good communication with your doctor. Because there are many treatments to choose from, he or she needs as much information as possible to recommend the best options. Working together to identify side effects and diagnose seizures types and patterns could make a significant difference in your quality of life. |
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| To help get you started, print out the following questionnaire, complete it and discuss it with your doctor. The answers you provide can help your doctor diagnosis and recommend the best treatment available. |
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| Your Medication |
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| Are you happy with your current epilepsy treatment? |
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| Are you still experiencing seizures? |
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| Are you taking a birth control pill? |
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| What type of anti-epileptic drug(s) are you using? |
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| Your Seizures |
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| How frequent are your seizures? |
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| What types of seizures do you have? |
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| Self-Examination |
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| All medications have side effects. Keeping track of yours can help your doctor provide better diagnosis and treatment. Let your doctor know if you have experienced any of the following side effects since your last visit: |
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| Irritability |
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| Psychotic episodes |
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| Depression |
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| Restless feelings |
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| Feelings of reclusion |
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| Hopeless feelings |
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| Difficulty concentrating |
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| Nervousness/Agitation |
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| Feelings of loneliness |
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| Inability to sleep |
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| Fatigue |
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| Weight gain or loss |
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| Acne |
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| Change in hair growth or loss |
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| Trouble with mouth or gums |
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| Coordination problems |
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| Vertigo/Dizziness |
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| Double or blurred vision |
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| Memory loss |
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| Uncontrolled actions |
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| Difficulty finding the right word |
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| Digestive problems |
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| Nausea |
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| Tremors |
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| It's also important to notify your doctor of any significant physical changes, such as: |
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No |
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| Irregular menstruation |
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| Planning a pregnancy |
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| Going through menopause |
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| Beginning puberty |
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