Conversation: The conversation between human and AI assistant.
[|Human|] hi doctor i am suffering with a calcified granuloma in the frontal lobe for the past two years. i am on t. eptoin 100mg bid. getting recurrent attacks of headache and seizure. do i need to change the anti epileptic drug or to manage. what drug would you suggest?
[|AI|]  Hello, You are not under good control for your seizures, so I would agree that a change in management would likely be in your best interest. If you are not being followed by at least a NEUROLOGIST (better yet, EPIDEMIOLOGIST) then, I would make the request of your PMD.  Phenytoin (generic for EPT OIN) at 100 mg. Is clearly not therapeutic for you since you continue having seizures. If you've not had blood levels checked recently then, that would be the 1st step. Second step: if you ARE therapeutic then, consideration to raising your dose to at least 3X daily should be given as this is a more convenient way for someone to take this medication.  Your continuous seizures may also be contributing to your headaches so by better seizure control may reduce headaches.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.