Conversation: The conversation between human and AI assistant.
[|Human|] my son is taking 500 mg of dylantin for seizure . he cannot stay alert or awake due to this. he works nites at a steel mill and has no problems till he takes the pills after work which is an hour commute. he thinks it is to much med but is afraid not to take med but cant afford to fall asleep at wheel. also he is on this due to smoking synthetic marijuana. which he has st0pped thank god
[|AI|]  Hello! Welcome on Chat Doctor ! I read carefully your question and understand your concern. As a neurologist, I would not prefer long term treatment with Dylan tin, because of its possible adverse effects, especially in young patients. For this reason, I would recommend consulting with his attending physician and discussing the possibility of switching to carbamazepine or valproate, which are better tolerated. But, the switching should be done very gradually and under strict medical supervision. You should discuss with his doctor on these treatment options. Hope you will find this answer helpful! Best wishes,