Conversation: The conversation between human and AI assistant.
[|Human|] hi doctor i m navjot kaur and i m 24 years old and i m a veterinarian.i m taking tegritol 600 mg daily twice a day,epilv 250 in morning and 500mg at night, nexito15 mg in morning and clobazepam 5mg twice a day and folic acid also for the last 4 yrs and i want to ask that i m not able to concentrate on anything sply on studies i was to do post graduation but due to this problem i m not doing as doctor has told me not to take stress on my mind. i usually fight wth my parents very much esp wth my mom . i m taking treatment from PGI chandigarh and acco to them i m suffering from complex partial seizures. whenever i miss my med even in morning i used to have an attack like i am unaware of surroundings for just few sec and i dont remember what had happened?i was a very intelligent girl till when i was in 9th class but after that i lost my positions in studies,even i had done my graduation very dificulty pls doctor help me and if want to ask smething more pls do mail me thanx.
[|AI|]  Hi Navajo, Welcome to Chat Doctor, and thanks for your question... Epival (Sodium Valproate) and Geritol (Carbamazepine) are both anti-epileptics, and you seem to be on an adequate dosage of both. Cloacae is also an anti-epileptic medication which is usually used as an adjunct to other medication in case of resistant seizures, especially of the complex partial type. It is sometimes used as an antianxiety medication also. Next (Escitalopram) is an anti-depressant medication. Now, your difficulty in concentration could be due to different reasons. Recurrent seizures, especially if you are skipping medicines often, can be one reason. The anti-epileptic medication, especially as you are on a combination, can sometimes have side effects like concentration and memory difficulties, Chat Doctor.  It is also likely that you may be having some depressive symptoms, which may be the reason you doctor has put you on an anti-depressant. Depression and stress can also be a cause for your difficulty in concentration. What I would suggest is that you should be absolutely regular on your medication and never skip a dose. Also, discuss with your doctor about your problem, to see if any dose adjustments are required - may be, shifting a majority of your doses to the night. If you are feeling very stressed out or depressed, then it would help to talk to someone, may be a psychiatrist, and to learn relaxation / stress management techniques. All the best.-