Conversation: The conversation between human and AI assistant.
[|Human|] I recently 2 months ago on August 19th 2014 had a brain bleed related to a drug called Plavix that I took for 2 months I had a bad head pain in the low back part of my skull. They did a craniotomy to remove a build up of blood. then they did some surgical repair to stop the bleeding. They also put me on Keppra 1,000 Mgs. a day then reduced the dose to 750 mgs. at night & 500 during the morning. It makes me feel tired I also had a small stroke but I have recovered from that stroke I believe . Can you tell me how long I may need to take Keppra? I am also a Heart transplant patient for the last 18 months doing well with that.WHy do I need to keep taking Keppra and for how long? Thank you Edward
[|AI|]  Hi there Edward, the recommended length of time to take Kendra after a craniectomy for intracranial bleed varies from patient to patient. It is common that some patients (though most tolerate it really well) complain of feeling tired, or a bit "foggy" with the medication. The length of time determined usually depends on factors like if you had any seizures due to the bleeding, or any after surgery, and how much residual blood there is still in the brain. I would recommend that you coordinate with either your neurologist or your neurosurgeon (whoever prescribes the Kendra for you) to determine whether this is a medication you can safely taper down, but as it is an anti-seizure medication I would not decrease the dose without a physician to supervise. Hope my answer is helpful to you.