Friday, February 27, 2026

CGH doctor review on 25 Feb 2026

 Currently she is take 500mg Levetiracetam, twice a day. 

Doctor review at CGH says if seizures still occurring, 750mg x 2 times a day will be the required dose.



Friday, January 2, 2026



Is Keppra 50mg x 2 tablets for the control of seizure? Any side effects?


Yes. Keppra is the brand name for levetiracetam, and it is commonly prescribed to control seizures (epilepsy).


1. Is Keppra 50 mg × 2 tablets for seizure control?


Yes, Keppra is an anti-epileptic (anti-seizure) medication.


50 mg × 2 tablets = 100 mg per dose.


This is a very low dose, usually prescribed for:


Young children


Elderly or frail patients


Initial titration (starting dose)


Patients sensitive to medications or with kidney issues


Typical adult starting doses are usually 500 mg twice daily, so 100 mg suggests a carefully adjusted or paediatric dose.



How Keppra works


It helps stabilize electrical activity in the brain


Reduces the likelihood of abnormal firing that causes seizures


Works for partial, generalized, and myoclonic seizures


Common side effects (most are mild)


These often improve after the first few weeks:


Neurological / mental


Drowsiness


Dizziness


Fatigue


Headache


Irritability or mood changes


Emotional / behavioral (important to watch)


Agitation


Anxiety


Depression


Sudden mood swings


Increased aggression (especially in children)


Less common but important side effects (seek medical advice)


Severe mood or personality changes


Suicidal thoughts


Extreme sleepiness or confusion


Rash or allergic reaction (rare)


Coordination problems or frequent falls


Key safety points


Do NOT stop Keppra suddenly → may trigger seizures


Take it at the same time daily


Alcohol can worsen side effects


Dose adjustments are needed in kidney disease



When to call the doctor urgently


New or worsening behavioral changes


Severe lethargy or confusion


Any breakthrough seizures


Signs of allergic reaction (rash, swelling, breathing difficulty)


If you’d like, I can:


Explain why this specific low dose was chosen


Help you monitor side effects


Tailor advice for child, elderly, or special-needs patients


Compare Keppra with other seizure medications


Just let me know.







Wednesday, December 31, 2025

 There is one God, the Father, 


from whom are all things 


and for whom we exist, 


and one Lord, Jesus Christ, 


through whom are all things 


and through whom we exist. '


1 Corinthians 8:6

https://www.bible.com/bible/59/1CO.8.6

 Jesus Christ foretold in OT:


“And he will redeem Israel from all his iniquities.”

‭‭Psalm‬ ‭130‬:‭8‬ ‭ESV‬‬

https://bible.com/bible/59/psa.130.8.ESV


Jesus Christ fulfilled in NT:


“She will bear a son, and you shall call his name Jesus, for he will save his people from their sins.””

‭‭Matthew‬ ‭1‬:‭21‬ ‭ESV‬‬

https://bible.com/bible/59/mat.1.21.ESV


Merry Christmas and a happy new year!

 She was tired, late arrival into SG, unpacking, cleaning the house, laundry, gardening, gathering all the gifts, sorting them. And did not have enough sleep. She fell in a seizure in the afternoon. When no one around, her head was not protected. She fell bad. Now she is good! Awaiting for examinations. Being new year today. I reckon not much in progress today.

 Sze Fong had 2 seizures yesterday, 4 hours apart. She was warded at Changi General Hospital and did an ECG and blood test last night. Now resting. Need to do more test again today. 

Medication given

 Keppra [ anti seizures ].

Doc said she has to stay for few days for examinations.  

She already had a fall at home at 3.15pm yesterday [1st seizure] , it was quite a bad fall.

 It affected her left side which has a scar in the left brain in her 2015's encephalitis episode.

2nd seizure was at church year end, at 7.45pm. She did not have a fall.

 Update: doctor did Ct scan for Szefong last night.  No sign of blood clots. 


Prescription: keppra 100 mg x twice daily.  

She is given morning dose. 


Meanwhile monitor whether any more seizures.