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A member asked:

My brother has epilepsy he is taking 3 medicines topamax (topiramate) 100mg, lamictal 50 mg, tegretol 250mg, his gamma gt is 416 what should we do to lower it ?

A doctor has provided 1 answer
Dr. Eric Weisman answered

Specializes in Neurology

Good question: Transaminases ( alt / ast) and albumen are ok? Sounds like Lamictal is being titrated . Carbamazepine 10-11 epoxide should be checked as well as the cbc. Need a bit more information. He neurologist needs to discuss this ( there are other reasons for elevated ggt).

Answered 6/26/2014

4.1k views

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