Needs to be put into perspective. Both Dilantin, and Depakote, could theoretically cause liver damage (rather uncommon event) and this could result in high ammonia. Not clear to me, if you truly require 3 anti-epileptic drugs, and you might consider modification. Talk to your neurologist about your future medication usage, as this depends upon seizure frequency, co-morbidities, etc.
Answered 2/2/2022
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