Question

A male patient has epilepsy and was diagnosed with “symptomatic epilepsy” in October 1993. He had intracranial hemorrhage due to “vitamin K deficiency” at 50 days old, and was discharged from the hospital after 30 days of hospitalization and recovered. He started taking phenobarbital at the age of 6, and continued the medication for 5 years, gradually reducing the dose in the first year of junior high school, and completely stopped the medication for a year after half a year. Recently, on the afternoon of November 14, 2005, at 3 pm during an English class at school, he had a major seizure that lasted about 2 minutes. Should the dosage be increased or should the medication be changed?

Answer