Hello, I understand your worry. But this needs proper evaluation by a certified Physician or a Psychiatrist. Kindly visit one and do not take any medicine by online prescription.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Medicine
It seems like your mom is experiencing a mix of symptoms that might be worsening: ongoing headaches, sleep deprivation, and a shift in mood, such as loss of interest in activities and changes in appetite. The medication you mentioned, Epitra, is often prescribed for epilepsy to manage seizures, but it’s also used in some cases for mood disorders or other neurological issues. However, it’s crucial to note that using it long-term without proper monitoring can sometimes lead to side effects affecting mood, sleep, or headache patterns. Considering the increased severity of her headaches and the drastic changes in mood and behavior, it’s important to reevaluate her current condition with a healthcare provider. The worsening of symptoms and significant impact on daily life, like disrupted sleep and eating habits, could signify an underlying condition that needs to be reassessed or managed differently. A consultation with a neurologist or a specialist in headaches might be necessary to explore potential causes, evaluate any medication-induced issues, and reassess her current treatment plan. It’s advisable to document specific changes in her symptoms, like frequency and intensity, to aid the healthcare provider during the evaluation. Additionally, some lifestyle adjustments might help: ensuring a regular sleep schedule, limiting screen time before bed can assist if sleep is affected, and encouraging small, frequent meals if she’s struggling with appetite—these small steps may help, but they shouldn’t replace professional medical advice. If there’s any sudden change like a very severe headache, visual disturbances, or neurological complaints, immediate medical attention is warranted.
Hello,
She has been taking Epitra (clonazepam) almost daily for 1–2 years, which can cause dependence, withdrawal headaches, mood changes, and worsening mental health.
The symptoms together suggest worsening mental health and possibly medication overuse / benzodiazepine dependence, and she needs medical review soon.
Do NOT stop Epitra suddenly → risk of withdrawal and seizures.
See a psychiatrist urgently (within 1–2 days).
Go to Emergency immediately if she has sudden severe “worst headache” vomiting, fever, neck stiffness weakness, speech/vision changes confusion or fainting Suicidal thoughts
Support meanwhile
Be with her emotionally, encourage small frequent meals, quiet regular sleep, reduce caffeine.
Thank you
Hello I’m sorry to hear about your mother’s struggles with sleep and headaches. Given her symptoms—chronic headaches, reduced interest in activities, and changes in appetite—it’s important to consider a few factors:
Possible Concerns 1. Medication Side Effects: Epitra (which contains lamotrigine) can sometimes cause headaches or fatigue. If she’s been on it for a long time, it might be worth discussing with her doctor about reviewing her medication. 2. Sleep Deprivation: Chronic lack of sleep can exacerbate headaches and lead to mood changes. Four to five hours of sleep is generally insufficient for most adults. 3. Mental Health: The lack of interest in activities and changes in eating habits could indicate underlying anxiety or depression, especially if she’s been experiencing headaches for a long time.
Recommendations 1. Consult a current Doctor: It’s crucial for her to see a healthcare professional to evaluate her headaches, review her current medications, and discuss her sleep issues. They may suggest imaging studies or other tests to rule out any underlying conditions. 2. Sleep Hygiene: Encourage her to establish a regular sleep routine: - Go to bed and wake up at the same time every day. - Create a calming bedtime environment (dim lights, quiet space). - Limit screen time before bed. 3. Diet and Hydration: Ensure she is eating balanced meals and staying hydrated, as dehydration can worsen headaches. Simple, nutritious foods like khichdi, dal, and fruits can be helpful. 4. Stress Management: Gentle activities like yoga or meditation can help reduce stress and improve sleep quality.
Next Steps - Monitor Symptoms: Keep track of her headache patterns, sleep quality, and any other changes in mood or appetite. - Follow Up: If her headaches worsen or she experiences new symptoms, seek medical attention promptly. - visit to a current doctor or visit nearby neurologist for better evaluation…
Thank you
Your mom’s long-standing daily headaches, poor sleep, long-term use of Epitra, and recent worsening with loss of appetite and interest are warning signs that need prompt medical evaluation. This is not safe to manage at home. She should see a doctor (preferably a neurologist and psychiatrist) as soon as possible, and go to urgent care immediately if symptoms suddenly worsen or new symptoms appear. You are doing the right thing by seeking help.
