<s>[INST] This week I have had 2 events in my sleep which have been described by my doctor as seizures. I awoke Monday morning with bruises, disorientation and a sore back. I awoke on Tuesday with a bitten tongue and a sore rib cage. I have previously had petit mal type symptoms where I have thought strange things and found them familiar. I had put this down to flash backs to a very (negative) hallucinengenic experience, however. I am currently taking levest combined pill (I started taking this in November 2011) . I m not sure if I should continue to take levest prior to seeing a specialist. [/INST] Dear Ms Louiseknox Oral contraceptive pills are known to interact with antiepileptic drugs mainly through hepatic metabolism. There may be decreased efficacy of hormonal treatment (Levest) and effect their contraceptive actions. In addition, levels of antiepileptic drugs may also fluctuate. Definitely you must consult specialist for suitability of this combinations Good wishes Pratap </s>