### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi My husband is suffering from Tubercloma in the brain(right side of brain). He underwent Biopsy couple of times. Now he is under treatment and taking anti-tubercloma medicines (Encorate,Levipil,PZA,R-Cinex 450). Recently the doctor changed the medication from Encorate to Divaa OD 250mg for which he started having seizures consequtively for 2 months. The medication was re-visited and changed from Divaa OD 250mg to Encorate and Eptoin . Can anyone suggest us if he is under proper medication and what are the things he need to avoid. How long does he need to be under medication. His lesion size is of 1.8cms. Please do suggest us. Past 6 months he is taking his medicines regularly and his age is 30years. Please do help us.....

### output:

Dear Mrs Ravijyotsna I have reviewed summary given by you and there are two inter-related issues i.e. tuberculous of brain and seizures. a) For tuberculous, he needs to take antituberculosis Chat Doctor.  Reasons for repeated biopsy is not clear and also about initial size of lesion and description of MRI findings have not been provided by you b) If change to Diva OD was 250 mg once a day, it was inadequate and need to have full dosage. The dose of enc orate will be from 750-1500 mg /day based on body weight and level of control of seizures. Addition of option is not clear to me with available information. c) Suggest to have a repeat MRI study if not done recently to assess size of lesion and consult a neurologist near to you regards protein