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

### input:
Hi I ve had epilepsy since I was 18 months old been on lots of meds phenytoin,phenobarbitone,tegretol,Epilim which caused my children to have fetal anti Convulsant syndrome and now I m on Lamotrigine. In Nov 2011 I had 6 grand mal one after another fitting for just under a hour, then 2 further grand mal following day. Since then developed focal partial seizures which are between 3-6 a day and last about 4 minutes. They feel like having a stroke causing numbness down left side,slurred speech,dribbling and shortness of breath with chest pain. Consultant has advised me to now also go back on Epilim along with Lamotrigine but bothered about side effects even though not planning anymore children. I also butrans patches 55mg for low grade spina bifida along with codeine,paracetamol, vitamin D3,Meloxicam,docusate and laxido. I really need to be seizure free with my children s condition and ow can t drive but live rurally any ideas what s best,feeling desperate and trapped right now.

### output:

Hello and welcome to Chat Doctor, Epilepsy is a chronic disease which is controlled by different modalities but no permanent cure is available. Depending on the type of seizures and frequency of seizures, medications are prescribed. The dose and type of medicine is varied depending on the symptoms. Surgery is also done in a small percentage of patients but not much success is obtained by surgery. You need to stay in constant contact with your doctor, and take correct dosage of medicine. Do not plan further pregnancy as the medication have a deleterious effect on the fetus, and it will be difficult to take care of babies in this state. Avoid activities which involve balancing. You will have to manage your condition and stay in touch with your neurologist. Thanks and take care Chat Doctor. 