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

### input:
Hello Doctor...i had an episode of seizures after which i was on Tab tegretol.after 2 years i was weaned off n stopped but after a couple of years i got another episode n was started on Tab eptoin 200mg OD.now its been 7 years n am still continuing with it.but i havent consulted my doctor in the reacent years.having a second thought and curiosity as wud it be of great adverse effect on me contuining this tablet further??

### output:

Hello, In your particular case my approach would've been to carry out a FULL and EXTENSIVE neurological survey at the very beginning to discover whether you had any evidence for a seizure disorder coming about as the result of a physical or architectural cause in the brain, the circumstances behind the start of the seizures, etc. This is usually quite extensive and can take some time to complete.  Once that's done and I'm convinced the patient is free and clear of any physical cause and once I know that epilepsy does not run in a blood relative I feel comfortable recommending the patient go on medication for at least 2 years after which we can with Chat Doctor.  If seizures return then, I would once again perform a thorough evaluation to once again try and find something we may have missed the first time, but the patient would be returned to medication and again placed on for another minimum of 2-3 years.  I might at this point also send the patient for genetic consultation to see what might be considered since there could be a known mutation you could be carrying that causes this in which case we then, know you must remain on medication for life.  If not then, again, at the end of the 2nd 2-3 year period and with proper physician supervision and vigilance to often include EEG testing after medication with