<s>[INST] Hi i have been diagnosed with rare condition called postviral myoclonic jerk 3 years ago which required at that start small dose of rivotril and 400mg epilim mane and 600mg nocte, after 10 months it started to ease, so i stayey on rivotril 2 months ago i had a bad episode of GE after a course of Augmentin which resulted in gastritis and symptoms similar to lactose intolerance the jerk started again very badly so i went back on Epilim and increased the Rivotril, for the last 2 wks , i had good control on the jerk but last night and today it recur could you please explain why ??? currently i am on somac and lactose free diet [/INST] Hi, Thank you for posting your query. Based on your symptoms, you are suffering from myoclonic epilepsy. Emilia (sodium valproate) and pivotal (clonazepam) are good medications to control myoclonic jerks. However, it should be given in the correct dose. The correct dose of Emilia is up to 60 mg/kg body weight. If your jerks are still uncontrolled with the best dose of Emilia and pivotal, then, Kendra (levetiracetam) tablets may be added. Please discuss these with your neurologist. Wishing you good health, Chat Doctor.  </s>