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ents, while others showed no complications. Adherence and patient satisfaction seemed to be impaired. In daily practice, generic exchange in epilepsy should be a carefully balanced decision, conducted with great caution. Further research is needed, especially regarding neurologic indications other than epilepsy.Megakaryocytes in circulation are rarely found in blood smear; however, several studies have reported megakaryocytes as present in the peripheral blood of patients with hematological neoplasms. Herein we report a number of cases