New epileptic and confused.

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mettajeff

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Ok, 35 y/o male here already on disability for other reasons but I suppose this'll add to the pot.

I started having these absence? seizures about 7 or 8 months ago. MAybe sooner. I don't knoe. For years, my friends would say it would look like I "tune out" for a few seconds then come back. I don't remember any of this. I'm also a migraine sufferer and the symptoms are easily confused with Basilar type migraines. What I basically do is keep IBU 800, Benadry and Ondansetron (for nausea) in a bag in my pocket. When I feel something odd coming on and get those odd visual effects that seems like one of these, I'll hurry and take these. If it clears up, it was a migraine. if not, seizure. How do I know it clears up or not? my seizures generally cluster and my consciesnous comes and goes. I typically have a pain in the right side of my head after one of these seizure attacks that usually clears up with tylenol. (I have to be careful with painkillers, I take some pretty serious ones and my MAOI puts a ceiling on what I can do) I also tend to walk ino a room and maybe pick something up and have no memory of getting up, how I got there, anything.

It's been getting more and more frequent as time goes on. I've also become profoundly more photosensetive. being in a bright sunlit room can trigger these attacks, tube tvs, stores brightly lit with flourescents, but not flat panel displays or dimmed natural lighting. when I go outside needto wear sunglasses and I'm out an hour max.

what took me to the ER this last time was that I had at least a cluster of 4 big ones. That never happened before. I insisted on being admitted for an EEG but instead I got an appt for ann outside neurologist. I can accept that. In my state, It's extremely hard to get into one.

So, in the last 8 months fron 2 er visits and 1 doc visit I've had 1 CAT scan, 2 MRIs, 1 MRA and they all turned out ok. So, the last thing left is an EEG series and if that's fine then I don't know. This is some scary stuff.

The good thing about the ER referral is that I'm seeing the neurologist in 3 weeks instead of 5 or 6 months. The only thing is that I saw my regular doc last week and he took me off of the Ativan the ER doc gave me WHICH WAS HELPING and increased my topiramate, it's not helping and just causes me to be more confused. Any tips to get him to put me back on Ativan? There's been a big DEA crack down in this state and all doctors are watching their backs. He already has me on two narcotic painkillers for back pain. THere's other things he has refused to prescribe due to addictive potential. Grrrrrrr... I can't use Sodium Valporate because I'm already on 3 ACs (2 for bipoar 1 for Migraine) and I've had trouble withit in the past. I'm on Lamictal, trileptal and again Topiramate.

Trying to take this all in stride, Sorry if this is a little scattershot.

thanks in advance for any input
 
Hey Mettajeff,

Ativan is not supposed to be a regular drug to take for a long time. It's part of the benzodiazepines family, that are very addictive and once you are addicted, it can be extremely difficult to get off of. Just to get off of it can induce seizures, i know of a friend who was addicted and the hardest part was to convince her that she had an addiction. Once she realized what it was doing to her life family etc.. she went in for help getting off of it since she could not do it alone. Ativan prescribed should not be taken for more then 3 weeks.

For me, i use Ativan as an emergency pill, when i feel the auras of a seizure coming, i'll take one and it will stop my seizures, or at least we think it does. Last 15 seizures i've had them stopped after taking the pill. For me, the side effects continue for a couple of days after taking the pill.

Cheers,
Zolt
 
JiMettajeff, welcome!

I agree with Zolt, while the Ativan is handy, it's not great for long-term general seizure control. Definitely review your meds with the neurologist. As you note, Topamax, Trileptal and Lamictal are anti-seizure meds as well as being used off-label for other disorders, so perhaps increasing any of those meds would be more helpful. It's preferable to prevent the seizures from happening at all, rather than stopping them after they start.

Godd luck at the neurologist, I hope the EEG helps make your treatment plan clearer.

Best,
Nakamova
 
Thanks for the replies. I figure the Ativan was a short term solution. The thing that annoyed me was that the ER gave me enough for 7 days and I just need enough to last till my neuro appt. 3 weeks later. My internist did increase my Topiramate but it was causing an incredible amount of confusion and malaise and I was still having seizures. I have a very complex medical picture and I wasn't surprised by any of it. I took myself down to my regular dose of Topiramate because even I'll have seizures with or without the increase and I can think fairly straight.

I understand the implications of using ativan, even short term, but at least it worked a little. I see my internist tomorrow to see if anything at all can be done till I see my neuro.

at least I see the neuro soon. Typically around here it takes months to get in and in the health system I was using it was a toss of the dice on whether or not you got the right type despite what the front desk person says. This latest one came recommended by the ER doc and I checked the neuros credentials. Looks like a good fit.

If anyone who's reading this is photosensetive, do sunglasses with a blue tint really work? I'd like to be sure before I invest. Fixed income and they're not cheap around here.

I did take the Ativan today (have a few left) and still had an attack. So I'm quite sure it's not for me anyway. I just hope my internist can figure something out.If not, I'll just have to stay at home with my blinds closed and deal with it till I see the neuro. I really don't want to play with my psych meds. I've been stable for over 3 years now on a rather complicated combo.

I don't think these seizures are because of my meds, They haven't changed in over 3 years overall and I've been on a lot of them longer than that.

crossing fingers
 
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