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elle emme

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I just joined the community. So...... Hi Guys!

I'm a 25-year-old woman who was diagnosed with epilepsy at the age of 14. Initially, I had partial complex seizures lasting about 15 seconds apiece, allowing me to retain consciousness but rendering me unable to respond to stimuli. These would occur every other day, on average.

I took Carbatrol alone while in high school. I'd had a good diagnosis and so, after about three years of no seizures (at 17), I tried tapering off -- however, this didn't go so well, and the same seizures came back. Then my neuro and I tried Keppra + Carbatrol, to no avail... then I had to leave my nice pediatric neuro and find another, who had me on Lamictal + Carbatrol, to no avail.

This neuro did nothing but push Lamictal on me, with absolutely no improvement in my epilepsy. I suggested that we try something else, as I felt crappy on all these meds. His general bedside manner illustrated that he didn't really care for me as a patient -- I sometimes had to wait three hours for my appointment, without so much as an apology -- and when I suggested that these meds were doing me more harm than good, and that I knew this since it's MY body (when he questioned this point), he dismissed me as a patient.

After this, I found (via ProPublica) that he had indeed accepted rather larger sums of money from GlaxoSmithKline (the company that produces Lamictal), which solidified my decision to taper myself off my medications, very gradually, and without the help of a neurologist. Afterward, I found myself more energetic and happier, with no increase or worsening in my seizure activity. Still, though, having 15-second zone-outs every other day that I remained conscious throughout.

So, I've been on and off of medication for the past decade, but this year I experienced my first ever grand mal seizure. I had a couple, actually -- and both were after drinking two nights in a row. Bad idea. I'm not a huge drinker, but apparently doing that, coupled with being way more stressed out that I'd ever been in my life, basically, while struggling to survive alone in New York City just sent me over the edge. Before this year, I hadn't been on any meds for four years. And, to stress this again, both of these grand mal seizures occurred underneath extraordinary mental anxiety (two special work days, you could say), coupled with bad hangovers -- anomalies, pretty much. Unfortunate outliers. Aside from the two grand mals, I had still had just the partial complex episodes, as before.

After getting bed bug bites in an ER bed after my roommate saw me seize grandly, I got a prescription for Levetiracetam (generic Keppra), and as soon as I reached my full dose on it, I had seizures like nothing before. Not a grand mal, but not one I could remember, either -- just, blacking out. Every other day. These have taken the place of my old ones, that I used to be able to remember and remain standing throughout. I quit the Levetiracetam cold turkey back in March, 3 weeks after beginning it -- bad idea, obviously, but it made me feel so weak, and sick to my stomach, that I just couldn't take it anymore. The cold turkey quitting gave me a third grand mal. Whee.

Then I tried Zonegran, to no effect. I asked this doctor "Why Zonegran?" and she told me, "Well, all doctors have their favorite medications" and left the room. It didn't work at all, and so my affair with Z was short-lived.

Now I'm back at home with my family till I get this sorted out, and on 325 mg Dilantin/day and 200 mg Carb/2x/day. I'm still seizing like before. The Dilantin makes me feel like the walking dead. My energy level is so static -- I'm never tired enough to sleep (cue 3mg Melatonin/night), but never feel really awake. Hopefully, this Carbatrol (which I JUST began today) will prove to be what I need at this point, and I can go back to having dynamic energy levels.

I decided to join this forum primarily because -- while I do believe I have finally found a good neurologist whose team does seem to genuinely care about me -- I nonetheless am wary of doctors. I haven't had any grand mals since quitting Levetiracetam, but the sort of seizures that I have now, I NEVER had before taking it. My goal is to get opinions on whether taking Levetiracetam could have permanently changed my brain... which I guess I'll solicit in a thread not in the "foyer" section, heh. My neuro and his team tell me "no," that it can't possibly be the fault of the Levetiracetam. However, Levetiracetam also screwed my menstrual cycle up severely. Beginning back in March, I had a period once every two months. Turns out my progesterone levels were way off, and such was the case as recently as September, and THAT just got back to normal in October. Nothing aside from the Levetiracetam could have caused this, and THAT aspect of my body that it affected just got back into shape. So.... I'm holding out hope that maybe, maybe, my brain is still recovering from the Levetiracetam, too.

And on that note, telling you all far more than you ever cared to hear about my menstrual habits...

Good night, and nice to meet you all!!!
 
Hello elle emme :hello:

Welcome to CWE :) I'm glad you found us here. Sorry no one has responded yet. Sometimes posts get pushed down the list and, unfortunately, overlooked.

I don't have any answers for you, I wish did, but maybe someone else will. People here are generally very friendly and helpful, so I'm sure others will come along soon. Even if no one has a direct answer for you, someone will likely know where to direct you for answers.

I'm glad you found a neurologist you feel good about; it really helps if you trust your doctor and feel he/she actually cares about you. I had brain surgery at UAMS in Little Rock and thought everyone there was wonderful.

Take care!

Travel Bug :)
 
Hi elle, nice to meet you. You'll find a lot of smart, friendly folks here at CWE. :)
 
Hello! Welcome to CWE! :)

I read your story and Im glad you found us! There are alot of great people here!

I was on alot of the medications you listed. I was on Carbatrol and Keppra for along time, between the ages of 17-29 years of age. It worked great for me! The two controlled my complex partial and grand mal seizures very well. Then I got the opportunity to have a VEEG and had alot of simple partial seizures, my worst I lost consiousness for a short period of time, then coming to. I was put back on Keppra XR and had to have a few weeks to adjust to the one medication. But since then, Ive been on the Keppra XR. Just a few weeks ago, I tried the generic Keppra XR and it didnt turn out that good. I had alot of seizure symptoms the first couple of weeks, and that then turned into a cluster of seizures. ive been back on the name brand keppra xr for about a week now. Im doing much better.

Im in the process of getting a second opinion on how my neurologist is now seeing these seizures as "not a seizure, but an anxiety attack". Stupid in my book because anxiety medication is used to treat anxiety, and not Keppra XR. So thats my next step in this matter. There are alot of good drs out there, and alot of "not so good" drs.
 
Thanks for the warm welcome, guys! I'm now in the midst of tapering off my Dilantin... down to 225mg/day, as of yesterday... I'm hoping that I'll start to feel more energized and lively soon after doing so. I wasn't expecting to be able to do it that soon with my neuro's "blessing," but turns out I can.

And, glad to hear that you're doing better since getting off of the generic Keppra, Kristin. And, I've also wondered a lot about anxiety, and how it plays in with my seizures. It seems like it is THE main trigger for me, and while neurologists always give me the AEDs to prevent seizures, I wonder if taking something for anxiety would be more addressing the cause, rather than the symptom. In any case, I guess I will soon see how I do with Carbatrol.

And Bug, glad to hear that the staff representing AR was so wonderful. :) May I ask, are you pleased with how your brain surgery went? My neurologist tells me I'd be a great candidate for it, since my seizures originate from just one specific part of my brain.
 
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And Bug, glad to hear that the staff representing AR was so wonderful. :) May I ask, are you pleased with how your brain surgery went? My neurologist tells me I'd be a great candidate for it, since my seizures originate from just one specific part of my brain.

Hi elle emme,

My surgery was a brain tumor resection. Fortunately, it had the result of helping to control seizures, but the procedure is probably quite different than one that is primarily for seizure control where they remove the specific area of the brain responsible for the seizures. (I think?)

I did have permanent weakening of the right leg as a result of surgery. But, considering the tumor's proximity to the motor cortex, and my local surgeon's reluctance to even do a biopsy for fear it may paralyse my right side, I think the surgery was a success.

My surgeon, Professor Yasargil, who was highly recommended by my local neurosurgeon, is known world wide and has an excellent reputation as the father of modern neurosurgery. He is, however, 87...yes, 87 years old, and, though I think he still consults and teaches, I'm not sure he still performs surgery. I don't know anything about the other surgeons in the department. However, all the support staff were excellent.

All the best :)
travel bug
 
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