Update on Lamictal & My Dr!

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momof3boys

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So, after talking with my neuro last night, I asked him about the swollen lymph nodes on my neck area and under my arms. He said that if it was an allergic reaction, it would be a rash that comes first. But he said to be sure, to make an appointment with my primary care dr.

So, today I go in to see my primary care dr. She does a test in the back of my throat to see if I have an infection, like strep throat, etc. Comes back negative. She asks about my medications. I told her all about the medication changes Ive had since March. She looked at my neck area and said its inflamed very badly and she could see a golf ball sized lymph node on the right side of my neck sticking out! Before checking the throat tests, she said it was probably an infection and she would prescribe me some antibiotics. She leaves the room to check the results and comes back saying they were all negative. She leaves the room again and after about five minutes, she comes back in saying she looked up Lamictal and it says that if any swelling of the lymph nodes, or swelling of the face, mouth etc comes visible, to get off the medication immediately. I told her what my neuro said about if it was an allergic reaction it had to be a rash. She rolled her eyes and said what she found said any of the listed side effects listed, which said rash, swollen lymph nodes, etc to contact your dr immediately! She said with all my tests being negative and increasing my dose on wednesday and it getting worse as the days went by, its because Im allergic to the medication. She said to call my neuro at once and tell them of this. But she also took blood too, she wanted to see what came about with that. But she said she was 99% sure it was the medication. Due to my severe swelling, she said it will take longer, around a week for the swelling and tenderness to go away and feel back to normal.

So, Im leaving the drs office, and I called the hospital to have them page my neuro. I had to let him know what the dr said, he said to contact them when I found out what they had said.

So I get ahold of him and tell him what the primary care dr said. He said that he doesnt think thats the case at all. With all the allergic reactions he has seen, its always been a rash. Not the swollen lymph nodes. But like stated by my pharmacist and primary care dr, not all patients get the rash, others can get the other listed side effects and still be allergic to the medication.

He then goes on to tell me that the whole reason why he put me on the lamictal was because I dont have epilepsy, but anxiety attacks! Now back in March when he released me from the VEEG, he said that day that I had epilepsy, which showed the spikes on the EEG, but just not enough to cause a grand mal seizures, which in his opinion I outgrew and was left with simple partial seizures. So because he still saw epilepsy, he said in his opinion I dont need to be on 2 medications, but left me on Keppra.

Now I go alittle less than 2 weeks on the keppra and start having seizures. Thats when he added the vimpat. I had depression and mood swings with that. I got taken off that. Now when he put me on Lamictal he said that it was to treat seizures.

Today, he tells me its used mostly to treat anxiety! But it can be used to treat seizures as an add on medication. But the main reason he put me on that was because I have been having anxiety attacks, not seizures. Thats why he was weaning me off the keppra and keeping me on the Lamictal becuase he said I have anxiety! And the psych dr he had his nurse set up for May 9th, that was also a medication he wanted me to have to treat the anxiety attacks he claims I had during the VEEG.

I asked him if being taken off cold turkey off medications can cause different seizures? Ive done research and found articals saying that. But he claims that its not possible to have a different type of seizure being taken off cold turkey. He said if I had epilepsy, I would have had a grand mal seizure.

I really dont know what to think! And to top that off.... He said to quit lamictal even though he doesnt think Im having an allergic reaction, and said to continue to take the Keppra! Why take Keppra when he claims I dont have epilepsy? It just doesnt make sense! And he said he was going to be out of town this weekend.... and if anything other than the anxiety attacks came about, I had to go to the ER at once.

So he wants me to take 1250mgs twice a day of the keppra, for a total of 2500mgs. Now when I was on the Keppra at 3000mgs only, by itself with no other medications, I went for less than 5 days and had seizures. Thats why he put me on the lamictal. How on earth am I going to do it with 2500mgs of Keppra only?

I really think I need to get a second opinion!
 
I was doing some googling and found tons of sites saying the following:

lamictal.com

Important Safety Information About LAMICTAL® (lamotrigine) Tablets and LAMICTAL® ODT™ (lamotrigine) Orally Disintegrating Tablets
LAMICTAL may cause a serious skin rash that may cause you to be hospitalized or to stop LAMICTAL; it may rarely cause death. There is no way to tell if a mild rash will develop into a more serious reaction. These serious skin reactions are more likely to happen when you begin taking LAMICTAL, within the first 2 to 8 weeks of treatment. But it can happen in people who have taken LAMICTAL for any period of time. Children between 2 to 16 years of age have a higher chance of getting this serious skin reaction while taking LAMICTAL.

The risk of getting a rash is higher if taking LAMICTAL while taking valproate [Depakene† (valproic acid) or Depakote† (divalproex sodium)], taking a higher starting dose of LAMICTAL than a healthcare provider prescribed, or increasing the dose of LAMICTAL faster than prescribed.

LAMICTAL can also cause other types of allergic reactions or serious problems which may affect organs and other parts of your body like the liver or blood cells. You may or may not have a rash with these types of reactions.

Call your healthcare provider right away if you have any of the following: a skin rash, hives, fever, swollen lymph glands, painful sores in the mouth or around your eyes, swelling of your lips or tongue, yellowing of your skin or eyes, unusual bruising or bleeding, severe fatigue or weakness, severe muscle pain, or frequent infections.These symptoms may be the first signs of a serious reaction. A healthcare provider should examine you to decide if you should continue taking LAMICTAL.

You should not take LAMICTAL if you have had an allergic reaction to lamotrigine or to any of the inactive ingredients.




What should I discuss with my healthcare provider before taking Lamictal?

n rare cases, Lamictal has been associated with severe and/or life-threatening rashes and hypersensitivity reactions. Seek emergency medical attention or contact your doctor immediately if you develop any skin rash; fever; hives; swelling of the lips, tongue, or face; sores in the mouth or around the eyes; or swollen lymph glands


That was on this site: http://www.toddlertime.com/med/lamictal.htm

im just finding so many site that has this listed as a severe side effect!

http://epilepsy.emedtv.com/lamictal/lamictal-warnings-and-precautions.html

This site has a girl saying she started having swollen lymph nodes under her ears after being on 25mgs of lamictal for 9 days!
She also says she had bad crying spells the first week on Lamictal! The same as me! So Im questioning if even going to the psych dr is even nessecary?
http://www.democraticunderground.com/discuss/duboard.php?az=view_all&address=276x7328

You know whats weird is that before starting this medication, my mom warned me around being allergic to the sulfa medication... she said she found online that people who were allergic to sulfa medications, will more than likely we allergic to Lamictal. So I asked my dr and his nurse and they both said they were not related and wouldnt affect me in that way at all.... Yeah Right!
 
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Another heads up on Lamictal.... I was wondering about the acne... I have broke out badly around my chin, by my mouth and nose area!

I found this site talking about Lamictal and acne! How common it is to get in the jawline!

http://www.neuro-vision.us/ad/Article/What-Can-I-Do-About-Lamictal-Acne-/10810

There are so many people that are taking the drug Lamictal for depression or bipolar symptoms who are experiencing lamictal acne side effects. It is such a common side effect that it is causing people to question whether or not they should stop taking the medication. The medication is benefiting their depression greatly but is causing severe rashes or acne breakouts on their face or entire body.


A common side effect with lamictal acne is skin sensitivity around the jawline. Many people are getting acne breakouts around their jawline. It seems to reason that this area of the face is become highly sensitive as a result of lamictal. One thing to consider is pay attention to what comes into contact with your jawline

That explains the bad acne Im getting! Its so bad that the skin is so sore and hurts to even move my mouth area. The past week ive been avoiding food because it hurt to move my mouth when chewing food! Im so glad I went to see my primary care dr today! Im praying this ance goes away very soon!
 
I get the acne around my jaw, not severe, but definitely caused by the lamictal.

Lamictal is primarily an epilepsy drug. Lamictal is often prescribed for bipolar disorder (NOT anxiety disorder, which is qualitatively different), and even for bipolar, the results have been mixed. If your neurologist really wanted to treat anxiety, he would have prescribed something else.

For the record, your neurologist is a bozo. Yes, definitely get a second opinion.
 
I get the acne around my jaw, not severe, but definitely caused by the lamictal.

Lamictal is primarily an epilepsy drug. Lamictal is often prescribed for bipolar disorder (NOT anxiety disorder, which is qualitatively different), and even for bipolar, the results have been mixed. If your neurologist really wanted to treat anxiety, he would have prescribed something else.

For the record, your neurologist is a bozo. Yes, definitely get a second opinion.

Everyone is saying the samething to me! Even my Father In Law said it doesnt make any sense at all! Telling me I have to have a grand mal seizure in order to have Epilepsy! Because I wasnt able to have the grand mal he wanted me to during my VEEG, he then sent me to the psch dr who even said she didnt see anything to be concerned about me having non epileptic seizures! Now he says I dont have epilepsy at all? :soap: My dad asked how it all went and I told him about it. He said he prays I do ok during the weekend with only taking the Keppra at 2500mgs daily. I told him me too!

Im thinking of going back to the neuro I have here in town. I went to him before going to these drs in Omaha. Its been probably three or four years since I saw him, but I have to get a second opinion on this. It just doesnt make sense. If I was having anxiety attacks, then why do they only come when Im only on one seizure medication, when two seizure medications controlls them and I dont have them at all? Seizure medications shouldnt control anxiety attacks!
 
Your current neurologist is lazy, incompetent, or both. He doesn't seem to have any experience with actual epilepsy patients. Run, don't walk, to the nearest REAL neurologist.

I hope you will be okay on the Keppra until you can get decent neurology advice.
 
Your current neurologist is lazy, incompetent, or both. He doesn't seem to have any experience with actual epilepsy patients. Run, don't walk, to the nearest REAL neurologist.

I hope you will be okay on the Keppra until you can get decent neurology advice.

Yeah, from the sounds of it, I dont think he know what the hell he is talking about! Whats crazy is that his partner who I was seeing before, (who got promoted to director of the epilepsy center and chairman of another hospital) I thought he was bad, like he wouldnt take me off my Keppra and Carbatrol becuase they controlled my seizures so well, even though the carbatrol had bad side effects. So when we met this dr in November of last year, we thought this was god answering our questions! He was willing to help me with my seizures and headaches, and give me a VEEG to try to pin point where the seizures were located, (even though we knew they were in my left temporal lobe). But for him to think a person who cant have a grand mal seizure, they cant have epilepsy, that is crazy! All my life I was having complex partial seizures, and during the bad times, i had grand mal seizures. I was thrilled when he said I had outgrown the grand mal seizures. Now Im not sure what to think!

Thanks... Im praying the keppra holds me over... at least til Monday when I can get ahold of the Neuro here in town!
 
Oh my goodness, momof3boys! How awful and frustrating! I agree with you that you need a second opinion from another neuro. I definitely agree with Nakamova: your neuro sounds like a bozo! It sounds like he's just trying to cover for his incompetence and ignorance. Thank God that at least your primary care doctor sounds like she's competent and thorough.

Please take extra care until you can see, as Nakamova says, a REAL neurologist!
 
Oh my goodness, momof3boys! How awful and frustrating! I agree with you that you need a second opinion from another neuro. I definitely agree with Nakamova: your neuro sounds like a bozo! It sounds like he's just trying to cover for his incompetence and ignorance. Thank God that at least your primary care doctor sounds like she's competent and thorough.

Please take extra care until you can see, as Nakamova says, a REAL neurologist!

I see it the same way. I just cant believe what I heard come out of his mouth today! Yesterday he put it to me like he wasnt concerned about the swollen lymph nodes, but to check it out with my PCP. Today, it was like I was talking to a different dr! After I told him what the dr said, he got really defensive and said he cant see that being the case at all! Now the more I look things up, I can see alot of people complaining about swollen lymph nodes and lamictal. I just couldnt take it no more. This morning and into the afternoon I couldnt keep my eyes open, and anytime I picked something up from the floor, it felt like fluid was in my neck where my glands were swollen, and it was so painful! Im so glad my PCP saw where I was coming from. I even told her that I didnt want to sound like I was exaggerating about it. But she could plainly see just from looking at my glands that they were really bad. Then finding out they got worse after increasing my dose! But why my neuro would come out and say I dont have epilepsy, and to get on some anxiety medication because Im having anxiety attacks? I dont know why the hell he put me on Keppra? Keppra isnt used to treat anxiety!
And in my opinion, I dont have anxiety! If Im only on Keppra for a certain amount of time, and then starting having numbness and tingling in my body, and my head turns to the right, and I start jerking.... that doesnt sound like a simple partial seizure? To me, It does. But whats weird, when they put me on a "add on" anti seizure drug combined with the Keppra, they stop!

Anyway you look at it, Im def getting a second opinion on this!
 
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WOW! Yes! Get another opinion! That was an adventure right there. I'm glad you're okay though. I can't believe he's telling you that you're just stressed and having anxiety even after the postive EEG. Ugh. I hate that we often get treated like we're crazy and this is all in our heads.
 
Yeah I couldnt believe what I was hearing.

And to top if off, this morning my Primary care dr calls to tell me the blood results from yesterday came back normal. So my neuro thinking the swollen lymph nodes were due to an infection I had, was wrong! She said everything came back fine, I had no infections what so ever! That pretty much confirms it was the lamictal. I havnt taken any lamictal since yesterday morning, and this morning I wake up to find the acne on my chin doesnt feel cracked or hurt when I move my mouth! All along Ive been having cracked, dry, I want to almost say sore like patches on my chin-jaw area. I was just chalking it up to bad acne with the Lamictal. But today when the dr called me with the blood results, she told me when she saw me yesterday and noticed the areas on my chin, she did some more looking into it and found it can also me an allergic reaction. So, I was experiencing that since about a week or so after getting on the lamictal, and it just got worse. Then came the swollen lymph nodes.

I cant wait to tell this to the psych dr on monday!
 
Is there an epilepsy clinic in Omaha? IMO, you need a dr. who specializes in epilepsy, not some fool who is giving you the run around about a medication that could be dangerous for you. With all you've been through since the beginning of 2011, time is of the essence now. Seek out an epileptologist who will give you answers and who will LISTEN to you. And ask your primary care dr. to call this dr. and send the results of the tests to him/her.
 
:dontknow::huh:
Is there an epilepsy clinic in Omaha? IMO, you need a dr. who specializes in epilepsy, not some fool who is giving you the run around about a medication that could be dangerous for you. With all you've been through since the beginning of 2011, time is of the essence now. Seek out an epileptologist who will give you answers and who will LISTEN to you. And ask your primary care dr. to call this dr. and send the results of the tests to him/her.

Yeah, after discussing this with my husband, were going to look around for a dr who specializes in Epilepsy. The dr I have been seeing, or Im seeing now... his site says he is a Assistant Professor in the Department of Neurological Sciences and is the Associate Director at The Nebraska Epilepsy Center.

Heres the link: http://www.unmc.edu/neurologicalsciences/index.cfm?L2_ID=20&L1_ID=2&CONREF=64

Just seeing that in November when I first met him, I thought he sounded like a great dr! But the more I see and hear what he has to say, nothing is making sense to me. He tells me Ive outgrown the grand mal seizures, but still have spikes on my EEG that indicates I have epilepsy, so he leaves me on Keppra. Not even two months later, he is saying I dont have epilepsy, and weans me off Keppra, wanting to add Lamictal and send me on my way to a psych dr to get anxiety medication!

He's just not making any sense at all. Why in the world would he want to take me off Keppra, If he said my EEG was showing spikes of Epilepsy, and then say I dont need it? He should be able to see in the past couple of months when Im only on Keppra, itself... I can go for a certain amount of days, the last time was on the 5th day that I started having seizure activity. Thats when he added the Lamictal. Once I started that, the seizures went away. How he thinks this 2500mgs of Keppra is going to hold me, when the 3000mgs of keppra didnt, is beyond me! :dontknow:

I'll have to search online or something and find some drs who specializes in Epilepsy. Im hoping to find another dr that can give me answers. The drs I saw were at the University of Nebraska Medical Center in Omaha. I dont know where else in Omaha I would look, But I'll see if they have any other drs there to look into.
 
I'll have to search online or something and find some drs who specializes in Epilepsy. Im hoping to find another dr that can give me answers. The drs I saw were at the University of Nebraska Medical Center in Omaha. I dont know where else in Omaha I would look, But I'll see if they have any other drs there to look into.

Have you looked into any of these doctors? (your dr. is also on this list)

http://www.aesnet.org/go/find-a-dr/find-a-doctor
Find A Doctor

Richard V. Andrews, M.D.
RA Neurological, PC
11930 Arbor St Ste 200
Omaha, NE 68144-2938
UNITED STATES
402.697.1601

Matthew Kniss, M.D.
Neurology Associates, P.C.
2631 S 70th Street
Lincoln, NE 68506
UNITED STATES
402.483.7226

Paul D. Larsen, M.D.
University of Nebraska School of Medicine
NE Medical Center
PO Box 982163
Omaha, NE 68198-2163
UNITED STATES
402.559.9539

Deepak Madhavan, M.D.
Midwest Regional Epilepsy Associates
4242 Farnam St Ste 655
Omaha, NE 68131
UNITED STATES
402.552.2270

Young P. Oliver, M.D.
University of Nebraska
Children's Hospital and Medical Center
8200 Dodge St
Omaha, NE 68114
UNITED STATES
402.955.5372

Sona Shah, M.D.
Neurology Associates of Great Plains
611 W Francis Ste 270
North Platte, NE 69101
UNITED STATES
308.650.8190

Sanjay P. Singh, M.D.
Creighton University School of Medicine
Creighton Neurology - CUMC
601 N 30th Street Ste 5300
Omaha , NE 68131
UNITED STATES
402.280.4399

George J. Wolcott, M.D.
Boys Town National Research Hospital
555 N 30th Street
Omaha, NE 68131
UNITED STATES
402.476.2021
 
The two drs Ive seen out of the list are:

Deepak Madhavan, M.D.
Midwest Regional Epilepsy Associates
4242 Farnam St Ste 655
Omaha, NE 68131
UNITED STATES

Dr Singh was Dr Mahavan's partner, I was seeing Dr Singh before he went to another hospital, then I started seeing Dr Madhavan in November 201o.

Sanjay P. Singh, M.D.
Creighton University School of Medicine
Creighton Neurology - CUMC
601 N 30th Street Ste 5300
Omaha , NE 68131
UNITED STATES

I'll have to check out the others and see if they can help me. I hope they are not drs in the same office!
402.280.4399
 
I have been to Dr. james Bobbenhouse here in town.
I see Dr. Kniss on the list you gave me, he's a dr in the same office as him.

I'm thinking maybe I should give Dr Bobbenhouse a call on Monday and see If I can set up a time to talk to him. I want to sign release forms to get all my records and VEEG sent to him so he can view it. I also am going to call my Primary Care Dr's Office Monday and see if I can get a copy of my appointment I had yesterday. I want to proof to this neuro of mine that my dr wouldnt make up the swollen glands as a result of a allergic reaction to the medication. And adding in that the blood she drew yesterday came back normal today, thats just another reason it had to be the lamictal.
 
I remember when I started with a bad rash when I started lamictal-I thought it was from my jungle of a yard-I went to the urgentcare because it did not resemble what I had picked up from the same area of the yard before and she told me to call my neuros office to get off the lamictal.I was seizing up to 8 times a day and she said that since lamictal was controlling seizures keep taking it unless my throat swelled and I could not breathe and then go to ER--I figured that would be too late for me so I went back to my trusty trileptal. Hey whats a few partials a day compared to suffocating eh?
 
I remember when I started with a bad rash when I started lamictal-I thought it was from my jungle of a yard-I went to the urgentcare because it did not resemble what I had picked up from the same area of the yard before and she told me to call my neuros office to get off the lamictal.I was seizing up to 8 times a day and she said that since lamictal was controlling seizures keep taking it unless my throat swelled and I could not breathe and then go to ER--I figured that would be too late for me so I went back to my trusty trileptal. Hey whats a few partials a day compared to suffocating eh?

Yeah, who would want to suffocate? I told my dr this, exacly what my primary care dr said, looking at my glands, being so swollen and worried what she saw on my right side, being so close to my airway, she was concerned if left go, it would spread to my airway and cause me to have trouble breathing. Thats when she said I need to get off of it now.

Now my neuro is having a hard time believing I am allergic to the medication because I have no rash. Like I told him, my PCP said the rash is the most common way of seeing youre allergic to a medication, but there are also patients who develope other severe allergic reactions, like in my case severe swollen glands. Thats why they list it on the severe side effects on the medication paper given with the prescription. Its even printed in bold capital letters if you have any of the following severe side effects, to contact your dr right away. Swollen glands was one of them.

It frustrates me to think he's thinking Im Over Exaggerating the side effects of this medication.
 
My wife has seizures and we are currently looking at VNS Therapy as apossible approach to reducing or eliminating seizure activity. I would like to share this information with other's on this site that may not be familiar with VNS Therapy. Unfortunately, I am struggling to figure out how to do a 1st time post. Can you help?
 
My wife has seizures and we are currently looking at VNS Therapy as apossible approach to reducing or eliminating seizure activity. I would like to share this information with other's on this site that may not be familiar with VNS Therapy. Unfortunately, I am struggling to figure out how to do a 1st time post. Can you help?

Sure, when you go into a forum, look to your left on the screen, you may have to scroll down alittle with your mouse and you will see a button that says, "New Topic". Just click on that. There you can list your title youre wanting to talk about in the subject line and in the space below you can write what you want to post! :)

Just click Submit at the bottom.
 
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