Update on my test results

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So after seventeen days, I finally got my test results back. I had to call them and they then called me back. I got my blood levels for my medicine (Carbamezapine) *not sure of the spelling*. My levels are "normal" didn't get an actual number so since I am still having seizures on the generic, I am supposed to switch back to the trade brand of Carbatrol. I knew this before I went to the doctor. Just a little frustrated right now. I have had 16 seizures in 41 days. Four of those are suspected at this point so 12 seizures that I am sure of. I have also been having simple partials with my brand name medicine, so he will be hearing from me the first time I have one on that medication. When the nurse called today, I made sure she knew how many and how frequent my seizures have become. She made a note of them and said she would talk to the doctor and then call me back, which she hasn't done yet. Hoping to get this crap taken care of by Christmas...

:e:
 
Im so sorry you're still having seizures. I was on carbatrol for 12 years, along with Keppra. Both of them combined, controlled my seizures very well. Ive always had brand name seizure medications, Ive never tried a generic. I hope that the nurse calls you back soon and gives you an update from the doctor! :)
 
I am a little confused by the levels drawn for carbatrol. I know normal is 4 or above. My question is if I am taking 200mg of it and it is not controlling my seizures and my level is at least a 4, how will taking more of it make it better? This might be a random question. LOL Just wondering.

@momof3
Thank you very much. I told my husband the other day I wanted a refund on my body because the electrical system is shot to s*hit. LOL I hope your appointments go well. I know you have those coming up. Please keep me posted. I hope the nurse calls back soon as well. Not sure that it will make a difference though.
 
I know what you mean when it feels like your body's electical system is gone! Ive had EEG's done many times through out my life, but never a Video EEG, til the beginning of this year. Ive never had been taken off any medications for my seizures cold turkey either! So those two together, were a first for me! Once the seizures started, I felt the same way! It felt like my body was being fried to death everytime a seizure would happen. I would always try my best to explain in to my mom, (she was there the whole time with me during the VEEG process) but it was so hard to get the right words to explain to her exacly what it was I was being able to feel during a seizure. But its like a electic feeling going through out your body... its so weird. Feeling so drained and tired after it was over, I hated that feeling! I never again want to go through that again! But my doctor wants to try to get me off of Keppra next year! It would be amazing to get off Keppra, and be seizure free. But my gut is telling me that its going to be a "Not so good road" to go down. Im trying not to even think about that. I see my neurologist again in August of next year, thats if seizures are well controlled and things go good before then.

Yeah tomorrow I have my appointment with the cardiologist. Over time, since Ive stopped taking that medication for gerd, Ive felt so much better. I think alot of the "fast heart beats" was from too much medications. Especially that Hydroco stuff. So Im not too nervous about what will take place tomorrow. I have all my papers in order, ready to let them know whats been going on since all this has began. Hopefully things will check out good, and I can get with the gerd dr and they can run some tests to see if thats the main problem! :)

Oh by the way, I will check my mom about the levels of what my carbatrol was. I know I had my last blood level drawn with the Keppra and Carbatrol 2 or 3 years ago. It was with the prior neurologist I was seeing. I'll check with her to see if she recalls what my levels were when I was on it, and let you know. I was taking 1200 mgs a day... (2) 300mg tablets in the morning, and (2) 300mg tablets at night, along with the Keppra.

Have you been on the Carbatrol long? I know when I first started, I could tell that my personality had changed... well I shouldnt say personality, but with my temper and all, It was like I was on edge with things alot. Once I got off of it, I felt so much more relaxed. I even lost 20lbs! Everyone noticed a huge difference in me. I was on it for over 12 years and my dr didnt want to leave me on it for a long period of time due to it causing alot of bone marrow problems if on it for a long period of time. If I had grand mal seizures during my VEEG, my dr would have put me on another add on medication with the Keppra, but I ended up having alot of simple partial seizures.
 
I am a little confused by the levels drawn for carbatrol. I know normal is 4 or above. My question is if I am taking 200mg of it and it is not controlling my seizures and my level is at least a 4, how will taking more of it make it better? This might be a random question. LOL Just wondering.

With most of the AEDs, there is a suggested range, but folks can fall outside of that range on either end. Some need less of a medication to do the trick, some need more. It's possible that taking more Carbatrol will give you better seizure control. It's also possible that it's not the right med for you, or that it might work better in combination with another. Unfortunately a lot of this is trial and error, since what works for one person, may not work for another. I hope you and your neuro can come up with a plan to get back on track.
 
Dear iluvscoobydoo ( seriously?)
Re: carbamazepine levels , they are often affected by other drugs and if you're on any other meds you'll have to look up whether they induce the CYP3A4 enzyme as they will cause carbamazepine to get washed out faster . A common interaction not related to enzymes is tramadol , Carbamazepine increases the CNS depression of tramadol & tramadol reduces the seizure threshold.
Grapefruit juice inhibits the enzymes and can increase levels by upto 40% and cause increased side effects
St John's wort can reduce the levels and thereby your seizure threshold
Hope you get your seizure under control soon
Let me know if i can help you with anything ( and i will too , even if there are any "meddling kids"! :) )
arvind
 
Momof3--I have been on the Carbatrol for 10 years now. I got a call back from the doctor today after telling the nurse yesterday about my seizure frequency. He wants me back on the Carbatrol and is increasing my dose. I guess my levels were at a 4.7, so he is increasing my dose to 400mg in the morning and 200mg at night. It was 200 & 200.

Nakamova--Thanks for the info. It helped me to understand why I might need more medicine.

Dr--Yes I really like ScoobyDoo and if I cannot have fun, what else should I do? Thanks for telling me what can affect my meds. Now, if I can just figure out what the CYP3A4 enzyme is. LOL It is very nice to know what to avoid. Even if it is just "meddling kids". LOL Thanks for your help. It is nice to know there is someone on here who can explain what my doctor might be talking about. He is usually pretty good at explaining things to me but sometimes I am still confused. I bet you laughed or at least smiled when you saw my name, which was my reason for creating it.

:banana: :)
 
I got started on Carbatrol at around the age of 18. I cant recall what the starting dose was, but for years, I took 600mgs in the AM, and 600mgs in the PM. Combined with the Keppra, it held me over good! :) I forgot about the grape fruit juice combo! I recall my mom not knowing how it could affect my seizure medications, and when I was younger and still in school, she would fix me a grapefruit in the morning. Little did she know it could cause seizures! But I recall her finding out that information not long after I was put on Carbatrol. I loved drinking Squirt Pop. Which of course had grape fruit juice in it. So I had to make sure I stayed away from that too. But my neurologist Im seeing now, who I started seeing over a year ago, was just concerned about me being on it for too long. If on it for a long period of time, it could cause alot of problems with the bone marrow. He was determined to get me off of it. Even if I had grand mal seizures during my VEEG, he would have put me on something else with the Keppra. I hope increasing your medication will help you out alot! :)
 
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