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Withdrawl, seizure and DT prevention
by B.J., Dec 18, 2000 12:00AM
My 43-year-old son is an active alcoholic who is also schizoaffective. He is on a variety of medication for his psychiatric problem (including Li, Ativan, and an anti-depressant). He has been in treatment for his addiction four or five times and has had periods of extended sobriety (up to a year or two).
After his last treatment five years ago, he began college and attended AA for a few months. After perhaps a year, he began drinking again (although he hid it from us) and the day before Labor Day of this year, he was hospitalized with a seizure which progressed to DTs within a day or so. At that time, he was medically stable so he was transferred to the psychitric unit. At the time of his seizure he was on Xyprexa and his psychiatrist had abruptly withdrawn the Atvian which he had been taking for several years.
While he was in the hosppital, one of the psychiatrists told him that he mihgt not survive another seizure so my son now believes that he must drink to avoid another one.
My questions is this: If I can get my son is agree to treatment, can I assure him that if he detoxes under medical supervision, something can be done to prevent another seizure and/or DTs and that he will be safe? Now even I'm afraid for him to stop drinking and yet I know that he will die if he doesn't. My second question is, could the combination of drinking, the abrupt withdrawal from a benzodiazepine, and the Zprexa (which I have read can lower the seizure threshold), have preciptated his seizure. He has never, ever had severe withdrawal symptoms before; it always seemed fairly easy for him to quit.
Thank you.
B.J.
My question is this:
After his last treatment five years ago, he began college and attended AA for a few months. After perhaps a year, he began drinking again (although he hid it from us) and the day before Labor Day of this year, he was hospitalized with a seizure which progressed to DTs within a day or so. At that time, he was medically stable so he was transferred to the psychitric unit. At the time of his seizure he was on Xyprexa and his psychiatrist had abruptly withdrawn the Atvian which he had been taking for several years.
While he was in the hosppital, one of the psychiatrists told him that he mihgt not survive another seizure so my son now believes that he must drink to avoid another one.
My questions is this: If I can get my son is agree to treatment, can I assure him that if he detoxes under medical supervision, something can be done to prevent another seizure and/or DTs and that he will be safe? Now even I'm afraid for him to stop drinking and yet I know that he will die if he doesn't. My second question is, could the combination of drinking, the abrupt withdrawal from a benzodiazepine, and the Zprexa (which I have read can lower the seizure threshold), have preciptated his seizure. He has never, ever had severe withdrawal symptoms before; it always seemed fairly easy for him to quit.
Thank you.
B.J.
My question is this:
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If you look up Zyprexa on the web it says never give it to a person who has had seizures!!!!!!! Benzodiazapines are the only effective treament for alcohol withdrawal. The abrupt stoppage of Ativan combined with giving him Zyprexa looks like a malpractice lawsuit waiting to happen!!!
The more times one withdraws from alcohol the higher the chances for seizures and DT's. They medically call it the Kindling effect! Withdrawing from the Ativan alone can precipitate seizures. It sounds like that Doctor is competly incompetent. If I were you I would change Doctors immediately before he kills your son.
Drinking also lowers seizure threshold as it is considered a convulsant so he needs to stop drinking. He needs some sort of anticonvulant if he does however. A long lasting one that really works good for my seizures is Klonopin (Clonazapam), another benzodiazapine. Until he can get a new Doctor the drinking may avoid another seizure for short time, if he doesn't binge and really over do it. But you should hurry and change doctors as there is no time to waste!!!!!
Klonopin was not what J.B. said the doc withdrew his son from if you care to read his post again, it was Ativan.
Klonopin is and anti-convulsant, used for epilepsy and good to prevent seizures. I have been through alcohol withdrawal and DT'S numerous times in the past while seeing Doctors that did not know what they were doing.
I finally was placed on 12 mg of Klonopin and made it through the final stages of DT's and seizures with no more trouble. I now have a permanent seizure disorder thanks to the intitual vitamin nutritionist who didn't believe in treating alcohol withdrawal with benzos. I went through the first three months and a half of trying to quit drinking in pure living hell!!!!! Over 65 seizures and countless DT's. My Doc I have now says I am lucky to have lived through it. Many of my seizures were the status epileptic, kind meaning over 30 minutes in duration. I definately have received brain damage from having so many of those.
I still take 8 MG's of Klonopin and have had no more seizures, other than a few minor break through ones that are short and mild in comparison and I have not craved a drink since seeing the new Doctor. I am now almost seven months sober!!!!!