For seizures, the dose of
LamictalLamictal
Lamictal odt
Lamictal odt patient titration kit (blue)
Lamictal odt patient titration kit (green)
Lamictal odt patient titration kit (orange)
Lamictal starter kit (blue)
Lamictal starter kit (green)
Lamictal starter kit (orange)
Lamictal xr
Lamictal xr patient titration kit (blue)
Lamictal xr patient titration kit (green) needed to reach therapeutic (effective antiseizure levels) is very dependent on a number of things including: 1. the simultaenous use of other antiepileptics 2. the simultaneous use of depakote 3.your specific enzyme activity level (don't worry about this). The major things are the other drugs you may be taking. But let's say you're taking this alone. The doses that patients respond to are different, ranging from 75-600mg per day, but can definitely be higher especially for people who totally depend on just one drug for seizure control. Many of our patients are on 300-500mg/d. Now the second part of this is that you start with a low dose like 25mg and then VERY SLOWLY titrate it upwards to the therapeutic range because of the possible side effect of a serious rash if loaded too quickly. Most people take 6-8 weeks to become therapeutic, so it's usually safer to have them on something else in the meantime for adequate seizure protection.
FOr mood disorder, the dose ranges from 75-300mg/ day in research studies for the drug to be effective. The clinical response is used to judge the dose of the drug that should be used (although in your case, the level needs to be high enough for seizure protection). So theoretically, if you are being slowly loaded the mood stabilizing effect could take place (if it's going to work) in 4-8 weeks. Finally, it is well known that there is an association between epilepsy and depression due to multiple biological, psychological and social reasons. Look for a support group in your area. This has been very helpful for some of our patients. Best of luck.
Just wanted to let you know of a couple of Yahoo support clubs for those with seizures, in case you weren't aware:
http://clubs.yahoo.com/clubs/epilepsychat
http://clubs.yahoo.com/clubs/epilepsysupportgroup
Gee, you haven't had a seizure in 20 yrs, but they are making you take meds because of abnormal EEG?! Was there alot of activity? Why were you getting the EEG in the 1st place? I hope you don't mind me asking, as I was just recently diagnosed. I hope to be off the Trileptal in 2 years!
Good luck and a healthy and Happy New Year!
Did you check out those sites?
How about when you type, do you find that you have used words that may sound a bit similar instead of the proper word? Like one time when I was explaining this very thing I used the word "you" instead of "use". Sometimes I catch it and sometimes it is too late and I just look at it and shake my head.
I somtimes say a simular word or a rhyming word.
I've had one unexplained seizure in 10-01. I was out eating with my family and the next thing I remember is waking-up hysterical in the ER. I remember NOTHING in between.
My MRI and EEG were normal. I'm taking Carbatrol 300mg. twice a day. I suffered no trauma to the head, wasn't sick before or after, and still do not remember anything of the episode.
My husband of 21 years states I looked at him and my eyes twitched and then my whole body began to convulse. Due to my previous jobs with the handicapped he knew enough to get me to the floor and protect my head. He states I convulsed for almost 5 minutes and was unconscious until the paramedics arrived.
I woke up very frightened and confused. I had no idea who the techs. were or why they were checking me. I became violent and vulgar with them, refusing to go with them. My husband gave them consent to take me to the hospital.
I also am going stir crazy not being able to drive. I have always been a very independant person who is used to coming anf going as I please.
It's taken me this long to build-up the courage to seek others with the same experience. Not being able to find a cause is just as terrifying as having a tumor would be. My Dr. can't say if I will have another seizure or not. He suggests I stay on medication for at least 1 year seizure free. 3 months down and 9 to go!
We are waiting to get in to see the neurologists, Has anyone else had seizures related to taking medications?
Zoloft is what "brought out" my seizure according to epileptologist.
My eegs were normal the 1st two times and the 3rd only showed focal slowing. Then I had a 48 hr.video/eeg at a university hosp. and it showed sharp waves and spikes. Maybe you should see about getting a video/eeg. I am kinda sorry I did, long story and maybe some denial going on.
Not driving for months drove me bonkers!!!
We did the 48 hour home eeg and in advertantly caused a seizure with my wife by watching Gladiator, too close to the big screen and in the dark.
One lady I spoke with thought that my wife is having "Cycle Seizures" and that many women have similar events related to monopause. We are waiting to hear from the neurologists after he reviews the data
I am new to this, but have done alot of reading and have joined the support clubs listed above (and just came back from a visit with my epileptologist, to get questions answered).
A sleep deprived EEG is one where they have you sleep only a few hrs., like 4 and then stay up until the EEG. There are no side effects/dangers. This can tell them if there is activity where it is coming from and how often it is occurring and maybe other things. If you had a seizure from the surg or stroke itself, I am not sure the outlook, although I have read about surg and it is good. If the lesion from the stroke is causing activity according to my epil. the brain could be irritated and a couple of years or so on the meds might help, but only time will tell. Again, according to what I read, if it is from something that has scarred the brain your chances of remission aren't as good.
What I suggest is join the support clubs that I posted and visit the links they provide, and get a good book. One of the ones I got was, "A Guide to Understanding and Living with Epilepsy" by Orrin Devinsky, MD. I hope this helps.
Oh, another thing my epi. just told me is I prob won't be coming off my meds as soon as he originally said, because of my stress! He said he "guarantees" stress will only make things worse.
To Squirrley,
The zoloft caused me to have a seizure, is it having any effect on you?
I beleive it may be what is causing mine. since I have been on the zoloft it has helped with my depression but I am still waking up in the mornigs with a sore tongue that feels like it has been chewed on both sides. I also still have all the effects I told about above and for some reason my brain still feels shaky like jello and I am still having the shakiness and the feeling that I am not with my body. My doctor said these symptoms are seizures. I did not know til I read what you wrote that zoloft has the effect you described. So now I have to find another anti-depressant but am not sure which to take since I have been on prozac, paxil, elavil, wellbutrin, and I amd sure a couple of others. So far the only one that helps my depression is the zoloft, but like I said I am still having the seizures. Can you recommend an antidepressant that may help me. Or maybe one of the ones I have tried before just wasn't strong enough. I would appreciate any help.
I think we have had a cascade of events including hereditary factors, (her grandmother had seizures beginning at the onset of menopause) her cycle, medications, pre-menopause factors, a miscarriage last August, etc.
We are on our way to the neurologists this afternoon. More later.
Are you seeing a neurologist? A neurologist should know, I would think.
My epileptologist said it is very important to control seizures and stress. (The epi doesn't treat me, he leaves that up to the neuro, but he diagnosed me and the neuro consults with him and yesterday's appt. was so I could get some questions answered that I was having trouble with. An epi does see and treat people with frequent or hard to control seizures.)
Did you check out those support clubs I listed above?
When seizures occur around the woman's menses it is called "catamenial epilepsy". I will quote some of a book I have here in front of me: "The hormonal changes associated with the menstrual cycle are well defined and are the most likely cause of changes in the seizure frequency." "Control of seizures that occur mainly around the time of menstruation remains a difficult problem. For women who have regular menstrual cycles, a slight increase of the dosage of the antiepileptic drugs before the time of increased seizure frequency may be helpful." It says that a diuretic to help reduce water retention that occurs premenstrually may help and maybe hormonal substances such a progesterone or birth control pills may help. The efficacy and safety of hormonal therapy for this type of epilepsy remain to be established.
I hope that helps.
It has been good to have someone to type to as we have gone from denial to shock to acceptance. Per the neurologist, Melissa has “complex partial seizures” caused by abnormal brain activity in her right temporal lobe. My family and friends have all commented that we were unaware that an adult could have onset Epilepsy similar to adult onset diabetes. Her Doc said that people will tell you they have Diabetes but no one will tell you they have Epilepsy.
She has started taking medication (Carbitrol I think?) and will ramp up to a one in the morning and two at night. Blood work to check levels in 7 weeks. She has not had an event since her cycle was over and I am still somewhat convinced that her monthly cycle is when she is at risk. Time will tell. I would like to know about any books you would recommend, and thank you again for your support.
Best regards,
The Husband, (Jim)
I have gained knowledge from the support clubs I mentioned above and the links provided therein. I have read 2 books, "A Guide to Understanding and Living with Epilepsy" by Orrin Deinsky, MD and "Epilepsy, 199 Answers, A Doctor Responds to His Patients' Questions" by Andrew N. Wilner, MD,FACP
I am considering starting a support group through Yahoo for adult onset of epilepsy. The clubs I mentioned are a real asset, but I feel they can't relate to what someone experiences getting this later in life. But it seems my get up and go, got up and went. LOL Maybe after I adjust to this diagnosis and the Trileptal, I will get to it.
Jim
Please tell Melissa I wish for her the same! As far as your daughter is concerned, children are so smart and resilient. I would sit down and explain things to her and reassure her. Give her some instruction in case it would happen again. Maybe your neurologist would have something to add. OH, by the way, there are a number of childrens' books (story books) about epilepsy!!! I think it would be good for you to look into them. If you do, let me know what you came up with, if you don't mind.
Yours,
jan
P.S. If Melissa or you would like to email me, my address is ***@****
God bless!
Chad
I am not a dr. and am new to this, also. The little knowledge I have is book knowledge and info found on the internet. The only thing I know about what you posted is sharp waves. Sharp waves are epileptiform waves, markers for seizures. The "temporal" refers to the area of the brain, it would seem these are epileptogenic foci, meaning areas that could be the source of seizures. If you have the report, why not look up the terms so you can better understand them. Also, the book and sites I posted are great.
dizzee,
I felt terribly dizzy and out of it for months after my 1st complex partial seizure. I felt like I could/would have a seizure at any minute and wonder if it was seizure activity. It slowly began to clear up and didn't totally (if I can even say that now) until a week after I started my Trileptal. That was 7 months later!!!
(left mid temporal sharp waves and left temporal high amplitude sharp waves were present--also vertex sharp waves and enhanced beta activity as well as some brief sleep spindles---does anyone know what all that means???!!).
I am not a dr. but I can tell you that I've heard enough of this to say that it certainly sounds like seizures. The sharp waves indicate that there is a 'misfiring' of electricity in the brain and it is emiting impulses that will cause the fainting. How old is your child?
From my own experience when I started having seizures that were stronger than those of childhood, the family doc told me a whole list of things that it could be and when he named epilepsy that was the only one that I thought it was definitely not. I always thought that people who had epilepsy were retarded (forgive me for this word). But in retrospect, I learned that epilepsy didn't mean that at all. It simply meant that there was an electical impulse that required medication in many cases to control. You would probably be amazed at the amount of people that have seizures. Many times in children it goes undiagnosed for years. A child might show signs by 'rolling there eyes' and seeming to 'ignore' when someone is speaking to them. Also it can manifest itself in the smacking of lips and pulling at clothes. The postictal(sp?) stage of seizures in many is lethargy and confusion and completely not remembering what has happened or forgetting things and repeating themselves frequently. These are only a few things that could happen, I have experienced most of them, but in every case there is something different.
I can't imagine what a mother would go through when they find out that their child has epilepsy. I can only go on what mine went through and what my wife experiences when I have one. I know it's scary, but you can help her overcome some of the emotional issues that are associated with it. If you need help in any way as far as someone who knows what it's like, please post something else and I will respond. The support groups for epilepsy are tremendously helpful, also there are probably support groups at a local hospital. If you have time for them, it is a major benefit. I hope something in my post will help you. God bless you 8-)
Chaddy
However, Once again it appears that there can be multiple factors that contribute to seizures. The neurologist Melissa saw showed us her abnormal brain wave activity in right temporal lobe.
She is ramping up on the carbatrol (2 a day going to 4 a day) and so far the only side effect has been headache and being frustrated at being under house arrest. 9 no driving for 6 months) She too has felt that every little tremor was the start of a new event but has not had anything happen so far. She is on her first cycle since starting the meds and we are almost through it.
Our family practitioner said that the neurologist could not and would not ignore the science, but that he some what agreed with me that a cascade of events i.e. her threshold being lowered by multiple factors may have hade more causal effect than anything.
Jim
chaddy
I was angry when I found out, too. It was a rough road. Now, having started with a new neuro, it seems I have gone on the downside of the rollercoaster again. Mainly because he said he is going to ask my epileptologist if I am at the drug dosage he wants and at the last visit the epi mentioned I might need an increase. I just got used to this level and was getting back to a normal routine. Oh well.
Good luck. I hope you get some answers. My epi. is the only one who gave me answers, my last neuro would say, because the epi. said so. Some answer.
Again, I recommend the books and clubs I mentioned in earlier posts.
I hope this helps, best wishes to you and your daughter,
Chaddy
I had a seizure about six months ago my doctor felt was caused by taking Webutrin & Paxil together.
I have had seizures in the past. The last one being in 5-97. I only have them when I have not had enough sllep or I have not finished my sleep cycle. My arms start shaking and It gets better if I just go back to sleep anad finish my cycle. The doctors did not find anything in the EEG or the MRI. I have been controlling it by making sure I get plenty of rest every night.
The last time I had a seizure(5/97) was while I was driving. I hit someone head on and woke up in the ambulance. Thank god I was on a side street and going about 20mph. No one was hurt.
Since then, I have had panic attacks and anxiety problems. It started with the panic only while driving. These days, I am anxious of the actual panic itself. I don't drive that much.
ANyway, the reason I'm writing is that I got a prescription for Paxil from my doctor today. Is it safe for me. I have been researching it on the internet and seems like all these drugs for anxiety also could cause seizures.
If this is true, why would my doctor prescribe them to someone with a history of seizures?
I am anly researching before I get myself involved in taking something for that makes my seizure problem worse.
Thanks!