Clarification: My neurologist did back up his claim that it's not a Keppra thing by explaining that Keppra is processed through the kidneys, not the liver.
And two neurologists now have told me it's okay to drink, provided that I never get drunk (because that does lower your seizure threshold). My current one said that I if I do drink, I need to precede and follow every alcoholic drink with a non-alcoholic one. Drinking water and alcohol in a 2:1 ratio was already standard next-day hangover prevention procedure for me when I started noticing these symptoms, and yeah -- it hasn't been enough at all. It takes more like a whole day's worth of water for me to not be in pain from one alcoholic drink.
Hello~It seems to me you have a type of allergy to alcohol, I would stop it completely, it isn't worth feeling sick over.
There are neurologists who will say avoid alcohol consumption all together in such cases like yours.
Obviously when taking Keppra for epilepsy, the brain being already dysregulated and misfiring,
does NOT need any additional load of contributing factors like:
a. Enhanced Keppra side-effects.
b. Alcohol. It is a poison. High School Health 101.
On an empty stomach, 20% reaches the brain within one minute!
c. Acetaldehyde. A toxic byproduct of alcohol metabolism which is a known causative factor in hangover and very pertinent to you! Please read on for additional key details.
You should look into ruling out Aldehyde dehydrogenase (ALDH2) deficiency.
ALDH2 action has to do with keeping low blood levels
of Acetaldehyde during alcohol metabolism.
If you have a ALDH2*2 gene mutation, in the event you are homozygous ( having inherited a mutated copy from
each of your parents), you will have almost no ALDH2 activity!
In the event you are heterozygous ( having inherited a mutated copy from one parent only ) you will have decreased Acetaldehyde clearing activity.
The amount of Acetaldehyde in your blood, in such a case, could be 600% higher than people without the mutation.
Please look as well into the possibility of this being also part of the etiology in your epileptic condition.
If you had/have a significant yeast/fungal overgrowth imbalance (mainly from carb/sugar consumption, antibiotics, stress etc.) your body could be producing its own alcohol (auto-brewery syndrome) resulting in the same effects as consuming alcohol.
Left unchecked for prolonged periods of time, specially with an ADLH2*2 mutation, consequences would be alarming.
I doubt your doctors will help you with this, unless they are very open and holistic-minded.
Alternatively, you can seek a reputable Functional Medicine Practitioner.
One very promising approach with a high degree of success in treating epilepsy is the Ketogenic diet.
I hope this helps, however, please note that my comments are not intended to replace medical advice.