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I’m taking Keppra 1000 mg twice daily since February prior to a craniotomy and possible focal seizures to opposite side of face. Now I completed the second craniotomy on the other side. My neurosurgeon reported that I can stop the Keppra because he doesn’t believe I had seizures at any time. I decreased the dose to 500 mg BID for two days then decreased again to 500 mg daily. I’m unsure if I am safe to stop the Keppra or should stay in a decreasing dose over a longer period.
Replies to "I’m taking Keppra 1000 mg twice daily since February prior to a craniotomy and possible focal..."
Hi @pscholes10
Be welcome in our group!
I very much agree with @jakedduck1, better reduce an AED slowly than fast. It is what my doctor has been doing with me. I started on 500 mg of Keppra twice a day in December and today I take 125 mg in the morning and 150 mg in the evening.
In a situation where I felt unsure of a recommended procedure from a doctor, I usually try to get a second or third opinion.
Besides your neurosurgeon, do you have an epileptologist or neurologist following you after those surgeries you had?
All my best to you!
Chris
Please be careful. Stopping an AED increases your risk of seizure activity over time. You have had 2 craniotomies? I had one in May 2014. My eeg shows a breach rhythm which is non epileptic but abnormal. My neuroligist said he felt I could taper off my topirimate. I said no. Now I take lamotrigine ER 100mg daily. Did your doctor give you a printed schedule for reducing your dose? I have remained seizure free since 2014. To me that is a gift I will guard forever.
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I would say why not do it gradually. A call to your doctors office would get you a quick answer also. God Bless...