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Weaning off keppra protocol?

Epilepsy & Seizures | Last Active: Jan 1 10:11pm | Replies (23)

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Profile picture for Lisa Lucier, Moderator @lisalucier

Hi, @r0bert and welcome to Mayo Clinic Connect. That is a very long time to have been on your meds! Good to hear you've never felt better.

You mentioned weaning off over 2 years. Sounds like perhaps your doctor gave you this protocol for weaning? You mentioned levetiracetam (Keppra) held on tight and wouldn't let you off of your 500s. What happened when you tried to do this?

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Replies to "Hi, @r0bert and welcome to Mayo Clinic Connect. That is a very long time to have..."

Hi, @lisalucier. No, it was I who came up with my weaning time and method. Well take Tegretol as an example. I weaned of Tegretol slowly to no ill feelings at all. none. With the Keppra, every time I dropped down a little, I could feel a nervousness feeling. So I'd go a longer time with every decrease. The reason I wanted to stop so badly was because I don't need it anymore. I can hold my hand steady, which I could not do before, for example.
I cut the 500's in half and eventually got down to 250 a day. To go down from that (it was impossible to cut the 500's into fourths - (100's were not available at that time except for pets!) I had to get VERY creative. Since I was CERTAIN I did not even need the medication. I stopped taking it every day. Because I wasn't taking it for epilepsy purposes, I was taking it to keep from going through the Keppra withdrawals. Which COULD throw me into a seizure. I stopped taking it daily probably 7 months ago. I almost had to buy them from Chewy I was so desperate. My incredible cancer Dr was the one who listened to me the whole time. I am blessed to have some great Drs. When I got the liquid form, (thanks to my General Dr for that) I was down to 100 ml a day. (not the twice a day recommended) I'd do 100 per day for about 10 days and drop to 90. I felt nervousness so I stretched it out to 3 weeks, then tried to drop again. Every time I did this the Keppra grip was lessened, I got down to 70, felt it again, stretched it out, tried later. When I made my way down to 20 even the nervousness feeling was diminished. I did 10 for a couple weeks. (I could barely taste it) By then it couldn't have thrown me into a seizure, it was too weakened. It would say, "hey, I know what you're doing!", and I'd just laugh. Please let me know if I can answer any questions about this. I'd be more than happy to share my experience since I've been so blessed to get the opportunity, when I know many don't have that option. I can help with those people also. Maybe I can become a Dr. It's a much higher possibly than many of the other things I've considered with my new lease on life. Thank you for your question and for sharing your knowledge