Switching from Topamax to Vimpat

Posted by shelly9541 @shelly9541, Sep 7 5:18pm

Hello. I requested my dr to get me off Topamax because the memory issues are getting bad as I age. Im 60. She wants to switch to Vimpat. Everything I've read, it sounds the same side effects. I take Lamictal as well. I have partial complex and another kind. I cant think of the name. But I space out during that one too. Any experience you've had with it would be helpful. Thanks.

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Profile picture for baa @baa

Hi Chris …
“Do not suffer in advance”
My goodness, when I read that I jumped up for paper and wrote it down. Very few but powerful words-
My visit with primary doc was so good today. Like seeing an old friend, actually is. He thinks I made a good decision asking my neuros opinion on the med change since I work with him here ( messaged neuro today). And he thinks neuro will agree with the med addition also. I’ll just feel better when I see my neuro Oct 14 and see how he acts toward me.
BUT, it will work out so I’m going to try and lay it down!
When my neuro made the referral to Vanderbilt he didn’t make it to a specific doc, left that to me. I researched through the ones on staff and chose this one due to some of the work and papers he had written. I did ask neuro what you suggested: what protocol does he prefer for working with epi. Hopefully he will respond tomorrow-
When and if you feel like sharing regarding the status epilepticus, just let me know. That must be very difficult to even think about.
Peace to you my friend,
Brenda

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@baa
Thank you for your message, Brenda; I will sleep with a big smile on my face.😇
I'm very happy to know you had a great visit to your PCP. Celebrate that!
October 14 will be here before we know it, but for now, let's try to savor the present moment.
Peace to us with quieter minds!
Chris

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Profile picture for Chris Gautier, Volunteer Mentor @santosha

@baa
Thank you for your message, Brenda; I will sleep with a big smile on my face.😇
I'm very happy to know you had a great visit to your PCP. Celebrate that!
October 14 will be here before we know it, but for now, let's try to savor the present moment.
Peace to us with quieter minds!
Chris

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@santosha, got a return reply this morning from neuo, and he said since I “felt compelled to send med records to the epi after reading his consult notes, he would just turn me over to him. “
Just tone wasn’t that cordial. I got my feelings hurt a little then replied later,
I said I noticed epi because months ago he asked me to, apparently in possibility of admission to Vandys monitoring unit. I told him I couldn’t find his (neuros) consult notes and maybe epi couldn’t either as all he said was he had reviewed ER physician notes. I further stated I did not understand the protocol between two specialists and “assumed” they would communicate. I was polite but his tone wasn’t quite nice and a little upsetting. So I have my answer. If he wants to be a little more polite that will be appreciated and if not I will assume some ego possibility bruised ?

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Profile picture for Chris Gautier, Volunteer Mentor @santosha

@baa
Thank you for your message, Brenda; I will sleep with a big smile on my face.😇
I'm very happy to know you had a great visit to your PCP. Celebrate that!
October 14 will be here before we know it, but for now, let's try to savor the present moment.
Peace to us with quieter minds!
Chris

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@santosha I have a question you may be able to answer. If you are suspected to have non- epileptic seizures why would your AED med mg be increased? (Hasn’t been determined I don’t have more than one kind)
I can’t find the answer on my own

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Profile picture for baa @baa

@santosha I have a question you may be able to answer. If you are suspected to have non- epileptic seizures why would your AED med mg be increased? (Hasn’t been determined I don’t have more than one kind)
I can’t find the answer on my own

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@baa
Good Morning Brenda!
Thank you for the updates with your neurologist. Your response was thoughtful and well-handled. Now, I believe it is best you wait until October 14, when you will have the opportunity to see your neurologist in person. Dealing with egos in the medical field is quite common, unfortunately. I have experienced that myself.
As to your question, "if you are suspected to have non-epileptic seizures, why would your AED med mg be increased?" Indeed, it makes no sense as an AED increase would not have an effect on it, like it doesn't for PNES (psychological non epileptic seizures) also known as FND.
Have your epileptologist and/or neurologist specifically discussed the possibility of non-epileptic seizures with you? Have you had any seizures during EEG monitoring that weren't captured?
There's an excellent discussion in our group about non-epileptic seizures that has taught me a great deal. I actually had my first non-epileptic seizures this past August, which I shared about in that discussion. Here's the link:
Have nonepileptic seizures/psychogenic nonepileptic seizures (PNES)?
https://connect.mayoclinic.org/discussion/non-epileptic-seizures-or-pnes/
Wishing you a peaceful weekend!
Chris

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