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Chris Gautier, Volunteer Mentor avatar

How Long Does It Take to Adjust to New AEDs?

Epilepsy & Seizures | Last Active: 3 days ago | Replies (7)

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Profile picture for earlylonghauler @earlylonghauler

I switched from Lacosamide to Briviact over the course of a month. Lacosamide just didn’t work well for me - I had 24 sleep seizures in a year. Neurologist gave me detailed instructions but basically you want to build up the new medication in your blood before you take the old medication away. Briviact is a newer medication, kind of like Keppra but more highly targeted, with no mood issues. I encourage anyone with medication-resistant epilepsy to ask their neurologist if Briviact is an option.

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Replies to "I switched from Lacosamide to Briviact over the course of a month. Lacosamide just didn’t work..."

@earlylonghauler
I'm so happy to hear you've been adapting well to Briviact after your experience with Vimpat (Lacosamide)! Lacosamide didn't work for me either—I couldn't tolerate it and became very sick. However, the doctor who prescribed it introduced it too quickly without the careful fine-tuning process that your doctor is doing (and that my current doctor does).
That said, I know some people who have had great success with Lacosamide. As my doctor always says: "every patient is unique." What works for some might not work for others.
Based on my own journey, I've learned how crucial the process of introducing a new medication can be—the care and attention to detail can make all the difference in its success. I'm so glad your doctor is being this thoughtful with you.
How long have you been taking Briviact now? Have your seizures stopped? Would you mind sharing what kind of epilepsy you have?
Wishing you continued success with Briviact!
Chris