When is driving safe for someone with epilepsy?
Good evening….mom of a son with epilepsy here. There is no right or wrong answer to this question, just asking for opinions.
At Luca’s last annual visit with mayo neurologist (about 10 days ago), it was decided since he has been seizure free for 2 years with meds and because he has kinda lost drive (quit university and has been just hanging out, he is 20) to lower his meds to make sure he isn’t being overmedicated. So she had him remove 1 of his Depakote doses (he was taking 500 depakote and 100 lamotragine twice daily). Until we knew he wasn’t going to start having seizures from removing this dose my husband and I decided that he shouldn’t drive for his safety and others “until we know”
But when is that? 😂 He asked me tonight when he can drive again and I said I would have to think about it. But I honestly don’t know when it would be safe.
I’d appreciate any advice from this group. You’re always so helpful ❤️
Tracey
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@njed That's interesting. My neurologist just told me that since I haven't had a seizure in 15 years, that the current recommendations by the Academy is to get off of the medication. I'm okay with trying that. I'd love to not have to take medication for the rest of my life.
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2 Reactions@amye3 i would love that too , right now i have around 30 tablets a day including a couple supplements. some of my medications will be for the rest of my life no choice stuff so i take them. was told without them i would not live long. that in itself is a hard pill to swallow. That's life and i am just now waking up to a new me of sorts. we will see at the end of the month what else i can manage to change for the better. Everybody have a blessed evening.
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2 Reactions@amye3
Perhaps what causes the seizures makes a difference? I have a “scar on the brain” quoting my neurologist, caused by the stroke or the brain tumor, or the surgery to remove the brain tumor nine years ago. In my experience, other surgical scars may fade, but are permanent. And so I don’t expect anything different for this one.
But I see the possibility that seizures not caused by permanent structural damage could disappear with time.
@amye3 Hi, well perhaps things have changed. I was put on Dilantin in early 1970's, seizures stopped. Changed docs in 1986, blood work showed Dilantin level at 2 which is far below therapeutic level, so doc removed me from seizure control meds. Exactly 16 days later, 30 miles out at sea sport fishing, had a seizure and same doc put me back on Dilantin. No issues since 1986, several docs asked why I am still on Dilantin for 53 years, when I tell them the story, they usually say...OK, got it. Everybody is different and as I said, perhaps things have changed but I won't. Still take 600mg daily and always will.
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2 ReactionsHi Ed,
Congratulations on being 40 years seizure free.
I've never had a normal EEG. I am always having seizures in my brain that don't always manifest into actual physical seizures. If I didn't take my medication the physical symptoms would occur within 24-48 hours based on past experiences which is why I can't stop my AWFUL medication. I was curious if you also had these sub-clinical seizures.
I also had a blood level of two. That's when I had my first focal impaired seizure while I was driving. Like you there was someone else in the car to get it off the road. I crawled over my mom to get out of the passenger door and then went wandering out into the road. When looking back we often wonder. Looking back I think many of us wonder why we are still here today.
I hope before anyone discontinues medication that their doctors do the essential tests to decrease the seizure risk as much as possible.
Take care Ed,
Jake
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5 Reactions@methel I do have a "tract" on(in?) my brain that shows on an MRI, but the doc says that I was born with it. It could be a focal point for seizures. My EEGs show no seizure activity.
@njed I'm actually not changing anything until I discuss this with my husband and he is here to monitor me. He's traveling right now.
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1 Reaction@jakedduck1 Jake...had the idiot doctor NOT taken me off my Dilantin, it is likely I would not have had a seizure in 1986. By the way, when I "came to" following the seizure, I was in a basket looking at the bottom of a US Coast Guard helicopter, trap door open, who came out 30 miles into the ocean and plucked me off a boat. Never forget that one!! I knew what happened.
Each EEG were normal all done at teaching hospitals so no reason or cause for seizures. I did not have sub-clinical seizures at all. We were both lucky to have a passenger in the car. I am sorry to hear about your situation in that lack of medication would likely trigger physical symptoms. No doubt, we will be on meds for life. I often wonder if the level of Dilantin can be the cause of the peripheral neuropathy. My neurologist says no. But....?? I agree, tests are mandatory before any changes in meds especially in discontinuing. And, like you, at times, I too wonder why I'm still here. I look at my kids and grandkids and know why. It is meant to be.
Stay well Jake.
Ed
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2 Reactions@njed
Wow. What a story. And I thought mine was exciting. I can’t top yours, but I’ll tell mine here again anyway. Called 911. Said I think I’m having a stroke. And passed out. Woke up in a hospital bed with my tough 35 yo son standing at the foot. As I looked, one tear welled up in his eye, and rolled down his cheek. I thought, why is he crying? And passed out again. When I woke up next, a nurse was telling me I was in the hospital’s neuro ICU.
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3 ReactionsThank yYou for the Hug. i hope you are having a wonderful day today.