What preparations do you make when travelling with epilepsy?

As I prepare for a 3-week holiday in Uruguay, I want to start a discussion about travelling with epilepsy.

Travelling with epilepsy takes a little extra planning — but it shouldn't hold us back from exploring the world or simply getting from point A to point B with peace of mind.
For this trip, I'm making sure I have enough medication and that everything I take is accepted in Uruguay — especially my CBD oil. As always, I carry a letter from my doctor with details about my epilepsy and the medications I take. Since my seizures aren't fully controlled at the moment, I also researched the medical facilities at our destination, which brings me real peace of mind. And thankfully, Uruguay and Brazil share the same time zone, so no adjustments needed there!

I'd love to hear how you prepare for your holidays away from home. Please share your experiences — your insights could make a real difference for someone planning their first trip since their diagnosis, or who has been hesitant to travel at all.

Interested in more discussions like this? Go to the Epilepsy & Seizures Support Group.

@santosha I realize everyone is different, but for me, sticking to my circadian cycle was the priority. While in the air, I stayed with my core 12-hour medication plan; once we landed in London, I immediately adjusted to local time. In other words, I just repeated my usual 'before bed' and 'wake up' routine as soon as I arrived. I remember one neurologist telling me that our bodies can handle flexibility during travel, and overall, the focus should be on cyclical regularity, which is far more important than precise times of day. I'd love to hear if anyone else has another plan that works for them.

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Profile picture for Dan Noyes @dannoyes

I just came back from a two-week trip to London and Paris, the first trip in many years, and the first international in quite some time. I was extremely nervous about the trip because my seizure threshold is manageable but still present. Typically, I'll have a seizure once every two weeks, sometimes even more frequently. I think my biggest fear, besides having a public seizure, was having a seizure in front of my extended family. The last seizure I had left some people yelling and freaking out despite notifying them of the proper response. People oftentimes don't appreciate the hidden baggage we carry from these less-than-ideal responses. So with that said, I had some fear.

The trip was fantastic, although I often went sleep-deprived, was dehydrated, and was off my normal schedule. Thankfully, I went seizure-free. With that said, I did have two seizure events. Both were due to being among very large crowds, loud noise, and heat. Fortunately, I noticed the progression and removed myself from the environmental triggers before things escalated into a much more noticeable event.

The coolest part of the trip was knowing that I could travel internationally, make new friends, confront seizure triggers, and minimize my seizure events by watching and responding closely when I felt an escalation of symptoms.

Lastly, I must acknowledge that this trip was possible at this unique stage of my journey. Even a year ago, a trip of this magnitude would have been unwise, and a year before that, a trip would have been impossible. I also made sure to provide special accommodations to reduce triggers. For example, I had special earplugs if I knew I would be in a loud environment. I also recognized my limitations and would take ownership of my health and knew when to decline certain activities like going into a place with a very high ceiling (a trigger). I also saw that if I had an event, I could survive as long as I heeded my body's warning signs (sweating, visual disturbances, losing balance). I now feel much more confident about tackling the next trip.

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@dannoyes Thanks for sharing your fears, fun, and how faithful attention to your circumstances opened opportunities for new experiences, Dan. Many helpful details in your comments.

Appropriate self-monitoring in crowds, family gatherings, and public spaces alike helps us stay regulated, for sure. I honor your frank discussion of the emotional side effects when others have to experience our seizures from their point of view. It’s hard on everyone.

Thanks for sharing photos:)! It’s exciting to learn from your journey, especially that when we give ourselves time to heal and permission to grow, change becomes an ally. Where to next?

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What I didn't mention in my previous comment, @marianne72, traveling to France was far more difficult than traveling to London. I felt cognitively that my brain faced an added challenge in dealing with the language difference. Cognitively, I hadn't expected this challenge.

One small thing that helped me was I had a notebook where I reminded me things to observe. What were the most prominent colors I saw? What shades of those colors did I see? Were people smiling? Did they make eye contact? How could I engage with those around me (a simple nod was often enough)? Were there any unique plants, trees, or wildlife I saw? This helped me get past the hustle and bustle. I also went out of my way to engage with Uber drivers. Sometimes, even a grunt and raising of the hand in frustration at another driver was enough to help build a common bridge. Lastly, taking to engage with others helped me get out of my own head. One outcome was I made a friend from Uganda that I still chat with today.

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Profile picture for Dan Noyes @dannoyes

@santosha I realize everyone is different, but for me, sticking to my circadian cycle was the priority. While in the air, I stayed with my core 12-hour medication plan; once we landed in London, I immediately adjusted to local time. In other words, I just repeated my usual 'before bed' and 'wake up' routine as soon as I arrived. I remember one neurologist telling me that our bodies can handle flexibility during travel, and overall, the focus should be on cyclical regularity, which is far more important than precise times of day. I'd love to hear if anyone else has another plan that works for them.

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@dannoyes

Thank you so much for sharing! I hadn’t thought of the time zone difference issue before, and I will certainly take note. I didn’t have to deal with this issue during my last trip in March.

Now, time for the next milestone. Yup I took a pic of the plane for my trip home instead of the tourist attractions.

Cheers,
Louis

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I am so glad you shared this. What I didn't include in my uploaded photos were the little photos I took along the way to remind me of the small gains I made that, together, led to the bigger "conquest" of such a big trip. I even took a photo of the Buckee's we stopped at in Georgia. In practice, I used a free app called "Polarsteps" to create a journal-style entry, along with the Apple Journal tool. I wanted to remind myself that the impossible can become possible.

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Profile picture for Dan Noyes @dannoyes

I am so glad you shared this. What I didn't include in my uploaded photos were the little photos I took along the way to remind me of the small gains I made that, together, led to the bigger "conquest" of such a big trip. I even took a photo of the Buckee's we stopped at in Georgia. In practice, I used a free app called "Polarsteps" to create a journal-style entry, along with the Apple Journal tool. I wanted to remind myself that the impossible can become possible.

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@dannoyes

Hi Dan,

Is Buckee a gas station? Sorry, the last time I stepped foot on American soil was when Clinton was in the White House. Thus, I’m sure many things had changed.

I will definitely check out Polarsteps & Apple Journal.

Cheers,
Louis

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Buckees is a destination unto itself. It is a gas station, restaurant, gift shop, and grocery store. You have to see it to believe it. It is also a great test for my service dog, Gabe, because there is so much activity he has to ignore all of those distractions, even more to focus just on me and my epilepsy.

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Profile picture for Dan Noyes @dannoyes

Buckees is a destination unto itself. It is a gas station, restaurant, gift shop, and grocery store. You have to see it to believe it. It is also a great test for my service dog, Gabe, because there is so much activity he has to ignore all of those distractions, even more to focus just on me and my epilepsy.

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@dannoyes

I believe quite a lot had changed and US now looks/feels totally different. Flights between the 2 countries are even direct now and United has daily flights between here and San Francisco.

Oh, by the way, how did you bring Gabe overseas? Was the application paperwork cumbersome? And I believed there must be plenty of places he couldn’t enter? Did you leave him outside? Sorry. I am very curious. I can imagine how challenging the language part must be. The only French words I know are “bonjour “ & “oui” & “non “ & “merci “. That’s all.

Cheers,
Louis

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Profile picture for Dan Noyes @dannoyes

@santosha I realize everyone is different, but for me, sticking to my circadian cycle was the priority. While in the air, I stayed with my core 12-hour medication plan; once we landed in London, I immediately adjusted to local time. In other words, I just repeated my usual 'before bed' and 'wake up' routine as soon as I arrived. I remember one neurologist telling me that our bodies can handle flexibility during travel, and overall, the focus should be on cyclical regularity, which is far more important than precise times of day. I'd love to hear if anyone else has another plan that works for them.

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@dannoyes
Good Morning Dan!
Thank you for sharing that. You're absolutely right that everyone is different, something my doctor truly respects and follows.
The last time I traveled to Europe — a 4-hour time difference ahead — my doctor also recommended sticking to local time at my destination to maintain my circadian cycle, just like you did. That was, however, before my epilepsy journey became a little more complex.
Now it's time to dream about my next milestone — visiting friends and family in Europe again!
Chris

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@santosha What I found incredibly difficult was coming back home. While I had a few impactful events on my trip, I had several significant ones during my first week back. It was interesting to see how my body took time to adjust. The trip reminded me that life doesn't have to pass me by and that I could intentionally spread my wings and fly (no pun intended).

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