Any Briviact experiences to share?

Posted by Lisa @mamaofiii, Sep 8, 2020

I was the last car in a 4 car collision in 2001. I had to have neck fusion and had horrible, unbearable headaches. I went to pain management, learned how to do biofeedback. I tried everything. Finally my pain management doctor recommended I take Trileptal and it was amazing. The doctor said it had been around for years and was known to help with migraines. My headaches finally became bearable. I was the type that would never even take Tylenol unless it was a have-to situation. Unfortunately, I don't remember him ever telling me this was an anti-seizure medication. I had only had 1 seizure in my life and it was a febrile when I was 3 and had pneumonia.

Around 3 years later my memory became terrible. We had taken a family trip and as soon as we got home, that trip was the first memory I lost. I had read where Trielptal could cause memory loss, so I just quit taking it. I was becoming desperate. Before I could get into a doctor to find out what was going on, I woke up one night a few months later to my husband and daughter standing over the bed, looking at me with fear, my husband had blood on his t-shirt. I had a huge grand-mal seizure and bitten my tongue. Meanwhile, my memory grew worse and worse. To be truthful the next several years were a blur. About 8 years into this mess, my memory was so horrible, I would forget what we were watching when the TV show went to a commercial. I went to many doctors and all they could come up with was that the seizure may have been from the concussion from that wreck and a swimming accident when I was a child. As far as the memory, no one had any answers. This all started when I was 39.

I finally got into Mayo and spent several days. They said I was probably starting early-onset dementia. What a horrible thing to hear. They said my short-term memory was probably gone and when it gets messed up there's no coming back. They showed me where I had a thin "layer of something" between a couple of places in my brain and that's usually where Alzheimer starts with dementia first. They really didn't have anything else to tell me except that I should have never cold-turkey Trileptal. You shouldn't ever do that with an anti-seizure medication. I was never told this.

Several years past and praise the Lord, my memory finally started coming back. There's no doubt in my mind that it was God's healing, because Mayo told me once you lose it, it's gone. I would still on occasion have a nocturnal seizures if I was going thru a lot of stress. Then one day I was in our grocery store looking at meat. I felt that horrible aura and started praying that it wouldn't go any further. Then I came around on a stretcher in an ambulance. I've had a few in random seizures like that, usually when stress is about to get the best of me, but I always had the aura. Last year out of nowhere I began having strange episodes. I'm not sure what they were. I wasn't doing involuntary jerking but it was like my brain wasn't there. The worst was when we were having our dishwasher repaired. I was getting dinner ready with the repairman in the same room. I felt an aura and then remember having to go to the bathroom. Then the man was gone and I was in different clothing, our kitchen floor was wet where I was standing. I believe I had urinated on myself.

My neurologist said that probably what was happening was my body was becoming immune to Trileptal. She started me on Briviact. There's not alot of information out there about people taking it. She started me on 25 mg twice a day and wanted me to increase it to 50 mg two weeks into taking it. This pill made my nerves so bad. I developed a temper. I never increased to 50 mg. My seizures and strange episodes did go away for about 6 months. Unfortunately a horrible family situation came into the mix. I have had about 4 episodes since June. Again, they weren't like the normal grand mal seizures or any type I've had over the past 15 years. These are too hard and weird to describe. They didn't leave me a zombie like the big ones do. The last one I was fixing my husband and I's anniversary dinner. I became so confused I tried to cook the steak in a saucepan. He liked to never have gotten me to let him take over. I have really been battling depression like never before too. I've always been the type that could find something good out of anything, but I really seem to be struggling. I know 2020 has been a mess of a year for everyone and like I said family struggles have made everything so much worse.

I'm curious if anyone else out there is taking this and what their experiences are.

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

Profile picture for Chris Gautier, Volunteer Mentor @santosha

@louissc
Thank you Louis!
As I've learned through the Andrews-Reiter approach, the notes in my daily diary go well beyond just seizures — they also cover sleep quality, food, activities, stress & anxiety levels, weather, and more.
This approach has helped me greatly in understanding my triggers and recognizing my limits, which in turn has given me better seizure control. What I find particularly inspiring is that Dr. Andrews herself has epilepsy and has been seizure-free for decades through this approach.
For anyone interested in learning more, here's their website: https://www.andrewsreiter.com/
Chris

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@santosha

Hi Chris,

Thank you for your sharing on this one! I’ll check it out.

I read from a local forum there’s one without a seizure for years till one struck again. That must be truly depressing. As for myself, I’m already into my mid 40s. Even if one struck me years later were Briviact going to work for me? That may be the last seizure I’m gonna have in this life so screw it.

Cheers,
Louis

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Profile picture for Jake @jakedduck1

@nitsuait
Briviact is a schedule 5 drug which is the least addictive of scheduled drugs. Schedule one drugs have no medical use.
Did you have a rash that went along with the itching. Briviact has fewer behavioral side effects than Keppra but if they do occur vitamin B-6 is helpful in some people. Do you plan to switch to Keppra.
Jake

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@jakedduck1 I take b-6, I did get my schedule wrong, but the question still needs to be answered , why? No I can’t stand keppra. Loki g for a trial. Or maybe I’ll just quit I’m tired of the depression, it’s earned alive.

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Profile picture for louissc @louissc

@santosha

Hi Chris,

Thank you for your sharing on this one! I’ll check it out.

I read from a local forum there’s one without a seizure for years till one struck again. That must be truly depressing. As for myself, I’m already into my mid 40s. Even if one struck me years later were Briviact going to work for me? That may be the last seizure I’m gonna have in this life so screw it.

Cheers,
Louis

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@louissc yea im 65, I’ve had seizures since I was 17, that I’m not dead is amazing, but I can’t deal with the cost , the supply chain. Or this new depression. I just started the generic, I’m wondering if that has more extreme effects.

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Profile picture for nitsuait @nitsuait

@louissc yea im 65, I’ve had seizures since I was 17, that I’m not dead is amazing, but I can’t deal with the cost , the supply chain. Or this new depression. I just started the generic, I’m wondering if that has more extreme effects.

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@nitsuait

Hi,

Yes! I just knew about the generic and everyone is so excited including me! I really hope it'll bring the price down for the sake of everyone.

Cheers,
Louis

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Profile picture for nitsuait @nitsuait

@earlylonghauler I also took deplakote, loss of hair, eyesight issues, weight gain. Not worth it back to dilanton, controls siezures but miss a dose and have a seizure. So my dr put me on briviact , I have that constant itch inside my ear, the constant ringing ( it never stops) my short term memory is horrible, weight gain, eyesore issues back again. I don’t know what the chemical that makes this drug a schedule one, but I’m dropping it .

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Hello @nitsuait ,
Well, at least 2 of us have had ear issues with Briviact. It comes and goes, and I've learned to live with it. Missing a dose of any E-med could cause a seizure, so best to be on time with am/pm pills. If a med works for you stick with it. If Epilepsy is not controlled memory issues may be more common.

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@louissc
When you get your medicine refilled, get the same manufacturer.
Stanford University did a study that showed increased breakthrough seizures in people who switched generic manufacturers.
Best of luck,
Jake

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Profile picture for louissc @louissc

@santosha

Hi Chris,

Thank you for your sharing on this one! I’ll check it out.

I read from a local forum there’s one without a seizure for years till one struck again. That must be truly depressing. As for myself, I’m already into my mid 40s. Even if one struck me years later were Briviact going to work for me? That may be the last seizure I’m gonna have in this life so screw it.

Cheers,
Louis

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@louissc
Hi Louis!
Indeed, having a seizure after many years of seizure freedom can be really hard to face. That said, sometimes a seizure is tied to a very specific circumstance rather than a sign of a new pattern emerging. I experienced this myself — following a medication brand change, I had two months of seizure freedom and then had a mild complex partial seizure. Because I knew it was triggered by a terrible night of sleep due to pain, it didn't shake me emotionally. Context matters.
One thing that has truly helped me is something I've carried from yoga into everyday life: trying to live more in the present moment rather than in an imagined future. My yoga teacher once said something that has stayed with me — we fill our minds with worries about tomorrow, yet we don't even know if we'll be here to face them. A sobering thought, but also a liberating one.
This shift in perspective made me realize how much mental energy I was spending on "what if" thoughts. Learning to notice that pattern and gently return to the present has changed how I relate to uncertainty.
It doesn't mean ignoring real concerns. It means not letting possible future seizures rob you of the peace you have right now.
Chris

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Profile picture for Chris Gautier, Volunteer Mentor @santosha

Welcome to the Epilepsy & Seizures Group on Connect — so glad you found your way here, even if the path that brought you has been a tough one, as it has been for many of us, myself included.
I'm truly sorry to hear about everything you've been through with Depakote and, more recently, Briviact. I understand you well, as my own first two to three years of epilepsy treatment were a real struggle with the different AEDs I was prescribed. Looking back, part of the problem was that I was being treated first by a psychiatrist, and later by neurologists without specialization in epilepsy, who applied standard dosages to my type of epilepsy — temporal lobe with mesial sclerosis — that brought me more harm than benefit. Everything changed when I finally switched to a neurologist with deep expertise in epilepsy.
My current doctor often reminds me that every patient is unique, even two people with the same type of epilepsy can respond very differently to the same medication. Finding the right AED at the right dosage can take time and patience, as my own journey has shown me.
I've been on Keppra since December 2024, a medication I was very resistant to starting, given all the negative things I'd read about it. The first few months were indeed tough, but my doctor gradually adjusted the dosage to one I could tolerate well. It's now bringing me far more benefits than harm and has kept me seizure-free for the longest stretch I've ever experienced.
How long have you been on Briviact? Have you had the chance to speak with your doctor about the side effects you're experiencing, so that adjustments can be explored? And would you mind sharing what type of epilepsy you have? It'd really help us support you better.
The journey to finding the right AED and dosage can be long and demanding — physically and emotionally — but please don't give up.
Wishing you a brighter treatment journey ahead!
Chris

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Good Morning @nitsuait
This message was meant for you and now I see I forgot to mention your name. Sorry!
Chris

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Profile picture for Jake @jakedduck1

@louissc
When you get your medicine refilled, get the same manufacturer.
Stanford University did a study that showed increased breakthrough seizures in people who switched generic manufacturers.
Best of luck,
Jake

Jump to this post

@jakedduck1

Hi Jake,

I read that for drugs, the human body absorb one in different manner. Thus, a generic one may actually act better than brand name ones. Once the patent expires, there will be so many generic ones out there.

The numerous negative reviews of more generic ones will attract lesser negative attention than those of the more positive reviews of the brand name version. Let's give those generics a chance.

Cheers,
Louis

REPLY
Profile picture for Chris Gautier, Volunteer Mentor @santosha

@louissc
Hi Louis!
Indeed, having a seizure after many years of seizure freedom can be really hard to face. That said, sometimes a seizure is tied to a very specific circumstance rather than a sign of a new pattern emerging. I experienced this myself — following a medication brand change, I had two months of seizure freedom and then had a mild complex partial seizure. Because I knew it was triggered by a terrible night of sleep due to pain, it didn't shake me emotionally. Context matters.
One thing that has truly helped me is something I've carried from yoga into everyday life: trying to live more in the present moment rather than in an imagined future. My yoga teacher once said something that has stayed with me — we fill our minds with worries about tomorrow, yet we don't even know if we'll be here to face them. A sobering thought, but also a liberating one.
This shift in perspective made me realize how much mental energy I was spending on "what if" thoughts. Learning to notice that pattern and gently return to the present has changed how I relate to uncertainty.
It doesn't mean ignoring real concerns. It means not letting possible future seizures rob you of the peace you have right now.
Chris

Jump to this post

@santosha

Hi Chris,

You know, after leaving enough for my family and clearing for my mortgage, what did I tell my mom what am I going to do with what she left me? First, I may leave the world without her. Not sobering, but it's the truth. If I am still to be alive, i am going to blow it. Life's too short to care about it. Had you ever watched "The Last Holiday"? It's a funny American movie I think played by Queen Latifah.

Yup the occurence of a seizure is a complex matter. Quality of life will be affected for sure, that's why I am going to blow what I have all. After living life without a seizure and having one after so many years? I am not gonna have that many so "many years" ahead to live. Thus, I think I posted in another post, screw it. Screw life. I am also going to blow what I have. I had enough of my seizures.

So, yeah.

Cheers,
Louis

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