Can anyone suggest any other medication besides Keppra for seizures?

Posted by 1710dave @1710dave, Aug 18, 2020

Can anyone suggest any other medication besides keppra for seizures.These pills are destroying my brain and body.The pill attacks my miscle so bad I cannot walk some times the pain is so bad in my legs.The pill is like a statin and it does damage to your muscle and tendons it is calls rhabdomyolysis.The doctors are no help at all, they just say all the pills have side effects and leave it at that.Hope someone has a suggestion.Thank you Dave

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

@santosha

Hi @louisez79
I have not tried Keppra, but as far as I know, those medications (AEDS – antiepileptic drugs) should not be withdrawn from one day to another, unless the dose is small or the med has been replaced by another AED. I have refractory epilepsy and the last AED I took (Vimpat – Lacomsamide) has been withdrawn slowly in a period of 6 months as it has not been replaced by another AED, but by CBD (cannabis). My doctor has been very careful in this transition so as reduce/eliminate potential side effects of this change. I am also a person very sensitive to antiepileptic drugs.
Has your doctor replaced Keppra by another med @louisez79? Did you take a high dose of Keppra?
Take care!
Santosha

Jump to this post

santosha, perhaps i can ask my neuro "would it be helpful to take CBD also" to help prevent possible seizures now that i am off meds for seizures - what do you think?

louise

REPLY
@louisez79

hi 171dave - there are other meds beyond keppra but most are expensive, unless your prescription drug co. will pay cost? you should ask your dr to prescribe another seizure med unless they feel keppra is the only one for you. as i stated in my post, i finally came off keppra in 4 mos (dr did not agree to take me off but i insisted because of too many side effects it was causing. i was on keppra as a preventive after surgery for a fall that caused a brain bleed. i wish i could tell you other meds than keppra, but i don't know the names, your dr. should be able to prescribe other meds.

Jump to this post

sounds like you had the same procedure and cause; you also came off meds in 4mos, same as i did because i also insisted that my dr. take me off seizure meds in 4 mos. hope you are doing well and hope i will also.
louise

REPLY
@louisez79

santosha, perhaps i can ask my neuro "would it be helpful to take CBD also" to help prevent possible seizures now that i am off meds for seizures - what do you think?

louise

Jump to this post

@louisez79
Hi Louise, Good Evening
I am really sorry to hear about your fall and then surgery at your age. What kind of surgery did you go through? Was it like an epilepsy surgery (i.e. laser ablation) to remove a lesion in the brain? What I have heard is that even after such a surgery, patients need to continue to take antiepileptic meds. If I understood you well, you were on Vimpat just for one month, July 2021, right? Just a curiosity, how did you feel with Vimpat?
I have searched here now on the internet and the initial dose of Keppra seems to be 500 mg twice per day. I understand you very well when you say that you did not want to continue living your life with those side-effects. I have been through it for almost 2 years after being diagnosed with epilepsy in February 2019 (I am 50 years old). I am much better now with my CBD treatment. I feel like my life is back :-)!
CBD is usually prescribed to patients, when two or more AEDs have not worked. I have taken 5 different AEDs before starting with CBD. I have not yet read that CBD is prescribed after epilepsy surgery. But I am not a doctor! Talk to your neurologist.
Asking your doctor about you taking CBD will for sure not hurt. One thing I have learned throughout my treatment and also in epilepsy communities is that not every doctor is familiar with CBD treatment. Some two months ago, we had a long and nice discussion on CBD in our group at Mayo Clinic Connect, sharing many experiences about CBD. Have a look at it!
I hope I have helped you a bit!
All the best to you!!! I hope you continue to feel better every day and with no seizures. Take good care of you!
If you have any other questions or want to talk, feel free to contact me!
Kind Regards,
Santosha

REPLY
@santosha

@louisez79
Hi Louise, Good Evening
I am really sorry to hear about your fall and then surgery at your age. What kind of surgery did you go through? Was it like an epilepsy surgery (i.e. laser ablation) to remove a lesion in the brain? What I have heard is that even after such a surgery, patients need to continue to take antiepileptic meds. If I understood you well, you were on Vimpat just for one month, July 2021, right? Just a curiosity, how did you feel with Vimpat?
I have searched here now on the internet and the initial dose of Keppra seems to be 500 mg twice per day. I understand you very well when you say that you did not want to continue living your life with those side-effects. I have been through it for almost 2 years after being diagnosed with epilepsy in February 2019 (I am 50 years old). I am much better now with my CBD treatment. I feel like my life is back :-)!
CBD is usually prescribed to patients, when two or more AEDs have not worked. I have taken 5 different AEDs before starting with CBD. I have not yet read that CBD is prescribed after epilepsy surgery. But I am not a doctor! Talk to your neurologist.
Asking your doctor about you taking CBD will for sure not hurt. One thing I have learned throughout my treatment and also in epilepsy communities is that not every doctor is familiar with CBD treatment. Some two months ago, we had a long and nice discussion on CBD in our group at Mayo Clinic Connect, sharing many experiences about CBD. Have a look at it!
I hope I have helped you a bit!
All the best to you!!! I hope you continue to feel better every day and with no seizures. Take good care of you!
If you have any other questions or want to talk, feel free to contact me!
Kind Regards,
Santosha

Jump to this post

good evening santoshia - boy, you have had a worse and longer time of it. i truly hope that the cbd will do the trick for you to be and stay better. i was walking my son's little dog and my bad knee gave out on me (which i can usually catch it), but the dog was on a leash and kept walking, so down i went. that is the reason i said to dr's it was not a seizure, as i got no aura, and i remembered everything. had to have many surgeries - neuro surgeon (whom i love), put 2 stents in my head in hopes to get my brain back to midline and absorb the blood. last cat scan he gave me before he discharged me, all was great, brain was back to midline, and all the blood was gone. he told me to see the neuro dr., which i had an appt to do so, and ask her to consider maybe wean me off meds, she wanted me on meds for six months, but i insisted on being off because i was no on meds for 4 months. along with the head injury, i managed to fracture one hip which needed surgery also. in the hospital from july to late sept. for both injuries, now i am slowly healing and getting around pretty good. i know it will take a long time for me to feel as myself before these injuries, but i am working towards being 100% by next spring to again get on the golf course (miss it). as you can see, i am a very active elderly lady, and that is the main reason i want my life back.

i hope the cbd will continue to work for you and get you back to living life as you once did. i pray that i will not get any setbacks also, and just continue to get better.

as for the vimpat, it seemed okay for awhile, but then i was getting side effects from it, and plus it was too expensive for me to stay on it. keppra reacted the same, when i first went on that it seemed okay, but then again i started having too many side effects from it. (i am not a good patient when it comes to taking meds - always get reactions).

santoshia, you have helped me alot, just by talking about this. i hope i have done the same for you. stay in touch if you want to.

louise

REPLY

hi 171 dave - i feel your pain from keppra - i too was getting pain in my leg muscles, arms and feet. probably not as bad as you are feeling, but i do feel the pain and weakness. i pushed myself to do light exercising for those limbs, and i do light walking only in my condo hallways though. i stay inside to walk, as now i am walking without a cane. i am still too afraid to try that outdoors yet.

it was painful when i started exercising and walking, but i tried to do it at least 4 times a week, and it has gotten easier to do, now the only time i feel discomfort is when i go to bed to sleep. tylenol seems to help me there. 171 dave, if you can do the above, do not push yourself until you feel the light exercising and walking are helping you with the pain. perhaps i should not be suggesting this to you and perhaps you should speak to your dr first before trying light exercising.

hope you get to feeling better because i understand how constant pain upsets your daily life and also causes you not to get a full nights sleep. stay strong and get better soon.

louise

REPLY
@louisez79

good evening santoshia - boy, you have had a worse and longer time of it. i truly hope that the cbd will do the trick for you to be and stay better. i was walking my son's little dog and my bad knee gave out on me (which i can usually catch it), but the dog was on a leash and kept walking, so down i went. that is the reason i said to dr's it was not a seizure, as i got no aura, and i remembered everything. had to have many surgeries - neuro surgeon (whom i love), put 2 stents in my head in hopes to get my brain back to midline and absorb the blood. last cat scan he gave me before he discharged me, all was great, brain was back to midline, and all the blood was gone. he told me to see the neuro dr., which i had an appt to do so, and ask her to consider maybe wean me off meds, she wanted me on meds for six months, but i insisted on being off because i was no on meds for 4 months. along with the head injury, i managed to fracture one hip which needed surgery also. in the hospital from july to late sept. for both injuries, now i am slowly healing and getting around pretty good. i know it will take a long time for me to feel as myself before these injuries, but i am working towards being 100% by next spring to again get on the golf course (miss it). as you can see, i am a very active elderly lady, and that is the main reason i want my life back.

i hope the cbd will continue to work for you and get you back to living life as you once did. i pray that i will not get any setbacks also, and just continue to get better.

as for the vimpat, it seemed okay for awhile, but then i was getting side effects from it, and plus it was too expensive for me to stay on it. keppra reacted the same, when i first went on that it seemed okay, but then again i started having too many side effects from it. (i am not a good patient when it comes to taking meds - always get reactions).

santoshia, you have helped me alot, just by talking about this. i hope i have done the same for you. stay in touch if you want to.

louise

Jump to this post

Hi Louise,
Nice to hear from you again! Thank you for sharing your short experience with Vimpat.
Now I can better understand what happened to you. It looks like you do not need antiepileptic meds or CBD :-). But again, I am not a doctor. Since you get very well along with your neurosurgeon, have you considered asking him for another neurologist recommendation so as to have a second opinion? Nice to hear you are a very active lady. It reminds me of my sweet grandmother.
Thank you for your wishes. I do not have expectations to eliminate 100% of my seizures, just to be able to live my life. I do not believe I will live my life as I did before, because much has changed, especially inside me :-).
It has been great talking to you!
I hope you have a nice recovery from both surgeries. One day at a time, one step at a time! As my yoga teacher always reminds me “you do not open a flower with your fingers”. All the best to you and let's keep in touch!
Santosha

REPLY

@louisez79
One thing that is perhaps interesting to share with you, Louise, and @1710dave. I had some problems with one of my knees after I have fallen due to balance problems (side effect of Tegretol). I have tried many things, infiltration, physiotherapy, massage, etc. But what has been helping me the most is Pilates. In the past, my husband had severe back problems and could avoid a second surgery with the practice of Pilates.
@1710dave I also believe Vimpat, which I have taken after Tegretol, was not doing good to my body either. Since I have withdrawn this med this year, my knee seems to be healing faster.
Have a nice day :-)!

REPLY

hi santoshia - nice to hear from you today, thank you for your advice. i do have a 11/10 appt with the neuro, which i believe will be the last appt with her. if not, i am going to ask for a new neuro, one that will listen to the patient. one situation that i am currently dealing with - i do not sleep well, lucky to get 2-4 hrs of sleep per night. feels like my brain will not shut down for sleep. i have taken trazadome which works occasionally - will help to get to sleep, but then i wake up every 2 hrs, or it doesn't work at all. i will speak to the dr about this. you take care, stay healthy, and hope we will stay in touch.

REPLY

Hi @louisez79, Good Morning
Not every doctor listens to his or her patients, unfortunately. I have experienced that myself in my epilepsy journey. Hope you can find a doctor that listens to you, gives the attention you deserve, and has compassion. I understand it is important that the relationship doctor-patient becomes a partnership.
Take you too good care of yourself. As Dr. Cynthia Li mentions in her book Brave New Medicine, healing is a proactive mindset.
Have a lovely day!
Santosha

REPLY
@santosha

Hi Leonard!
The other way around. I see I have not expressed myself very well, I am sorry. I can remember my aura (simple partial seizure), as at this point I am still aware. But I can NOT remember my complex partial seizure as at this moment my awareness gets impaired. I believe I know that I have had a seizure because all my seizures start with an aura and about 95% of them evolve to complex partial seizure. If my seizures would start directly with a complex partial one, I ask myself if I would be able to know I had a seizure??? Additionally, a few times I also get a feeling of seizure risk, some hours before it I have it.
I can not tell you if yoga has decreased or not my seizures, but for sure it has helped me in many ways since I was diagnosed with epilepsy some 3 years ago. I have been practicing hatha yoga and yoga nidra since 2018. It has for sure helped me to calm down and decreased my anxiety, a symptom of my epilepsy. With yoga, I have also learned to listen more to my body and to hear what it is trying to tell me (inhabit your body) as well as to develop more my intuition (right side of my brain that has no sclerosis). Those feelings of a seizure risk I have developed with my yoga practices after learning to better listen to my body. Yoga nidra helps me much to recharge my batteries during the day. As I have already mentioned in other posts, I have sleep problems, getting tired during the day. Therefore, almost on a daily basis, I practice yoga nidra after lunch, feeling reenergized after it. It is said that 30 minutes of yoga nidra can correspond up to 2 hours of deep sleep. Interestingly, I have observed that my chances of having a seizure are higher when I do not practice my yoga nidra (bad or lack of sleep is one of my main triggers). Last not least, yoga philosophy has helped me to better deal with my epilepsy for example, to live more in the present moment rather than the past and/or the future. This has taken much off weight off my shoulders. If we observe, many times our mind is in the future trying to solve problems that do not exist yet or to anticipate problems that have not already happened. Somehow, with this way of thinking, much of my fear of a next seizure has vanished (I have refractory epilepsy with about 5 to 8 seizures a month).
Nowadays, there are many lines of yoga. Hatha and Haja yoga are traditional yoga lines with uncomplicated postures (assanas). Just a curiosity, I have heard that those complicated postures of yoga have been mostly developed in modern yoga, when India was a colony of Britain. This was a way Indian people could show the strength and vigor of their body to the British.
Curiosity, what kind of yoga have you practiced, Leonard? Could you share your experience with us?
Have a nice day!
Santosha

Jump to this post

@jakedduck1
Hi Leonard
Very recently this week, I came across this video and Andrews-Reiter approach to epilepsy, which has caught my attention, remembering our exchange of experiences about yoga.


"Donna Andrews and neurologist Joel Reiter believe stress can cause seizures. And the epilepsy treatment they have designed is based on that belief."
"Andrews' theory is that rage, panic and worry can create dangerously erratic neural firings in everybody, not just epileptics. In people without epilepsy, these erratic firings don't cause seizures because their seizure threshold, or ability to tolerate irregular bursts of cerebral electricity, is higher. But in epileptic patients with damaged neurons already prone to overfiring, these electrical surges can create seizures."
"Consequently, epileptics who seek treatment at the Andrews-Reiter Research Program are given training in relaxation and deep breathing."
Here is a complete article on the Andrews-Reiter approach to epilepsy: https://joshuakors.com/epilepsy
Have a nice weekend!
Santosha

REPLY
Please sign in or register to post a reply.