Side effects with combined meds: Xcopri, Lamictal, Epidiolex, Clon.

Posted by adavis27 @adavis27, Jun 23 12:18pm

Hello, I would like to ask a question about a medication, Xcopri, and how taking it may be affecting my body physically. I've had Epilepsy since 2006, and I don't want to try to count the medications I've taken that have not made me seizure free. Since I started taking Xcopri and it has increased, I have been feeling slightly dizzy, having loss of balance, and feeling stiff, mostly in the late afternoon into the evening. I don't take Xcopri until bedtime, but I also take Lamictal and Epidiolex twice during the day and Clonazepam at bedtime with Xcopri. I found information about how it may reduce the strength of Lamictal, but I need to know what to do to stop struggling so much, especially since my doctor has planned to increase it and stop taking Clonazepam. What could possibly be causing me to have so much stiffness and drowsiness?

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@adavis27
I am so sorry to hear you are struggling right now. I don't know much about Xcorpri and how it would affect you but most AED's have side effects that can cause a variety of issues. My understanding, as far as Epidiolex, it can increase the levels of your other AED's in your blood. I would definitely recommend getting a blood test to see what your levels are. For my son, who can't tolerate most AED's and always has the rare side effects, Epidiolex was a Godsend. We did start at a lower dose and titrated up gradually. For the first two years he was on Epidiolex, he was seizure free. Are your seizures controlled? Have you had any recently? What's a typical seizure like for you? I would definitely talk with your doctor and get some blood work done to check levels.
I'm so glad you found this group. You are always welcome here. There's a great many people who genuinely care and will support you through your journey.
Kerry

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Profile picture for adavis27 @adavis27

@santosha I’m sorry I didn’t reply straight to you. I’m still new to this… but I hope you read what I posted.

I've been on Epidiolex and Lamictal for years, and Xcopri has just been added this year. I am going in for blood tests this Friday. Along with these side effects, I have another illness, Stiff Persons Syndrome, and I have had a Baclofen pump to treat it since 2009. Even though the catheter from the pump was accidentally detached more than a year ago, I was still able to exercise, dance, and walk until early in May. That was around the time I started Xcopri. The neurologist is saying that the stiffness and dizziness are from Stiff Persons Syndrome. I don't know what to say, think, or do. Xcopri is supposed to be increase, Clonazepam stopped, and my other medications more than likely will not be changed until the blood tests provide some valuable information.

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Hello @adavis27,
Thank you for sharing more about the challenges you're currently facing.
I learned a bit about Stiff Person Syndrome — an autoimmune condition affecting the nervous system that became better known through Céline Dion. I'm so sorry you have to deal with this as well!
You mentioned that since Xcopri was added this year, you've started to feel physical changes in your body. I haven't tried Xcopri myself, but I've experienced dizziness and loss of balance with other AEDs — those seem to be fairly common side effects, unfortunately. I hadn't heard of Xcopri causing stiffness, but muscle pain has been reported.
I'm tagging @bearbayou @lzbthtyler @lynn0225 @kariabrown, who are currently taking Xcopri, to share their experiences with you. There's also a discussion in our group that might interest you:
Is anyone taking Xcopri?
https://connect.mayoclinic.org/discussion/is-anyone-taking-xcopri/
Has any other medication been added besides Xcopri — perhaps for your Stiff Person Syndrome treatment — around the same time? And since Xcopri was introduced, have you been seizure-free?
Wishing you good blood tests tomorrow!
Chris

REPLY
Profile picture for Chris Gautier, Volunteer Mentor @santosha

Hello @adavis27,
Thank you for sharing more about the challenges you're currently facing.
I learned a bit about Stiff Person Syndrome — an autoimmune condition affecting the nervous system that became better known through Céline Dion. I'm so sorry you have to deal with this as well!
You mentioned that since Xcopri was added this year, you've started to feel physical changes in your body. I haven't tried Xcopri myself, but I've experienced dizziness and loss of balance with other AEDs — those seem to be fairly common side effects, unfortunately. I hadn't heard of Xcopri causing stiffness, but muscle pain has been reported.
I'm tagging @bearbayou @lzbthtyler @lynn0225 @kariabrown, who are currently taking Xcopri, to share their experiences with you. There's also a discussion in our group that might interest you:
Is anyone taking Xcopri?
https://connect.mayoclinic.org/discussion/is-anyone-taking-xcopri/
Has any other medication been added besides Xcopri — perhaps for your Stiff Person Syndrome treatment — around the same time? And since Xcopri was introduced, have you been seizure-free?
Wishing you good blood tests tomorrow!
Chris

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@santosha Thank you for your support. No I have not been seizure free yet, and that’s why I’m considering simply asking the doctor to reduce Xcopri. I am going to get the blood tests and an EKG for my heart tomorrow since my medical ride made a mistake on my rides Friday.

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Profile picture for keeg1010 @keeg1010

@adavis27
I am so sorry to hear you are struggling right now. I don't know much about Xcorpri and how it would affect you but most AED's have side effects that can cause a variety of issues. My understanding, as far as Epidiolex, it can increase the levels of your other AED's in your blood. I would definitely recommend getting a blood test to see what your levels are. For my son, who can't tolerate most AED's and always has the rare side effects, Epidiolex was a Godsend. We did start at a lower dose and titrated up gradually. For the first two years he was on Epidiolex, he was seizure free. Are your seizures controlled? Have you had any recently? What's a typical seizure like for you? I would definitely talk with your doctor and get some blood work done to check levels.
I'm so glad you found this group. You are always welcome here. There's a great many people who genuinely care and will support you through your journey.
Kerry

Jump to this post

@keeg1010 Thank you for your information. I still have complex partials, and they just occur from time to time. Of course everyone is different, so what works for some people doesn’t work for others. I have been talking to my doctor, and when I felt extra weak it was so difficult to breathe, walk, and kept getting a fast heart rate last week, he put me back on Clonazepam, which helps me just a little bit.

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Profile picture for adavis27 @adavis27

@santosha Thank you for your support. No I have not been seizure free yet, and that’s why I’m considering simply asking the doctor to reduce Xcopri. I am going to get the blood tests and an EKG for my heart tomorrow since my medical ride made a mistake on my rides Friday.

Jump to this post

@adavis27
Hi Davis,
I hope all goes well with your exams this time!
You mentioned you're still having complex partial seizures. Have you seen any improvement in your seizure frequency and intensity since starting Xcopri? How many seizures are you currently experiencing per month, if you don't mind me asking?
Chris

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