Weaning off keppra protocol?

Posted by shheppner @shheppner, Sep 22, 2023

I had one seizure in my sleep 9 months ago. Mmr, Ct scan, eeg (2) were all normal. I underwent sleep study tests and it was determined that I have sleep apnea. After discussing this with a couple medical doctors the thought is I probably stopped breathing for too long and had a seizure. I was put on keppra 500 mg 2x a day (500 morning 500 at night) my family noticed very odd behavior from me for months after the meds (notable side affects) , so I was decreased to 500 mg at night.

I faithfully use my cpap machine and have had no other seizures.

I want very much to be done with this drug altogether. Weaning protocol?
500 mg every other day? or 250 mg each night for a week? (2 weeks)
I’ve been told slower is better. What just want OFF of it.

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

Profile picture for keeg1010 @keeg1010

@louissc
Hi Louis,
Thanks for the clarification on the dose of Briviact. I just saw that you have been seizure free for a few days now. That's so exciting! I couldn't be happier for you! I will keep my fingers crossed for you that you continue to be seizure free without side effects.
I now understand the queue and the land leasehold and freehold. I would guess that the prices vary depending on whether you purchase a leasehold or freehold plot. I can't believe a car there costs $130.00 thousand and it only belongs to the owner for 10 years! That just seems crazy expensive to me. And I thought the vehicles in the US were expensive!
I would love to visit Singapore and Australia. Maybe one day! I would love to try the foods there. Besides KFC, what are your main food dishes that everyone loves? Do you have a lot of street vendors in Singapore? Just curious. Those are usually the best places-the little mom and pop shops. I'm not familiar with Singapore's culture but I am learning a lot from you!
Yes, you are correct. Working in the position I'm in DEFINITELY won't make me rich but I have rewards far beyond. Helping people get services from the state, to the first smile I get from a kiddo, to the first time they speak or walk is worth it's weight in gold. I've worked in pretty much every aspect, from home care/therapy to office administration. Every position has it's own rewards!
Keegan is definitely living a life with purpose. We went to visit with him today. As usual, he was all smiles and got tons of kisses. I'm always in awe of his positivity.
Keeping my fingers crossed that all goes well over the next few days and you remain seizure free! I can't tell you how excited I am to hear that. Every day matters 🙂
Talk soon,
Kerry

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@keeg1010

Hi Kerry,

I tried posting a reply but my post needed to be scanned or something,

Anyway, to cut story short, the post stated any national carrier's safety video is a great way to get to kmow a country's culture. Ours (Singaopore Airlines) will show you more of the country, Malaysia Airlines; will reflect more of the airline in a creative way and of course British Airway's will showcase British humor. Perhaps the youtube links I posted drew some red flags so maybe it's a better idea for you to search for them instead, If you have any questions, do feel free to ask! You can see our public housing, fruit unique to this part of thr world and the street food in Singapore Airlines'. Neighbourhoods are where youll find the public housing, and over there that's where you'll finid those mom & pop stores. Singapore is an expensive place to live but affordable for a tourist if you visit those neighbourhoods.

Do come over with Keegan and your husband! You need to be here to feel those vibes yourself. And from here you can fly to other parts from south east Asia like Bali. There are so many daily flights between our 2 countries. United has 2 daily flights from SFO and this is their flagship route. Singapore Airlines (SQ) has 2x daily flights from SFO, LA, each NYC airports, once daily from Seattle and soon to begin Houston from June. Yeah, I am sure Keegan will be thrilled if all of you can stand the 15 hour flight no matter the class of travel. There's just so much to see and do in this part of Asia different from other parts of Asia.

Cheers,
Louis

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Profile picture for keeg1010 @keeg1010

@santosha
No thanks are necessary Chris. I'm so glad to be a part of this community. We all rely on each other and everyone is always willing to help. Like I told Louis, you and @jakedduck1 were my lifeline when Keegan was first diagnosed. I'm blessed to call you friend 🙂
Kerry

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@keeg1010
Hi Kerry, Good Morning!
This feeling is absolutely mutual — this community truly is something special!
To know we could offer some comfort to you and Keegan in those early days, fills my heart 💜.
Blessed to call you friend, too 😊.
Chris

REPLY
Profile picture for louissc @louissc

@keeg1010

Hi Kerry,

I tried posting a reply but my post needed to be scanned or something,

Anyway, to cut story short, the post stated any national carrier's safety video is a great way to get to kmow a country's culture. Ours (Singaopore Airlines) will show you more of the country, Malaysia Airlines; will reflect more of the airline in a creative way and of course British Airway's will showcase British humor. Perhaps the youtube links I posted drew some red flags so maybe it's a better idea for you to search for them instead, If you have any questions, do feel free to ask! You can see our public housing, fruit unique to this part of thr world and the street food in Singapore Airlines'. Neighbourhoods are where youll find the public housing, and over there that's where you'll finid those mom & pop stores. Singapore is an expensive place to live but affordable for a tourist if you visit those neighbourhoods.

Do come over with Keegan and your husband! You need to be here to feel those vibes yourself. And from here you can fly to other parts from south east Asia like Bali. There are so many daily flights between our 2 countries. United has 2 daily flights from SFO and this is their flagship route. Singapore Airlines (SQ) has 2x daily flights from SFO, LA, each NYC airports, once daily from Seattle and soon to begin Houston from June. Yeah, I am sure Keegan will be thrilled if all of you can stand the 15 hour flight no matter the class of travel. There's just so much to see and do in this part of Asia different from other parts of Asia.

Cheers,
Louis

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@louissc
Hi Louis,
I guess maybe they didn't like the links but I will do my homework. Keegan actually does well on a plan. We flew 15 hours to Hangzou, China and he did great, except for the fact that he refusted to sleep the entire flight. My other 2 boys were out cold for the last half of the flight..LOL
How are you doing with the Briviact? Any side effects showing? Still seizure free?
Kerry

REPLY
Profile picture for Chris Gautier, Volunteer Mentor @santosha

@keeg1010
Hi Kerry, Good Morning!
This feeling is absolutely mutual — this community truly is something special!
To know we could offer some comfort to you and Keegan in those early days, fills my heart 💜.
Blessed to call you friend, too 😊.
Chris

Jump to this post

@santosha

Hi Chris,

Do let me know if you think I’m being a nuisance and spamming this forum.

Cheers,
Louis

REPLY
Profile picture for louissc @louissc

@santosha

Hi Chris,

No need to apologize and I am glad all went well for you! Thank you for appreciating my humor. It's great to know my words will make others smile and maybe even laugh. That's one contributor to that "glass fuller" feeling.

I did consider yoga, which I can do alone just by following Youtube. I need to have my very own Santosha exercise. There are many treatments options which are non western ones out there I don't know where to start!

I had been through pretty dark days, and so had my wife I am sure. I feel coming to a forum is to share and not hide. Us with the condition understand what our loved ones go through too having to deal with it in a different manner. Everyone sees both sides of the pond.

As for Briviact, so far so good! It's been 3 nights since I started my nightly dose and nothing to share except one - no seizure since I'm on it! So, yay? I will be a bit slow to respond due to the time difference. Unless you see nothing from me on Saturday night or perhaps Sunday morning local time (still Saturday over at east coast), I am all good. Thank you for crossing your figures for me.

I don't know anyone who is a neuropsychologist. What role does he/she play?

Do continue to have a great week.

Cheers,
Louis

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@louissc
Hi Louis,
I'm so happy to hear you've been seizure-free and with no major side effects. Santosha, I would say! Fingers crossed that Briviact continues to bring you benefits!
Yoga has been a true gift for my life. My mother practiced it regularly and would try to bring me along to her group sessions when I was younger, but she couldn't convince me back then. Staying quiet while focusing inward was a challenge I simply wasn't ready for at that time. Then in 2018, I gave it another try. This was one year before my epilepsy diagnosis, at a time when my absences — which I now know were seizures — were increasing, and I was dealing with a great deal of anxiety, sleep problems, and mental agitation.
Yoga has calmed my mind, offered deep relaxation, and improved my sleep, but its most remarkable gift has been teaching me to truly listen to my body and its signals. Today, I can sometimes recognize my prodromes, those subtle, subjective feelings that a seizure may be approaching, sometimes hours or even days before it occurs.
For anyone who hasn't yet tried yoga, I'd recommend starting with group sessions. Yoga goes far beyond postures. It's far more of a mental practice than a physical one. Here in Brazil, more and more hospitals are offering it as a complementary therapy, particularly for patients in cancer treatment. Some private schools have also introduced it for high school students to help reduce anxiety, improve sleep, sharpen concentration, and build emotional resilience, all especially valuable during the high-pressure period of university entrance exam preparation.
From what I understand, Singapore has a rich Indian heritage, which means finding an authentic, traditional yoga studio shouldn't be a challenge. Give it a try!
You asked about the role of a neuropsychologist. This professional plays a truly valuable role in epilepsy care, addressing its cognitive, emotional, and behavioral dimensions in depth. I was first referred to mine for a cognitive assessment by the doctor who diagnosed my epilepsy. She carried it out with such care and kindness that I've continued working with her ever since. She's helped me enormously, first in accepting my epilepsy and the life changes it brought, and later in coping with the ongoing challenges of treatment and cognitive changes. I'm so grateful to have found her and wholeheartedly recommend this kind of support!
Have you had a cognitive assessment at any point in your epilepsy journey, and if so, who performed it?
Chris

REPLY
Profile picture for keeg1010 @keeg1010

@louissc
Hi Louis,
I guess maybe they didn't like the links but I will do my homework. Keegan actually does well on a plan. We flew 15 hours to Hangzou, China and he did great, except for the fact that he refusted to sleep the entire flight. My other 2 boys were out cold for the last half of the flight..LOL
How are you doing with the Briviact? Any side effects showing? Still seizure free?
Kerry

Jump to this post

@keeg1010

Hi Kerry ,

Good morning from Singapore. It’s Thursday, 0730 here and am about to start my 5th full day and after 5 nights of Briviact. Yup, so far so good. I’m staying cautiously optimistic and not let my expectations overcome me just yet.

China is an amazing country. Unfortunately, I had only been to the bigger cities like Hong Kong, Beijing and Shanghai and that’s more than 10 years ago before epilepsy. I heard from an old Chinese gentleman who’s staying at the next block things in Shanghai are now reaching Singapore’s level.

There are just so many things one can do onboard a plane nowadays. Newer ones even have Wifi! Being able to sleep onboard any flight is a blessing. I was out cold on that flight to Taiwan because nothing in the inflight entertainment interest me. My mom complained about me snoring so loud. I thought she should be used to it by now. Oh the food you can see in the safety video? They are not exactly for the health conscious.

Cheers,
Louis

REPLY
Profile picture for louissc @louissc

@keeg1010

Hi Kerry ,

Good morning from Singapore. It’s Thursday, 0730 here and am about to start my 5th full day and after 5 nights of Briviact. Yup, so far so good. I’m staying cautiously optimistic and not let my expectations overcome me just yet.

China is an amazing country. Unfortunately, I had only been to the bigger cities like Hong Kong, Beijing and Shanghai and that’s more than 10 years ago before epilepsy. I heard from an old Chinese gentleman who’s staying at the next block things in Shanghai are now reaching Singapore’s level.

There are just so many things one can do onboard a plane nowadays. Newer ones even have Wifi! Being able to sleep onboard any flight is a blessing. I was out cold on that flight to Taiwan because nothing in the inflight entertainment interest me. My mom complained about me snoring so loud. I thought she should be used to it by now. Oh the food you can see in the safety video? They are not exactly for the health conscious.

Cheers,
Louis

Jump to this post

@louissc
Hi Louis,
I had started to respond but it got lost somewhere so I'll try again. I am so glad to hear you are doing well with Briviact and haven't had any seizures. I'm keeping my fingers crossed for you that you continue to tolerate the medication. Like you said, so far, so good. Keep me posted!
China was definitely a wonderful experience. We learned a lot about the culture. The people there were so warm and welcoming. They were very curious about us having 3 boys. I think I have several pictures of people we never met that just wanted a picture with our boys. It was wonderful. We got to go to the markets and visit West Lake. I wanted to go to the Great Wall but we were too far away.
What website should I look at for Singapore? I'm excited to see the culture and the food! I think the vendors have the best food, especially the mom and pop shops. I definitely don't focus on healthy when I'm eating at a vendor. You just have to enjoy the little things in life and good food is one that I love.
Keep me posted!
Talk soon,
Kerry

REPLY
Profile picture for louissc @louissc

@santosha

Hi Chris,

Do let me know if you think I’m being a nuisance and spamming this forum.

Cheers,
Louis

Jump to this post

@louissc
Hi Louis,
Not to me at all! I've always been drawn to different cultures and perspectives, and I was fortunate to have had an academic experience where students from many different backgrounds, industries, and places brought such rich and varied perspectives to our discussions.
I feel the same way about this community. The fact that members here come from so many different walks of life, each with their own unique experience of living with epilepsy, makes this group all the richer.
I believe that by exchanging our different treatment experiences and the many ways we've each learned to cope and live with epilepsy, across different journeys, places, and cultures, we only strengthen what we have here together.
Chris

REPLY
Profile picture for keeg1010 @keeg1010

@louissc
Hi Louis,
I had started to respond but it got lost somewhere so I'll try again. I am so glad to hear you are doing well with Briviact and haven't had any seizures. I'm keeping my fingers crossed for you that you continue to tolerate the medication. Like you said, so far, so good. Keep me posted!
China was definitely a wonderful experience. We learned a lot about the culture. The people there were so warm and welcoming. They were very curious about us having 3 boys. I think I have several pictures of people we never met that just wanted a picture with our boys. It was wonderful. We got to go to the markets and visit West Lake. I wanted to go to the Great Wall but we were too far away.
What website should I look at for Singapore? I'm excited to see the culture and the food! I think the vendors have the best food, especially the mom and pop shops. I definitely don't focus on healthy when I'm eating at a vendor. You just have to enjoy the little things in life and good food is one that I love.
Keep me posted!
Talk soon,
Kerry

Jump to this post

@louissc @keeg1010
Like Kerry, I'm so happy for you, Louis!
That cautious optimism of yours is a wise companion on this journey — hold on to it.
In my own experience, the things I've wished for most intensely have often been the hardest to reach. My yoga teacher puts it beautifully: attachment to outcome — even the longing for a state of peace — agitates the mind and becomes its own obstacle. It's like trying to fall asleep by forcing yourself to sleep; the effort itself keeps you awake. So I try to practice this in my own life, keeping the fear of another seizure at bay rather than letting it take hold.
Has anyone else in the group experienced something similar?
Chris

REPLY
Profile picture for Chris Gautier, Volunteer Mentor @santosha

@louissc @keeg1010
Like Kerry, I'm so happy for you, Louis!
That cautious optimism of yours is a wise companion on this journey — hold on to it.
In my own experience, the things I've wished for most intensely have often been the hardest to reach. My yoga teacher puts it beautifully: attachment to outcome — even the longing for a state of peace — agitates the mind and becomes its own obstacle. It's like trying to fall asleep by forcing yourself to sleep; the effort itself keeps you awake. So I try to practice this in my own life, keeping the fear of another seizure at bay rather than letting it take hold.
Has anyone else in the group experienced something similar?
Chris

Jump to this post

@santosha
Hi Chris,
I have certainly experienced that regarding life in general but also very much so with Keegan. Thank goodness you were there during several of those times. I will never forget what you said. You told me if I'm in a plane and we're in trouble to "put my mask on first" or I'll be no use to anyone else. That was some of the best advice I've ever been given because I do tend to jump into action without thinking about the consequences it has on my health. That will stay with me for the rest of my life. I thank you, friend, for your kindness, knowledge, and positive attitude.
Love and hugs, my friend,
Kerry

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