Medical Forum / Diseases and Disorders / Epilepsy / September 2005
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Karl Magnacca - 10 Sep 2005 05:32 GMT Hi all,
My first post in an extremely long time, mostly because I wasn't having problems for a while. I've been on Carbatrol and Lamictal (800 & 100 mg/d respectively), which was working great - the Lamictal counterbalanced the sleepiness of the Carbatrol very well. But then I moved back to Hawaii, and all of a sudden I started having seizures. Usually about once a month, for some reason usually around the 20th (maybe just a coincidence from the last few months). It is *much* more humid here and I was wondering if that might be affecting the performance of the drugs. I do only take out one week at a time to minimize exposure to the air, but that may not be good enough.
Any suggestions anyone has would be very welcome. I had a driver's license for a while (2 years without seizures!) and now I can't drive in a place where it's next to impossible to live without it. Based on previous experience it's very difficult to tamper with the dosage of the meds. I haven't tried any of the newer ones but I'm not keen to completely switch off of something that's worked so well for so long.
Karl
Mary Fisher - 10 Sep 2005 11:37 GMT > Hi all, > [quoted text clipped - 15 lines] > meds. I haven't tried any of the newer ones but I'm not keen to > completely switch off of something that's worked so well for so long. Have you sought medical advice?
Mary
> Karl Karl Magnacca - 13 Sep 2005 05:49 GMT > Have you sought medical advice? Yeah, my dr. ordered a blood level (haven't had a chance to do it yet). That might be useful as I haven't had one in quite a long time, but my experience has been that in general they've been more or less clueless. There are no neuros here (well there's one, but he specializes in pain like most of them), and I've learned more from looking on the internet (just counting reliable sources) than from my doctors cumulatively over the last 10 years.
Karl
Mary Fisher - 13 Sep 2005 15:16 GMT >> Have you sought medical advice? > > Yeah, my dr. ordered a blood level (haven't had a chance to do it yet). > That might be useful as I haven't had one in quite a long time, but my > experience has been that in general they've been more or less clueless. What makes you think we'll have any more clues? We all - I guess - are treated by our doctors so we have faith in them.
> There are no neuros here (well there's one, but he specializes in pain > like > most of them), and I've learned more from looking on the internet (just > counting reliable sources) than from my doctors cumulatively over the last > 10 years. But how do you KNOW that what you've found is reliable?
Mary
> Karl G.Ross - 13 Sep 2005 16:16 GMT >>> Have you sought medical advice? >> [quoted text clipped - 14 lines] > But how do you KNOW that what you've found is reliable? > Mary ** I didn't even realize there was a USB port that did Blood Work to check whether a Med. level was Toxic or not working in our blood... :-< Some types of meds. or szrs. can drift apart, so one can stop working or being ideal for the other. *Without the Bloodwork to check that, you can spend Years online without finding anything useful wrt. your own body's reactions either to a med. or a seizure type (Mary's comment above).
Some types of szrs. can also change over time, so a med. or level might need changing to keep pace with it.
(I was also assuming that someone with a signoff of Karl is a 'Boy person', so replied with that in mind. Some Meds. might react differently for each of us, and a tendency to have seizures on that type of schedule (monthly? --if it's consistent), might indicate that the Med. levels are wearing off? A woman having that frequency of seizure repeats might have other reasons but still related to blood levels of a set of meds. they're using? They'd Still need bloodwork to be able to assess that. )
Usually bloodwork is interpreted at the Lab the Dr. sends the sample to? The Doctor then does the secondary (final) assessment wrt. your case. So it's not necessarily fair? to discard a Doctor since he's not experienced with that, or we don't like the colour of his wallpaper.... I would expect if he was beyond his league that he'd tell you that. But we've had a surprising no. of people discard a Doctor or Consultant for reasons that don't necessarily reflect on their ability to do our assessment for us, or refer what they collect to someone who can. (Your's might be a special case, if there are no other Local Specialists on the Island you're on. But if the Dr. has links to a Lab or College on the Mainland, they might get a second opinion (online) that way. They can't if they don't know you're not fully controlled though.... )
It IS really hot where you are currently too? I don't know how much the Heat and Humidity (if it's damp too) affects our body's reactions. I assume any medications would be stored somewhere cooler than outdoor temperatures? I don't know if they can be put in a refrigerator. The Pharmacy should know, if efa.org doesn't list that. (Heat and humidity of *unsealed meds. can break them down quicker than is probably therapeutic.) G./
>> Karl Karl Magnacca - 14 Sep 2005 05:07 GMT "G.Ross" <gaross@rogers.com> wrote:
> Some types of szrs. can also change over time, so a med. or level > might need changing to keep pace with it. This may be part of the problem, but I've had seizures when I've come here from the mainland even for relatively short periods (~1-2 months), so I suspect it has something to do with the place or something I do differently here.
> (I was also assuming that someone with a signoff of Karl is a 'Boy > person', so replied with that in mind. Yes that's correct.
> Usually bloodwork is interpreted at the Lab the Dr. sends the sample > to? The Doctor then does the secondary (final) assessment wrt. your [quoted text clipped - 5 lines] > their ability to do our assessment for us, or refer what they collect > to someone who can. Well, I'm not dismissing them a priori. I just don't have high expectations based on previous experiences.
Jeez, I've never had to say so much to justify asking a question to a group before!
> It IS really hot where you are currently too? I don't know how > much the [quoted text clipped - 4 lines] > humidity of *unsealed meds. can break them down quicker than is > probably therapeutic.) G./ No, it's actually quite cool (I'm up at 4000'), but it is very humid. I just found that one type of pill bottle is not airtight like the others are, so I've stopped keeping them there. I try to avoid exposing the meds to the air as much as possible, but I'm not sure it would be enough to make a difference even if that's the cause. Breakdown due to humidity was my suspicion, but I've been told by doctors and pharmacists that this shouldn't make a difference. Not really sure I believe it, even with the steps I've taken. This is a place where grains of salt spilled on the counter turns into drops of water in a day and mold grows on my wooden spoons no matter how well I clean them. Unfortunately there's really no place in my house that I could put a dehumidifier to test it out.
Karl
K I - 14 Sep 2005 06:24 GMT Karl, I know when I moved away from Michigan which is chronic high humidity state and we moved out into the desert, well it helped stop many of my szs greatly, so it could be just the humid environment, not knowing where you lived before moving back.
G.Ross - 14 Sep 2005 13:04 GMT >> Some types of szrs. can also change over time, so a med. or level >> might need changing to keep pace with it. [quoted text clipped - 19 lines] > Jeez, I've never had to say so much to justify asking a question to a > group before! **G* Well no one expected the Spanish Inquisition either!! :-< *Assumes you once watched Monty Python.... When you started mentioning you had been in Hawaii, that was hot and humid when I was there 3 years ago. So I wondered if e.g. humid air etc. might contribute to more **auras, plus effects on medication (storage) ... I didn't have strong auras when I was there (as sea level), but noticed the increased moisture in the air from about 10AM to 5PM.
I had no way (until you posted that) that you were above 4000 feet ~4/5 mile altitude. Some of the things we listed were things that have turned up over last few years for different people and different szr. types. At your altitude the air is starting to get thinner? (less oxygen per unit), and I don't know where dust/smoke particles go -- if they stay lower or move up to where you are working and living? I can split those into 15 separate one line posts if you'd like. It was easier for me to insert ideas among your original post, where items might have been items you might not have thought of that could aggravate szrs. There's an Air Quality/Humidex advisory today in Toronto Canada -- both those affect the way I feel if I have to be outdoors for a long period in those conditions, although mine were Complex Partial type szrs. if I had them still...
>> It IS really hot where you are currently too? I don't know how >> much Heat and Humidity (if it's damp too) affects our body's [quoted text clipped - 18 lines] > test it out. > Karl An ordinary Fridge shelf (not the freezer) should be dry enough without altering the tab makeup or any chemistry of the carrier in the tablets. /G.
Karl Magnacca - 15 Sep 2005 05:57 GMT "G.Ross" <gaross@rogers.com> wrote:
>> Jeez, I've never had to say so much to justify asking a question to a >> group before! > **G* Well no one expected the Spanish Inquisition either!! :-< Sheesh, that was such an obvious situation for that, why didn't I think of it?
My mind is going...I can feel it...
> I had no way (until you posted that) that you were above 4000 feet~4/5 > mile altitude. Some of the things we listed were things that have > turned up over last few years for different people and different szr. > types. At your altitude the air is starting to get thinner? (less > oxygen per unit), and I don't know where dust/smoke particles go -- if > they stay lower or move up to where you are working and living? The air is slightly thinner; I don't notice it much but I did notice that I was the only one not to get at least mild altitude sickness on a trip to Mauna Loa (13,000+), and the only one who lived this high. Dust and smoke aren't an issue, but there is hydrogen sulfide pollution from the volcano that can be bad. It's seasonal though, mostly in the winter and spring, and if anything my seizures were less then. Maybe that's good for it? :-P
> There's an Air Quality/Humidex advisory today in Toronto Canada - both > those affect the way I feel if I have to be outdoors for a long period > in those conditions, although mine were Complex Partial type szrs. if > I had them still... One thing I forgot to mention was that the ones I have now are different from earlier seizures. They are probably complex partial - usually just staring into space but I've had three or four while riding a bike and stayed on, and other during a conversation when the other person didn't notice - with at least a minute warning. Whereas my earlier seizures (which I only got when I missed a dose) were full-blown TC, usually without any warning. I don't know how much of the change is due to not having as sharp a drop in the med level (due to the time-release pills) versus something else.
Karl
Mary Fisher - 14 Sep 2005 16:02 GMT "Karl Magnacca" <knm5@spamcornell.edu> wrote in message >
>> Usually bloodwork is interpreted at the Lab the Dr. sends the sample >> to? The Doctor then does the secondary (final) assessment wrt. your [quoted text clipped - 11 lines] > Jeez, I've never had to say so much to justify asking a question to a > group before! But you're asking questions of absolute strangers. You've had no experience of us. What makes you think we know more than qualified people? Your doctor/s can also do tests which we can't.
<snip>
> ... I > just found that one type of pill bottle is not airtight like the others [quoted text clipped - 3 lines] > humidity was my suspicion, but I've been told by doctors and pharmacists > that this shouldn't make a difference. Not really sure I believe it, WHY?
They know more about such preparations than unqualified people do, especially the pharmacists.
> even with the steps I've taken. This is a place where grains of salt > spilled on the counter turns into drops of water in a day and mold grows > on my wooden spoons no matter how well I clean them. Pills are designed to withstand such conditions. They're not just put together at a whim, r &d takes many years before a preparation can be 'allowed out' and those tests are for physical tolerances and keeping qualities as well as the effcts on the body and mind.
Mary
Karl Magnacca - 15 Sep 2005 05:46 GMT "Mary Fisher" <mary.fisher@zetnet.co.uk> wrote:
> But you're asking questions of absolute strangers. You've had no > experience of us. What makes you think we know more than qualified > people? I'm not assuming you do. But physicians are "qualified" by having studied medicine in general enough to get a degree, not by necessarily having any particular experience with epilepsy. Whereas most people here at least have the latter. If one is looking for someone with similar experiences, it is better to ask one person who might have seen 10 people with epilepsy in their career, or 200 people who actually have it? Of course I'm not completely writing off doctors, but if you don't understand why I have higher expectations for the latter than the former, there's no point in continuing this discussion.
>> ... I >> just found that one type of pill bottle is not airtight like the [quoted text clipped - 9 lines] > They know more about such preparations than unqualified people do, > especially the pharmacists. Two minutes on Google turned up this on Lamictal: www.nlm.nih.gov (MedlinePlus): Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down. www.medsafe.govt.nz: Heat and dampness may affect the tablets.
People who have qualifications are not always qualified on everything.
Karl
Mary Fisher - 15 Sep 2005 10:05 GMT "Karl Magnacca" <knm5@spamcornell.edu> wrote in message
> Two minutes on Google turned up this on Lamictal: > www.nlm.nih.gov (MedlinePlus): Do not store in the bathroom, near the [quoted text clipped - 3 lines] > > People who have qualifications are not always qualified on everything. So are you saying that Google is qualified or Medline Plus or medsafe ... my point is that you seem to be choosing who to believe.
Mary
Karl Magnacca - 15 Sep 2005 11:09 GMT "Mary Fisher" <mary.fisher@zetnet.co.uk> wrote:
> "Karl Magnacca" <knm5@spamcornell.edu> wrote in message >> [quoted text clipped - 8 lines] > > So are you saying that Google is qualified or Medline Plus or medsafe Frankly, yes I trust the US National Institutes of Health and the New Zealand ministry of health more than I trust my local pharmacist. I don't think that's unreasonable.
> ... my point is that you seem to be choosing who to believe. Of course I am, because I'm getting conflicting information. I have some sources (the national health authorities of two countries) that say don't even keep the stuff in the bathroom because it's too damp, and another (my local pharmacist) saying that humidity has no effect whatever. Who do you believe? Anyone want to take a poll of a.s.e readers?
It sounds like you're encouraging blind belief in whatever doctors or pharmacists tell you. That seems like an unusual agenda. Second (and third and fourth) opinions are important for practially everything. My experience has been that doctors are like tech support people: talk to five different ones and you'll get at least four different explanations, and if you're really lucky one of them will be right. The trouble is (as you like to point out), you're usually not qualified to distinguish between them. So what do you do next? I like to research the problem and try to figure it out myself. If you are content to either have faith in the first person with a degree who tells you something, or to sit paralyzed in indecision, that's your choice.
Karl
Mary Fisher - 15 Sep 2005 12:19 GMT >> "Karl Magnacca" <knm5@spamcornell.edu> wrote in message >>> [quoted text clipped - 20 lines] > another (my local pharmacist) saying that humidity has no effect > whatever. Who trains these folk?
Who advises the national health authorities?
> It sounds like you're encouraging blind belief in whatever doctors or > pharmacists tell you. I think you believe what you want to believe - you're even making assumptions of what I believe :-)
> My > experience has been that doctors are like tech support people: talk to > five different ones and you'll get at least four different explanations, > and if you're really lucky one of them will be right. Correct.
So who do you turn to for tech support? Do you ask opinions from a ng? And if you get overlapping and different replies from there - what then?
> The trouble is > (as you like to point out), you're usually not qualified to distinguish > between them. So what do you do next? I like to research the problem > and try to figure it out myself. Then study pharmacy.
> If you are content to either have > faith in the first person with a degree who tells you something, or to > sit paralyzed in indecision, that's your choice. LOL! You don't know me:-)
I trust people who admit that they don't know everything.
Mary
> Karl Karl Magnacca - 16 Sep 2005 06:52 GMT "Mary Fisher" <mary.fisher@zetnet.co.uk> wrote:
>> It sounds like you're encouraging blind belief in whatever doctors or >> pharmacists tell you. > > I think you believe what you want to believe - There's always some component of preconceived notion. But when your local yahoo pharmacist tells you something that goes against what *appears* to be common sense - that humidity affects dry pills - and then you find information from two more authoritative sources that actually is in line with what you suspected, what are you going to do?
Seriously, I want to know what your next step is. You didn't reply to any of the questions I asked in the previous post about what you would do; I want to hear it. You're criticizing me for investigating on my own, but what is your better alternative?
> you're even making assumptions of what I believe :-) No, I'm telling you the message I'm getting from you. This whole thread started when you wanted a complete step-by-step logical justification for posting an inquiry to the group before going through the whole process with my doctor, as if they are the be-all and end-all of information and no one here could possibly contribute anything of value. Maybe you don't believe that, but that's what it sounds like you're saying to me.
> So who do you turn to for tech support? Do you ask opinions from a ng? Of course I do, for the same reason I posted a message here: you're more likely to get a good response from someone who has actually had the same problem, and maybe solved it, than from some idiot* who's reading things off a troubleshooting manual. If you have much experience with computers you should know that tech support is usually the *last* resort.
* - Yes, I know that most of them aren't really as stupid in real life as they sound on the phone, but it's difficult not to get upset dealing with someone who seems totally clueless.
> And if you get overlapping and different replies from there - what > then? You try to exhaust the list of possible solutions, then try them out, try to eliminate the ones that aren't exactly like your situation, etc.; just like with epilepsy or anything else.
>> The trouble is >> (as you like to point out), you're usually not qualified to >> distinguish between them. So what do you do next? I like to >> research the problem and try to figure it out myself. > > Then study pharmacy. Why bother studying the whole shebang when I only need info on two drugs?
>> If you are content to either have >> faith in the first person with a degree who tells you something, or >> to sit paralyzed in indecision, that's your choice. > > LOL! You don't know me:-) Nope, I don't. So show me: tell me what do you do in that situation.
> I trust people who admit that they don't know everything. I trust them more than people who think they do know everything, but that doesn't mean I trust them. I'm a scientist, so I don't really trust anybody, myself included. The only way to find out if something is right is to try it yourself, and even then you can't be sure.
Karl
Mary Fisher - 16 Sep 2005 10:37 GMT "Karl Magnacca" <knm5@spamcornell.edu> wrote in message >
> ... you're more > likely to get a good response from someone who has actually had the same > problem, The problem with neurological conditions is that very few people have had the same problem. Of those people with problems a very, very small number come on this group.
> and maybe solved it, than from some idiot* who's reading things > off a troubleshooting manual. If you have much experience with > computers you should know that tech support is usually the *last* > resort. Your reference to dimwits, clueless, idiots, yahoo professionals and the like is offensive. Most of them do know more about pharmaceuticals than we do.I think that you should be less critical of them.
> * - Yes, I know that most of them aren't really as stupid in real life > as they sound on the phone, but it's difficult not to get upset dealing > with someone who seems totally clueless. 'Seems' is your judgement, it's not an accurate assessment of their ability. Your attitude could be said to say more about you than about them.
>> And if you get overlapping and different replies from there - what >> then? > > You try to exhaust the list of possible solutions, then try them out, > try to eliminate the ones that aren't exactly like your situation, etc.; > just like with epilepsy or anything else. In that case I doubt that you'll get any situation which is exactly like yours.
>>> The trouble is >>> (as you like to point out), you're usually not qualified to [quoted text clipped - 5 lines] > Why bother studying the whole shebang when I only need info on two > drugs? OK, ask the manufacturers.
>>> If you are content to either have >>> faith in the first person with a degree who tells you something, or [quoted text clipped - 3 lines] > > Nope, I don't. So show me: tell me what do you do in that situation. I listen to everyone who has some experience or knowledge of my condition and decide where to go from there. I don't expect perfection in life or in individuals. If I make a judgement based on those factors and it's wrong I don't blame those who I asked, I blame myself for making the wrong choice.
Medicine is not an exact science, it's more of an art.
>> I trust people who admit that they don't know everything. > > I trust them more than people who think they do know everything, but > that doesn't mean I trust them. I'm a scientist, so I don't really > trust anybody, myself included. The only way to find out if something > is right is to try it yourself, and even then you can't be sure. That's what I said above. So what's your problem? Why are you asking here if the ONLY way is to try it yourself?
:-) Mary
> Karl Karl Magnacca - 17 Sep 2005 06:53 GMT "Mary Fisher" <mary.fisher@zetnet.co.uk> wrote:
> "Karl Magnacca" <knm5@spamcornell.edu> wrote in message > >> [quoted text clipped - 4 lines] > had the same problem. Of those people with problems a very, very small > number come on this group. True, but lots of people are taking the same meds and the chances of someone having the same problem with humidity is relatively high.
> Your reference to dimwits, clueless, idiots, yahoo professionals and > the like is offensive. Good. Being asked to justify why I'm posting an inquiry here is offensive.
>> * - Yes, I know that most of them aren't really as stupid in real >> life as they sound on the phone, but it's difficult not to get upset [quoted text clipped - 3 lines] > ability. Your attitude could be said to say more about you than about > them. Have you actually dealt with tech support before (I was talking about them in this passage, not physicians)?
Actual transcript of a discussion: TS: What's the problem? me: My computer spontaneously reboots. TS: What's it doing now? me: I'm sitting here surfing the web while I've been on hold. TS: Well, it seems to be working fine now. me: Well of course it does, it only reboots every hour or so. The chances of catching it happening during the time we're on the phone is pretty low. [back and forth for a few minutes] me: Hey it just rebooted! TS: What's it doing now? me: It's going through the startup, initializing Windows, etc. TS: Well, it seems to be working fine now, call us back if there's a problem.
Granted, this is an extreme example. This person clearly really was an idiot. But I also had a neuro who told me (on the first visit) that my only possible alternative to carbamazepine was phenobarbital, which is patently false.
But my point is (and the reason I made the analogy with physicians), if you keep getting wrong answers from people who are supposed to be trained on the subject, and consistently get as good or better information from people who aren't formally trained on it but have much more real-life experience, then why not see if you can save $60, being forced to take a day off from work, and some irritation and ask the latter group first? It doesn't necessarily mean the former are stupid, or that you should dismiss them completely, but when you're dealing with a field that has so much information that no one can be up to date on it, why not do your own research on the narrow area you need to know about?
>> Why bother studying the whole shebang when I only need info on two >> drugs? > > OK, ask the manufacturers. Where do you think the NIH gets their information? As far as I know the FDA (Food and Drug Administration) relies almost entirely on manufacturers for drug information (a source which is not always objective, and something which has caused a lot of problems especially with the right-wing ideologues currently in charge).
> I listen to everyone who has some experience or knowledge of my > condition and decide where to go from there. Then why are you arguing with me? That's the same thing I said. You said I shouldn't ask here because no one here would have experience or knowledge of my condition, but that's obviously not true.
I don't get why you only seem to be going after me. Ole did the same thing asking about concentration as a trigger. Asking if other people have had similar experiences is what many of the posts here are about.
> I don't expect perfection in life or in individuals. If I make a > judgement based on those factors and it's wrong I don't blame those > who I asked, I blame myself for making the wrong choice. That's exactly my point. If I ask my pharmacist if humidity might affect the effectiveness of Lamictal and they say no, and I say "okey dokey" and forget about it, if it then turns out that humidity is the problem then it's partly my fault for not investigating whether they were actually right or not. If you don't expect perfection then you can't take for granted that whatever a person says, even in an area they are trained in, is correct.
> So what's your problem? Why are you asking here if the ONLY way is to > try it yourself? Because I'm looking for other alternatives to try that I might not have thought of (especially since I can't really test the humidity hypothesis). What is *your* problem? Why do you have so much difficulty understanding that?
Karl
E.B. - 17 Sep 2005 19:29 GMT Alright,
I'll throw in my plugged nickel's worth and nobody take it personal. I'm not stupid, I don't brag that I have a B.S. in B.S., etc. I have dealt with pharmacists and neurologists alike that don't know enough. Nobody, and I mean NOBODY knows enough. I have learned this first hand from dealing with neurologists for 30 years. You have to research alot on your own and then share it with an open-minded neurologist (find one),
My neurologist is one of the foremost in his field and there is nobody, and I mean nobody, that has ever said anything bad about him as far as I know. This is well known among people, that nobody ever says anything bad about him. He is the head of seizure research at Vanderbilt University in Nashville and only good things are said about him. But he is always admitting he can learn. For example, I researched and found out what triggers my photosensitive seizures. I shared it with him. He thanked me for sharing it with him, he is originally from the Middle East (Lebanon), and is not proud to admit he can learn. I have worked with him for 11 years and he is the only one who got my seizures under control to an acceptable level. He works with VNS, and immediately knew I shouldn't try it. He wasn't financially motivated like some other neuros I've experienced.
He worked with geneticists in Montreal and found a theory (I have mentioned before on this forum) that everyone on my mother's side of the family tree with a seizure disorder has a certain deformed chromosome. He has found the same thing in two more families and would like to find others. AND he says this is just a theory. He now has a genetist on his research team at Vanderbilt.
In my experience (and I don't know it all), I've learned the hard way. I've put up with alot, and I mean ALOT, of incompetent neuros and some incompetent neuros that were stuck on themselves being so smart. I have met nice ones who were incompetent, and rude ones who were incompetent. AND I put up with alot (and still do) of pharmacists that make me wouldn't mind giving a haymaker upside their noggin if I could get away with it. It took me a long time to find my present neuro, but one has to look for somebody like this and stick with him or her, even though there may be sacrifice involved. I just find, while talking with others and through my experience, one has to find a neuro like him who works to learn and is in a big instituition, and not out in a smaller area (like others I know) who just want to try something and make the money.
There, I said it, eat me alive. Its just my advice and opinion. Its not meant to be negative, just positive. Even if it comes from a trouble-making Tennessee Redneck like me.
E.B.
G.Ross - 16 Sep 2005 15:35 GMT >> "Karl Magnacca" <knm5@spamcornell.edu> wrote in message >>> [quoted text clipped - 12 lines] > Zealand ministry of health more than I trust my local pharmacist. I > don't think that's unreasonable. *** It's possible they both get information on use and what to avoid from the Manufacturer's scripts, composed by them based on their own tests as they develop a product. I wouldn't be surprised if moisture etc. could affect the rate a solid tablet (if that's what these are -- mine are) would biodegrade, just like foods that are meant to be kept dry or cool would age quicker. Some sites might assemble information based on feedback from Doctors and Patient Histories on the sample of the Doctors who might <take the time to> report the problems they've encountered or suspect from their sample of patients using a particular med. There is a 'lot' of strange stuff on Google, which was all I think Mary was suggesting. (I got mail 4 years ago from someone who wanted me to pick Lottery numbers for them, for a 20% share of their winnings. They had done a Google on 'Deja Vu' to look for soothsayers, and my posts listing that as a symptom of Right Temporal Lobe seizures, told them they had a 'hit' and a chance to get rich. I explained to them what Deja Vu Aura was, and how their search had failed to do what they wanted for them. Not all Pharmacist's might be as good as mine, but most of them have similar tools. When I've had questions for them, they will either look to see if there are new updates wrt. the meds. or get back to me. Grapefruit (one of its acids) conflicts with Tegretol and some other AEDs. Since I only used that juice randomly over 2-3 months, I didn't relate szrs. I might have 12-36 hours after that morning dose, with the *G.fruit I had used then. When I found the conflict with a family of pills (I think on the UK group at the time), the Druggist had received an update for the pill but the 'robot' wasn't printing new Alert Pages for each person using it.) Tegretol is also used for some Heart Conditions and not just Seizure types. G./
>> ... my point is that you seem to be choosing who to believe. > [quoted text clipped - 17 lines] > sit paralyzed in indecision, that's your choice. > Karl You do whatever you feel is best for your own health. If you don't trust your personal sources, I guess you do what you did. Some others of us have had better luck with either the Pharmacy or the Doctor involved, so we rarely had to do our own diagnosis. The samples of replies above and below these are various people who've either found something with respect to a seizure type, their own patient history, or had read here on older posts. Some search engines can be used for that, others might not work as well. If we were going to search only Subject Lines for information, *this message thread wouldn't show up on anyone's search unless they were looking for information on 'change'. /G.
Karl Magnacca - 17 Sep 2005 07:06 GMT "G.Ross" <gaross@rogers.com> wrote:
> Some sites might assemble information based on feedback from > Doctors and > Patient Histories on the sample of the Doctors who might <take the > time to> report the problems they've encountered or suspect from their > sample of patients using a particular med. Do you have the URL for any of them? It sounds like you'd have to take what's on there with a grain of salt, but there could be interesting things.
> There is a 'lot' of strange stuff on Google, which was all I think > Mary was suggesting. It sounded to me like she was suggesting that because there is a lot of unreliable stuff, that the NIH and Medsafe are unreliable.
> Not all Pharmacist's might be as good as mine, but most of them have > similar tools. > When I've had questions for them, they will either look to see if > there are new updates wrt. the meds. or get back to me. That was part of the point I was trying to make: not all of them are as good as yours. When I asked about humidity mine just said "No, that wouldn't do anything" without looking anything up. Part of what made me have low confidence in the accuracy of their answer.
> Grapefruit (one of its acids) conflicts with Tegretol and some other > AEDs. Yeah, I noticed that a few years ago. I don't think I ever had seizures from it, but fortunately it gives me an excuse not to eat it (I hate grapefruit).
Karl
G.Ross - 20 Sep 2005 04:22 GMT >> Some sites might assemble information based on feedback from >> Doctors and [quoted text clipped - 5 lines] > what's on there with a grain of salt, but there could be interesting > things. **** Some of the Druggists might have www of the particular pill manufacturers you are using. A more generic one is the U.S. Ep. Foundation of America. I checked there for my Tegretol and Frisium early on, and the reports were similar to the 1-page I got from my Pharmacy with my first prescription filling. EFA is at http://efa.org then I think you click on Medications? and type in the name, then GO or ?? button on the site. It gives a one page generic printout of what the manufacturers have supplied to efa. G./
> Karl Karl Magnacca - 14 Sep 2005 04:48 GMT "Mary Fisher" <mary.fisher@zetnet.co.uk> wrote:
>> Yeah, my dr. ordered a blood level (haven't had a chance to do it >> yet). That might be useful as I haven't had one in quite a long time, >> but my experience has been that in general they've been more or less >> clueless. > > What makes you think we'll have any more clues? There's a pretty good chance I'm not the only one this has happened to. I'm just looking around to see if anyone else has had similar experiences and been able to successfully resolve them.
> But how do you KNOW that what you've found is reliable? How do you know that ANYTHING is reliable? Corroboration, testing, etc. I may have implied so in my post, but just because the source has some kind of authority doesn't mean it's correct. Lots of things I've been told by doctors has not stood up to that test. I've found that most of the ones I've dealt with don't really have a good idea of what to do. I don't mean to sound like I think they're incompetent (I suppose calling them clueless does give that implication), but they just don't know much about treating epilepsy.
Karl
Mary Fisher - 14 Sep 2005 16:04 GMT > ... I > don't mean to sound like I think they're incompetent (I suppose calling > them clueless does give that implication), Yes it does.
> but they just don't know much > about treating epilepsy. Nor do we.
Mary
> Karl Pablo - 10 Sep 2005 14:25 GMT G'day Karl, I live in Townsville in Australia where the humidity during the summer months is generally above 80% right throughout summer. I have taken Tegretol CR and Lamictal (1600 & 400 mg/d) for several years now with a reasonably high degree of success. During summer I do find I have more problems but I believe that is more to do with my body's reaction to the rise in temperature and humidity than the effect of humidity on the medication. It would be my opinion that the same would probably be the case with you. If you keep your medication in a cool dry area then you shouldn't have too many problems with it. If you can have a chat to your pharmacist he/she will usually be helpful (and knowledgeable) if you approach them when they are not too busy.
Pablo
> Hi all, > [quoted text clipped - 17 lines] > > Karl Ole Kvaal - 10 Sep 2005 18:07 GMT > high degree of success. During summer I do find I have more problems but I > believe that is more to do with my body's reaction to the rise in > temperature and humidity than the effect of humidity on the medication. Hmm. That's interesting. Living in mid-Norway, where we are not excactly used to neither high temperatures nor humidity, we have - for the the past 8-10 years been experiencing periods with rather temperatures during a few summer months, close to 30 degrees Celcius. I used to be close to seizure free - one seizure in every 4th(?) year, but since 2002 I've been having one seizure every year, all in mid-summer. I know 1 sz/year isn't much to complain about, but your theory sounds very interesting to me. Besides, does anyone here know if physical training (I go to a gym twice a week) will affect one's seizure rate?
ole k
 Signature If a problem can be solved, there is no need to worry about it; If a problem can't be solved, there is no use to worry about it. (Shantideva)
Pablo - 11 Sep 2005 02:53 GMT >> high degree of success. During summer I do find I have more problems but >> I believe that is more to do with my body's reaction to the rise in [quoted text clipped - 11 lines] > > ole k G'day Ole, Thinking along the same lines why not try checking your temperature before and after a work out to see what the variance is? I find that any time my body temperature goes up I have to be more careful particularly if I have the flu or some similar disease.
Pablo
Ole Kvaal - 11 Sep 2005 19:26 GMT > G'day Ole, > Thinking along the same lines why not try checking your temperature before > and after a work out to see what the variance is? I find that any time my > body temperature goes up I have to be more careful particularly if I have > the flu or some similar disease. I'll try to remember that. I just hope noone will notice me sneaking into the showere with a thermometer . . .
thanks, ole k
 Signature If a problem can't be solved, there is no use to worry about it. If a problem can be solved, there is no need to worry about it.
(Shantideva)
Patsy and Darryl - 12 Sep 2005 05:09 GMT > Hi all, > [quoted text clipped - 17 lines] > > Karl Hi Karl, I find that my seizures get worse with any change in routine. It's quite easy for me to gauge it as I have about 5 seizures each day, so if they get more frequent or more severe, it's noticeable immediately. Usually if I stay at somebody else's house, or even when I have my children come to stay (they live with my ex-wife normally) the change in routine is sufficient to cause my seizures to get worse and more often. Just wondering if your move back to Hawaii may have affected you in this way???
Cheers, Darryl.
Karl Magnacca - 13 Sep 2005 05:46 GMT > I find that my seizures get worse with any change in routine. It's > quite easy for me to gauge it as I have about 5 seizures each day, so [quoted text clipped - 4 lines] > often. Just wondering if your move back to Hawaii may have affected > you in this way??? It does happen occasionally, but I moved here two years ago. A few of the ones I've had recently may have been due to that, but most were on totally routine days.
Karl
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