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Medical Forum / Diseases and Disorders / Epilepsy / August 2004

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A question about Dilantin

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Bob - 03 Aug 2004 17:35 GMT
To all Dilantin users.

Because my current meds are being blamed for some problems I have been
having, my doctor has given me the option of switching to Dilantin.
I've asked about this here before, but only got a response from Tim
regarding gum problems. I also saw someone comment about a "brain fog"
caused by Dilantin.

If I switch, I will be taking 400mg per day (2X200) of Dilantin.

If you use or have used Dilantin, please tell me what sort of
side-effects you have experienced with it.  If you have had no
side-effects from using Dilantin, then please about that too.

Thanks

Bob
Theo - 03 Aug 2004 18:50 GMT
Bob <spsandlostinthe@invalid.net> wrote in news:410FBEE1.3E5720F0
@invalid.net:

> To all Dilantin users.
>
[quoted text clipped - 13 lines]
>
> Bob

2 pills a day doesnt sound like much. I was up to 5 day at one point. Yes
there was brain fog associated with it. Others around me could really tell
since it was like I wasnt really there.  I was down to 3 for awhile and
this wasnt so much of a problem. But I had problems with only 3, so back
to 5 I went.

What are you taking now?
Bob - 03 Aug 2004 19:29 GMT
> Bob <spsandlostinthe@invalid.net> wrote in news:410FBEE1.3E5720F0
> @invalid.net:
[quoted text clipped - 22 lines]
> this wasnt so much of a problem. But I had problems with only 3, so back
> to 5 I went.

But no gum problems? or other problems?

> What are you taking now?

I'm on 1800mg Neurontin + 195mg Phenobarbital for my TLE --> Simple & Complex
Partials.  The Phenobarbital is the doctor's suspect for these terrible
muscle/tendon pains I've developed.

Bob
Theo - 03 Aug 2004 21:13 GMT
> But no gum problems? or other problems?
>
[quoted text clipped - 3 lines]
> Complex Partials.  The Phenobarbital is the doctor's suspect for these
> terrible muscle/tendon pains I've developed.

Yes I had the gum problems. I had memory problems as well. One side effect
I didnt have was the abnormal hair growth, at least on my head. That was
when I started LOOSING my head hair. Bah! But I am told dilantin didnt
cause that... but my genes.

Others can comment, but probably your doctor wants to try from the
beginning to see what helps you. If dilantin wont do it, its on to the
next one.

I was very glad to get off dilantin. Im now on tegretol and keppra. They
are not %100 and I still have partials... like the ones you describe
(hearing/reading etc). However these meds also have their own side
effects. All of them do. I hate to say it, but even with all this modern
medicine, patients are still like guinea pigs and meds are changed nd
messed around with until a good result it achieved. And then when our
bodies change, we have to go through the same thing again.
Bob - 03 Aug 2004 21:40 GMT
> Yes I had the gum problems. I had memory problems as well.

That's the sort of feedback I need. I may find out that it effects everyone
this way or maybe not. People are different.

> One side effect
> I didnt have was the abnormal hair growth, at least on my head. That was
[quoted text clipped - 4 lines]
> beginning to see what helps you. If dilantin wont do it, its on to the
> next one.

It may be something else right away if I tell him I won't try the Dilantin.

> I was very glad to get off dilantin.

I won't go on it if there are too many problems. No point in going from the
frying pan into the fire.

> Im now on tegretol and keppra.

Tegretol didn't help me & Keppra made me feel weird.

> They
> are not %100 and I still have partials... like the ones you describe
[quoted text clipped - 3 lines]
> messed around with until a good result it achieved. And then when our
> bodies change, we have to go through the same thing again.

Yeah. It's trial & error.

Bob
Theo - 03 Aug 2004 22:12 GMT
Bob <spsandlostinthe@invalid.net> wrote in news:410FF84F.7AAEEEA1
@invalid.net:

> Tegretol didn't help me & Keppra made me feel weird.

Dilantin might. Im not a doctor. And again everyones reactions are
different. So would yours. Best thing to do it talk to your neuro about the
possible side effects.

Keppra does cause mood swings, as it did with me. But this effect reduces
after a few weeks. Everyone is different, as above :o)
Bob - 03 Aug 2004 23:14 GMT
> Bob <spsandlostinthe@invalid.net> wrote in news:410FF84F.7AAEEEA1
> @invalid.net:
[quoted text clipped - 3 lines]
> Dilantin might. Im not a doctor. And again everyones reactions are
> different. So would yours.

That's why I'd like to get as many responses as possible. So far I've only
heard from you & Tim and maybe everybody has the gum & brain fog problems and
maybe not? I dunno right now.

> Best thing to do it talk to your neuro about the
> possible side effects.

I already have the script and it's my decision to go or no go.  That's the way
I set it up with my epileptologist on my last visit. I won't be seeing him
again for 3 months.

> Keppra does cause mood swings, as it did with me.

It wasn't a mood, but it really made me feel weird;  almost like a type of
aura.  At the time, my doc was a neurologist and he had given me no guidance,
so I simply stopped taking it. He had no comment when I told him on the next
appointment.

> But this effect reduces
> after a few weeks. Everyone is different, as above :o)

I'm supposedly in a minority 2-3% that Phenobarbital causes muscle pains in.  I
could kick myself for not asking him (we were running out of time and I have
enough brain fog as it is), but HOW does Phenobarbital cause the pain. What is
the mechanism? It all happens when I sleep and I feel it the next day.

Bob
Theo - 03 Aug 2004 23:53 GMT
> I'm supposedly in a minority 2-3% that Phenobarbital causes muscle
> pains in.  I could kick myself for not asking him (we were running out
> of time and I have enough brain fog as it is), but HOW does
> Phenobarbital cause the pain. What is the mechanism? It all happens
> when I sleep and I feel it the next day.

I have read that here. But I have never taken it. I dont recall the topic
name but Im sure its still here.
Bob - 04 Aug 2004 00:09 GMT
> > I'm supposedly in a minority 2-3% that Phenobarbital causes muscle
> > pains in.  I could kick myself for not asking him (we were running out
[quoted text clipped - 4 lines]
> I have read that here. But I have never taken it. I dont recall the topic
> name but Im sure its still here.

I've posted about it in the past myself. That's probably what you remember.
Nobody else has mentioned the topic since I've been following the NG.

Bob
gaross - 04 Aug 2004 01:51 GMT
> > > I'm supposedly in a minority 2-3% that Phenobarbital causes muscle
> > > pains in.  I could kick myself for not asking him (we were running out
[quoted text clipped - 9 lines]
>
> Bob

I expect you've looked down the http://efa.org   medications directory?
There are others too, for general medications and AEDs, but I used to look
at the Ep. Foundation First, since a lot of the more common type side
effects might show up there.   There are other sites though that Barb or
others have posted (likely Bob !! ) that have other Medication Glossaries.
With both Phenobarbital and Dilantin, I'd expect both Those to be pretty
much static on news sites since they're both so old?   The more recent stuff
(like Keppra, possibly Tegretol),  there can be other stuff show up from
time to time.   Usually though (wrt Tegretol),  I'd get a Note from my
Pharmacy on Prescription Refills (due this week later),  but I haven't seen
anything on My medications since *I told them about the Grapefruit and
Tegretol conflict, I found here or at efa site.   G./
Bob - 04 Aug 2004 03:27 GMT
> > > > I'm supposedly in a minority 2-3% that Phenobarbital causes muscle
> > > > pains in.  I could kick myself for not asking him (we were running out
[quoted text clipped - 24 lines]
> anything on My medications since *I told them about the Grapefruit and
> Tegretol conflict, I found here or at efa site.   G./

Yes. I've looked everywhere!  No good info found.

Bob
gaross - 04 Aug 2004 01:43 GMT
> > Bob <spsandlostinthe@invalid.net> wrote in news:410FF84F.7AAEEEA1
> > @invalid.net:
[quoted text clipped - 30 lines]
> the mechanism? It all happens when I sleep and I feel it the next day.
> Bob

**** Do you only (mostly) get the Muscle Pains at night? Or do you get them
night time and day time?  I wondered, as I work down the rest of this
thread, if you were having some Nocturnal Seizures, those could cause muscle
aches, also pains in jaw and teeth if you were clenching there too.   Before
I was fully controlled (again on Dilantin, and on Tegretol by itself),  I
had a few nights where I'd wake up with extreme pains either from clenching
my fists, or along backs of legs.   I assumed I was stressing muscles while
asleep put not strongly enough to wake me, just strong enough to cause
continued pain during half or more the the next day.     G./
Bob - 04 Aug 2004 03:25 GMT
> **** Do you only (mostly) get the Muscle Pains at night?

They develop during the night, but I don't feel them until I'm awake in the
morning and can barely get out of bed or walk.

> Or do you get them
> night time and day time?

I'm totally sore in my neck & extremities during the day, but the trouble is
caused while I sleep. The pain doesn't increase during the day.

> I wondered, as I work down the rest of this
> thread, if you were having some Nocturnal Seizures,

My doctor says that isn't the problem or they would have noticed it while they
had me in the hospital over 2 years ago. What a joke!  I think it is the
problem, but what can I do when I have this doctor?

> those could cause muscle
> aches, also pains in jaw and teeth if you were clenching there too.

Nothing with teeth & jaw.

> Before
> I was fully controlled (again on Dilantin, and on Tegretol by itself),  I
> had a few nights where I'd wake up with extreme pains either from clenching
> my fists, or along backs of legs.

Right, same thing. I can't either completely close my hands into fists nor open
them up all the way.

> I assumed I was stressing muscles while
> asleep put not strongly enough to wake me, just strong enough to cause
> continued pain during half or more the the next day.     G./

That's what I think is happening to me.

Bob
Lainie - 04 Aug 2004 21:17 GMT
> I'm supposedly in a minority 2-3% that Phenobarbital causes muscle pains in.  I
> could kick myself for not asking him (we were running out of time and I have
> enough brain fog as it is), but HOW does Phenobarbital cause the pain. What is
> the mechanism? It all happens when I sleep and I feel it the next day.
>
> Bob

It's been a long time since I've posted here (mostly lurk), but I had
to jump in on this one. How long were you on pheno before the muscle
pain started? I had terrible muscle pain and spasms (among other nasty
stuff like itching, nausea... can't remember much else - but I'd
rather have the brain fog than the pain) from an allergic reaction to
tegretol. Had a hard time getting my epi to believe the reaction was
to the tegretol, even though the pharmacist agreed.

I'm on Dilantin again and have been for most of 13+ years. I do notice
a little brain fog, moreso when I haven't had enough sleep, but
nothing unmanageable. I'm fighting headaches and depression on elavil
(TCA) and the headaches seem to be under control.

A couple years ago (maybe more) I posted a question asking if Dilantin
weakened the immune system - as it takes me sooo long to get over
coughs from a cold, but now am maybe thinking it's allergy or possibly
asthma related.

Anyway, back to the pain, when I had the tegretol pain it was like a
constant cramp in both my legs like a charly horse, and also pain in
my back. It was constant, couldn't sleep and was basically useless to
anyone.

Good luck,
Lainie
Bob - 04 Aug 2004 22:01 GMT
> > I'm supposedly in a minority 2-3% that Phenobarbital causes muscle pains in.  I
> > could kick myself for not asking him (we were running out of time and I have
[quoted text clipped - 6 lines]
> to jump in on this one. How long were you on pheno before the muscle
> pain started?

That's a bit unclear as I log my meds & I started pheno in Nov 2002, but didn't log
my muscle pains until more recently. The pains could possibly have started as the
pheno was ramped up to a large enough dose to control my Complex Partials, but I
really don't know for sure.

> I had terrible muscle pain and spasms (among other nasty
> stuff like itching, nausea... can't remember much else - but I'd
> rather have the brain fog than the pain) from an allergic reaction to
> tegretol. Had a hard time getting my epi to believe the reaction was
> to the tegretol, even though the pharmacist agreed.

eiyiyi!

> I'm on Dilantin again and have been for most of 13+ years. I do notice
> a little brain fog, moreso when I haven't had enough sleep, but
[quoted text clipped - 5 lines]
> coughs from a cold, but now am maybe thinking it's allergy or possibly
> asthma related.

I sure hope it doesn't cause me problems like that as I also have lung problems.

> Anyway, back to the pain, when I had the tegretol pain it was like a
> constant cramp in both my legs like a charly horse, and also pain in
> my back. It was constant, couldn't sleep and was basically useless to
> anyone.

Mine is mainly the arms & legs & neck, although my back is bad today.  Just a few
months ago, I started to practice the piano again and it's totally out of the
question now with my sore swollen hands.

> Good luck,
> Lainie

Thanks for the input!

Bob
gaross - 04 Aug 2004 01:26 GMT
 I haven't read the rest of this thread yet.  Just because one person has
had 'the gums problems too'  doesn't mean the med. will react that way with
others.  We have had a few people who couldn't use Dilantin, but they were
relatively small in number compared to others who were able to use it.

  Another thread I posted on, my Dr. put me on Dilantin (monotherapy)
first, and it didn't work by itself for TLE-- wrt. giving reliable seizure
control.   He told me that it's usually used First since it has the *least
side effects for those who it works for, and is older so longer studied and
the research costs, so Pharmacy costs, are lower.

   I assume you're using Tegretol CR or XR for Temporal Lobe seizures, and
I wondered if the Dr. had considered lowering the Tegretol (like mine did)
and adding Frisium (Clobazam)  with the Tegretol?   (I don't remember (now)
why he moved you off the Tegretol to Keppra (below) --   but I seem to
remember someone saying (about 1999 ! )  that once you move Off Tegretol and
some other meds (like keppra?)  that you can't go back On to it at a later
time??  That might not be correct, but it seemed to me someone had changed
OR had a reaction to the Tegretol so wasn't able to go back to it.)
   IF you are having Some control (more control) with Keppra, than with
Tegretol, then maybe he can add a Second med. to it to give better
control...   I wouldn't have thought it would have been Dilantin, but then
I'm not a Doctor.  It just seemed strange to throw on a 70-year olde pill
rather than some Other newer med. that might be approved for combination
with Keppra or (like my case--) Tegretol.
  Frisium is intended as Adjunctive therapy to be used with another Anti
Ep. Drug, but I've never seen anyone here, yet, using it with Keppra.

  Most of us who have seizures starting in one of the Temporal Lobes have
memory problems. That's not usually the fault of the pills involved, but the
result of the damage or storms in those areas,  affecting Memory
Functioning.

 I mentioned on another (older) thread, that's likely expired on most
readers, that my Right Temporal Lobe Damage on MRIs prompted my Neuro to
suggest to me that *2-3 seizures per month might be a Hoped-for target (in
1993).  With above combination of Tegretol CR (Mornings) and Frisium =
Clobazam (AM and night), the last 2 C.P. seizures I had were Dec. 97 and
June 98.

  I can't speak for Keppra, but both Dilantin and Tegretol are affected by
Alcohol, and upset stomach remedies available at Pharmacies.   Tegretol is
also compromised by Grapefruit Juice-- I don't know if any of the other AEDs
are.  G.     (***s below just mark spots I refer to in comments above.)   /

> > Yes I had the gum problems. I had memory problems as well.
*************************************************

> That's the sort of feedback I need. I may find out that it effects everyone
> this way or maybe not. People are different.
*************************************

> > One side effect
> > I didnt have was the abnormal hair growth, at least on my head. That was
[quoted text clipped - 26 lines]
> Yeah. It's trial & error.
> Bob
Theo - 04 Aug 2004 01:39 GMT
> but I seem to
> remember someone saying (about 1999 ! )  that once you move Off
> Tegretol and some other meds (like keppra?)  that you can't go back On
> to it at a later time??

I sorta remember that.

BTW Im on both Tegretol (or the generic for it now) and Keppra. Tegretol is
the primary, and keeps the major stuff from happening. But it never
completely stopped the partials. That said it was good enough and better
than the alternative. Keppra is supposed to deal with the partials, but its
pretty hit and miss.
gaross - 04 Aug 2004 02:00 GMT
> > but I seem to
> > remember someone saying (about 1999 ! )  that once you move Off
[quoted text clipped - 8 lines]
> than the alternative. Keppra is supposed to deal with the partials, but its
> pretty hit and miss.

Is the Tegretol that you use (above) one of the Timed Release ones?
Tegretol XR, CR, or Retard (in uk) ?  That type you can take 1 or 2x a day,
and it keeps a more stable blood level all day than just the 'straight
tegretol'  ?   Even if it's a Generic Tegretol (Carbamazepine), there should
be a timed release one available.  If you're Not, that might be all you need
to do to keep a level in your blood as a therapeutic level all day (and
night).   With the timed release version, you can take the Pill plus or
minus 2-4 hours from the due time, once you're at a stable blood level, so
even if you take it earlier or later in the Morning some days, the level
stays stable.
  We also had a discussion (about that long ago too),  on opinions of using
a Generic versus the 'real' pill for seizure control.   Some people were
able to use the generics without problems, while others -- depending on the
patient and the pill,  had to use the Patented version to get better
control.    G./
Theo - 04 Aug 2004 03:34 GMT
>    We also had a discussion (about that long ago too),  on opinions of
>    using
> a Generic versus the 'real' pill for seizure control.   Some people
> were able to use the generics without problems, while others --
> depending on the patient and the pill,  had to use the Patented
> version to get better control.    G./

Ive thought about that. But Im seeing a new neuro in a few weeks and I will
bring that up.

I dont take the long release type. But I do space the doses around 12 hrs
apart for both.
Bob - 04 Aug 2004 02:06 GMT
>   I haven't read the rest of this thread yet.  Just because one person has
> had 'the gums problems too'  doesn't mean the med. will react that way with
> others.

That's why I hope that more than 2 people will respond. :-)
I'd like to get a larger sampling before making my decision.

> We have had a few people who couldn't use Dilantin, but they were
> relatively small in number compared to others who were able to use it.

For that matter, I/We don't know if it will control my seizures (come to think
of it).

>    Another thread I posted on, my Dr. put me on Dilantin (monotherapy)
> first, and it didn't work by itself for TLE-- wrt. giving reliable seizure
> control.   He told me that it's usually used First since it has the *least
> side effects for those who it works for, and is older so longer studied and
> the research costs, so Pharmacy costs, are lower.

It's over 70 years old!

>     I assume you're using Tegretol CR or XR for Temporal Lobe seizures,

At this point, I'll wait for you to read the rest of the thread because those
aren't my current meds.

> <snip>
>    Most of us who have seizures starting in one of the Temporal Lobes have
> memory problems. That's not usually the fault of the pills involved, but the
> result of the damage or storms in those areas,  affecting Memory
> Functioning.

Whatever is causing it, I have a very poor short-term memory. I can however
remember some rather old events and scenes rather well.  Very selective memory
damage!.

>   I mentioned on another (older) thread, that's likely expired on most
> readers, that my Right Temporal Lobe Damage on MRIs prompted my Neuro to
[quoted text clipped - 5 lines]
>    I can't speak for Keppra, but both Dilantin and Tegretol are affected by
> Alcohol,

The only warning I've ever seen is for excessive drowsiness. I could use that.
:-)

> and upset stomach remedies available at Pharmacies.   Tegretol is
> also compromised by Grapefruit Juice--

Right!

Bob
gaross - 04 Aug 2004 05:31 GMT
> >   I haven't read the rest of this thread yet.  Just because one person has
> > had 'the gums problems too'  doesn't mean the med. will react that way with
[quoted text clipped - 31 lines]
> remember some rather old events and scenes rather well.  Very selective memory
> damage!.

You've probably seen the efa stuff and other sites.  The Temporal Lobes are
the short term memory (learning) buffers of the brain.  So long as there's
erratic storms there it messes with out minds.  If you haven't had someone
do tests before, ask someone to give you 5 'numbers' and try Verbalize them
Back to them in Backward order !! :-<  That's the one that really messed up
my test results.   Even as some of my Forward short term memory seemed to
improve as I had less seizures and less disruptions, those tests still stood
out.   (That was from some permanent damage I have.  All the medications do
is 'level out' the peaks and valleys of that type of recall.  The pills stop
the seizures, but the Recall has been Real slow recovering -- since early
1980s to about 1994/5.   I think the computer is exercising some of that
without me being aware it's doing it, and I think the reduction in Auras and
Seizures has cut the 'Stress to Remember' ,  so with less fear of a possible
seizure, less auras, or fear of failure to recall something, once I was
controlled,  some of the 'lost memory stuff'  started to improve. /

> >    I can't speak for Keppra, but both Dilantin and Tegretol are affected by
> > Alcohol,
>
> The only warning I've ever seen is for excessive drowsiness. I could use that.
> :-)
*G* I wonder how I can send you some of mine (drowsiness)-- although mine
might be Age...  I can be listening to a Radio show around 7PM, and wake up
at 9 when the 'tune' signalling the News comes on.   I used to think those
were absences, but I think they're really just age.. :-<   *Or, since my
Tegretol is the Timed release type, I don't know how long it takes before
the Morning dose (the only time each day I take it now),  gets to where it
starts flowing into the Bloodstream.  I don't seem to be 'punchy' or tired
during the Day, although Tegretol used to seem to work that way in 1995/6.
And I really don't know what the Clobazam (Frisium) does, but it's an
adjunctive pill, and once we adjusted some of it up and part of Tegretol
down back then, my Auras dropped (first) then the seizures, so it must be
doing Something together with the Tegretol.
  That's why I was hoping the Tegretol CR or ?? might work with a second
pill for you.   But I don't know if it's one of the pills that, once you
stop taking it (if you did before), if it's not as responsive the second
time.  I don't remember where I saw that, probably here 3 or 4 years ago.
  The thing I like with the Tegretol and Frisium is both are solid tablets
that can be snapped in half to make part doses. That's why I wondered if a
half pill in AM of the Dilantin (I think it's solid too?) but a 1.5 pill at
Night, might give you the same Blood Level of Med. but reduce any Night time
seizures. That Might help reduce daytime drowziness too, so long as it still
controlled your seizures then.   But then we'd be Self-medicating....
something it sounds like you're doing already anyway..  G./

> > and upset stomach remedies available at Pharmacies.   Tegretol is
> > also compromised by Grapefruit Juice--
>
> Right!
> Bob
Theo - 04 Aug 2004 06:36 GMT
"gaross" <gaross@rogers.com> wrote in news:GEZPc.1416019$Ar.887113
@twister01.bloor.is.net.cable.rogers.com:

> Dilantin (I think it's solid too?)

it was a capsule last time I took it.

this is going off topic a bit, but Im curious about peoples experiences
with partials and physical activity. can they be related at all? im
wondering if a change in blood flow can trigger one.
Bob - 04 Aug 2004 14:37 GMT
> this is going off topic a bit, but Im curious about peoples experiences
> with partials and physical activity. can they be related at all? im
> wondering if a change in blood flow can trigger one.

That does happen to me. If I've been sitting for a while, getting up and
moving quickly will often trigger minor "feelings" of a Simple Partial.
There does seem to be some connecction.

Bob
Theo - 04 Aug 2004 18:21 GMT
Bob <spsandlostinthe@invalid.net> wrote in news:4110E694.8C61BF93
@invalid.net:

>> this is going off topic a bit, but Im curious about peoples experiences
>> with partials and physical activity. can they be related at all? im
[quoted text clipped - 5 lines]
>
> Bob

another thing to ask about at my appt. hmmm
Eric - 10 Aug 2004 23:06 GMT
> Bob <spsandlostinthe@invalid.net> wrote in news:4110E694.8C61BF93
> @invalid.net:
[quoted text clipped - 10 lines]
>
> another thing to ask about at my appt. hmmm

Physical activity can be an instant trigger for simple partials as can
exhaustion.  I deal with this constantly, so my neurologist advises me
to limit how much I can exercise.  I can jog just a little way until I
get out of breath and instantly feel it.  I have problems with
hypoglycemia (low blood sugar) and it instantly gives me simple
partials when it occurs.

Eric
gaross - 10 Aug 2004 23:20 GMT
> > Bob <spsandlostinthe@invalid.net> wrote in news:4110E694.8C61BF93
> > @invalid.net:
[quoted text clipped - 17 lines]
> partials when it occurs.
> Eric

Physical Activity or 'stress' can also increase your heart rate and
metabolism, so change both the rate you absorb oxygen and the rate your body
metabolizes food, pills you use,  and sugars.
  I don't know why ( if I had to make a choice) one or the other is worse,
but both Physical Stress and Drop in Blood Sugars,  can contribute to
lowering the seizure thresholds of some types of seizures.
  Usually if someone gradually increases their level of physical activity,
you might be able to exercise more without as much chance of it triggering a
seizure.  Some of those limits might depend on your particular case,
medications being used, and possibly if your Doctor has any suggestions of
what your threshold might be.       G./
Theo - 11 Aug 2004 00:31 GMT
> > Physical activity can be an instant trigger for simple partials as can
> > exhaustion.  I deal with this constantly, so my neurologist advises me
[quoted text clipped - 15 lines]
> medications being used, and possibly if your Doctor has any suggestions of
> what your threshold might be.       G./

I dont exactly exercise alot. But I need to get my weight back down again to a
reasonable level. I dont think Ive ever had low blood sugar either... maybe
high a couple times. I try to be good with sweets as well. I stay away from
candy bars but I will loudly profess my fondness for chocolate now and then.
Another subject to add to my list to ask about. ;o)
gaross - 11 Aug 2004 01:03 GMT
> > > Physical activity can be an instant trigger for simple partials as can
> > > exhaustion.  I deal with this constantly, so my neurologist advises me
[quoted text clipped - 21 lines]
> candy bars but I will loudly profess my fondness for chocolate now and then.
> Another subject to add to my list to ask about. ;o)

Hey, if Chocolate were meant to be used in Moderation, you wouldn't be able
to get those '4 kilo' Bars, would you? :->

  What I was looking for above and on another post to that new Lady on our
group, is that sometimes we might have changed something in our e.g.
exercise rate, diet,  we might have a Cold, or be taking some Over the
Counter medications (most of us avoid),  without realizing that one of Those
might be contributing to our feeling differently OR to some  medications we
use not holding our seizures under control.

  My Pharmacist told me that some 'cold medications' might use a small
amount of e.g. Alcohol or other filler that might help the cold med. work
but might conflict with an Anti ep. Medication (AED).   We might not think
those would be things to look at for possible causes.  If you're up to date
on all that sort of stuff, then those are possible causes we can discard.
I just thought if some of those might be things that are easy to fix (if a
cold is past now), then some of the symptoms you or others on this thread
have described,  might be something that won't recur so might not trigger
new seizures again.
  Several of the AEDs can be deactivated by e.g. upset stomach remedies or
alcohol.   Tegretol (for one) can get its levels messed up by Grapefruit
Juice (one of the acids that aren't in other citrus juices can mess up one
of the chemical balances).   Lots of 'little things'   like that can cause a
problem but might not be thought of as a cause, since many of the pills are
absorbed 1-3 hours after we take them.   So something we took earlier in the
day or ahead of a dose, might be the culprit when we think it's the Pill or
how we're using it.

  While we're at it, did you get a Printout from your Pharmacist (there
were 2 of you? on this thread at least)  when a new prescription was filled,
telling when to take pills, what to avoid etc.?
 If you didn't, there's a couple of Medications Glossaries around that have
printable topics.  I think there's one under the Ep. Foundation of America
site http://efa.org  .   Under that there's a Medications Glossary, then you
can enter the Pill Name or scroll through an Index?  That site is either set
out in page format (printable) or there's a 'printable format'  icon on the
page so it reformats it for you to be able to just click on File and Print,
to get a hardcopy.  I think that one takes several pill formats--some
others, you either need the Prescription name or the Generic name (e.g.
Tegretol is Carbamazepine  -- both names would be on your prescription
bottle).    G./
bwes - 12 Aug 2004 00:41 GMT
In article <vndSc.1621642$Ar.1559234
@twister01.bloor.is.net.cable.rogers.com>, gaross@rogers.com says...

> > > > Physical activity can be an instant trigger for simple partials as can
> > > > exhaustion.  I deal with this constantly, so my neurologist advises me
[quoted text clipped - 20 lines]
> of
> > > what your threshold might be.       G./

<snip>

I exercise a lot; aerobics only, no weights. My record was a 7.5 minute
mile when I ran. But even incline "walking" (4.5+ mph) on  a treadmill
at 15 degrees, my record is 1,000 calories in under 42 minutes. (Yes, I
also went through 4 liters of water.) I've never pulled szs. while
working out, but used to get them right before I started. It's as if the
whole gestalt of my experiences of the next hour would "load" at once;
deja-vu. My resting pulse is 60, and my working pulse is in the 130's to
low 140's. Sometimes I'd go for an hour and half on a treadmill burning
at leat 20 calories/minute then swim a half to 3/4 of a mile to relax
afterwards.
Maybe the sz threshold has to do with your level of conditioning. I
admit I love the exercise high I get. I have an mp3 player and can run
forever at 6.0 or 6.6 mph. After 2 or 3 minutes you don't even feel your
feet hitting the ground anymore.
Yes, my docs also told me to avoid getting overstimulated, but they
weren't runners. Doctors/residents/nurses who run will understand. I had
a sz once and they ended up finding a PFO (patent foramen ovale); a
heart defect, when they were doing follow-up. I ended up running one
summer with the cardiologists from the practice that plugged the PFO.
Yes, they knew my sz history. Yes, my neuro knew the distance I covered.
turbinado - 06 Aug 2004 02:31 GMT
I have had both grand mals and complex partials immediately following
intense physical exertion.

> "gaross" <gaross@rogers.com> wrote in news:GEZPc.1416019$Ar.887113
> @twister01.bloor.is.net.cable.rogers.com:
[quoted text clipped - 6 lines]
> with partials and physical activity. can they be related at all? im
> wondering if a change in blood flow can trigger one.
Theo - 10 Aug 2004 23:25 GMT
But not during?

> I have had both grand mals and complex partials immediately following
> intense physical exertion.
[quoted text clipped - 9 lines]
> > with partials and physical activity. can they be related at all? im
> > wondering if a change in blood flow can trigger one.
turbinado - 12 Aug 2004 02:20 GMT
It's never happened during (yet). Similar to the way I tend to get seizures
from severe emotional stress, AFTER the stress is over. It's like there's
some protective mechanism that stops them happening until it's "safe"...
does that make any sense?

> But not during?
>
[quoted text clipped - 11 lines]
> > > with partials and physical activity. can they be related at all? im
> > > wondering if a change in blood flow can trigger one.
M - 12 Aug 2004 11:30 GMT
Sorry I haven't been following this group religiously and my server has
expired some of the posts in this thread, but I can contribute a few
points:

1) To whoever it was who experiences mild partial-like feelings on
sudden movement, standing up, etc: Get your blood pressure checked.

2) Theo, are you the person who both a) loses speech and comprehension
during seizures and b) finds exercise a trigger for these? If so,
although everyone's different, it sounds very similar to the left TLE I
had. I eventually had to give up marathon running because of it, after
which it went away.

Glucose, breathing, heart-monitor, etc tests showed nothing. Adrenaline,
noradrenaline and catecholamine levels went v.wobbly before, during and
after exercise. Dig in Google and you may find an explanation as some of
these work as neurotransmitters as well as stimulatory hormones.

Although running and rowing machines were OUT, road cycling was OK (no
output monitor to pressurise you), followed surprisingly by swimming
(not crawl). How vigorous does your exercise have to be to trigger?

I now regularly spend a few hours swimming out to the deep water
anchorage rigs (v.irresponsible for an ex-epileptic, but I refused to
waste my life watching the telly in safety). But even if you go to a
pool and inform the lifeguard they have far too much to do and can't
watch you non-stop. I hate the hypochlorite anyway and prefer the
occasional patch of diesel in the open seas (YUK!). Hey! - maybe diesel
is the magic control med :)

I missed what you were on - eventually they controlled me with Teg and
clobazam (and diesel), and I gradually tapered them to nothing, so I'm
med-free and seizure-free, but I haven't started marathons again. Yet.

Signature

Malcolm    

Theo - 12 Aug 2004 18:50 GMT
> 2) Theo, are you the person who both a) loses speech and comprehension
> during seizures and b) finds exercise a trigger for these? If so,
> although everyone's different, it sounds very similar to the left TLE I
> had. I eventually had to give up marathon running because of it, after
> which it went away.

Yes to A, I dont know to B. Im not a big exerciser but I have had
partials sometimes during walks up/down hills (lots of those here so
unavoidable) or when working in the yard. But it also might have been
the sunlight. I cant say either way because its not predictable.

I also just went clothes shopping and having to go up another pants size
(aghhh!!!) tells me I need to get more exercise. If I knew certain kinds
of exercise act as triggers for me, I will know to avoid them. It seems
running does it for some, but not for others. I guess I will have to do
what doctors do with the meds, and treat myself as a guneapig and see
what happens.

Thanks ;o)
Keysome - 05 Aug 2004 21:47 GMT
But no gum problems? or other problems?

My daughter had awful gum problems, but it really was the only one that really
seemed to help her.
Bob - 05 Aug 2004 22:19 GMT
> But no gum problems? or other problems?

His response in the next message was:
"Yes I had the gum problems. I had memory problems as well. "

> My daughter had awful gum problems, but it really was the only one that really
> seemed to help her.

It looks like 100% have gum problems with Dilantin.  I have trouble with my gums
as it is, so I'm not looking forward to that part of the experience, but I filled
the prescription today. Now it's just a matter of working up the courage to start
taking it.  Sure hope it works for me!

Bob
gaross - 06 Aug 2004 04:16 GMT
> > But no gum problems? or other problems?
>
[quoted text clipped - 9 lines]
> taking it.  Sure hope it works for me!
> Bob

Better make that 96%.  I had regular blood tests while I used Dilantin, but
changed to Tegretol within 18 months as Dilantin didn't control my Complex
Partial seizures.  I had no Gum or Dental problems while I was using
Dilantin. G./
Bob - 06 Aug 2004 15:00 GMT
> I had regular blood tests while I used Dilantin, but
> changed to Tegretol within 18 months as Dilantin didn't control my Complex
> Partial seizures.

You could have gone all day without saying that.

> I had no Gum or Dental problems while I was using
> Dilantin. G./

That's good news!

Bob
gaross - 06 Aug 2004 17:23 GMT
The purpose of the post was to suggest that '100% of people etc...
experience... '  the stated problems with Dilantin,   was not a
Statistically accurate representation (post further up this message
thread) --I don't even remember who did the post back then..

  Just because Howdy is away,  I thought that might be a misleading
statistic.  100% have those complications with Dilantin is a tad more
Precise than  40% or 85% of people using this will develop this symptom....
WHEN **100% of people using it will develop it, there are NO people left who
Won't develop it.  I (for one) didn't develop it, so that means the 100%
figure was Incorrect.

   I'm not going to have to develop a NEW Glyph and Certificate to put
those there am I, when '[Next Message' is only a Mouseclick away?   G./

> > I had regular blood tests while I used Dilantin, but
> > changed to Tegretol within 18 months as Dilantin didn't control my Complex
> > Partial seizures.
>
> You could have gone all day without saying that.

> > I had no Gum or Dental problems while I was using
********************************************
> > Dilantin. G./
>
> That's good news!
> Bob
Bob - 06 Aug 2004 21:03 GMT
>  The purpose of the post was to suggest that '100% of people etc...
> experience... '  the stated problems with Dilantin,   was not a
> Statistically accurate representation (post further up this message
> thread) --I don't even remember who did the post back then..

There is an obvious misunderstanding!  Perhaps it is because you top-post and
thought I was also responding to what followed what I was saying? or something??

>    Just because Howdy is away,  I thought that might be a misleading
> statistic.  100% have those complications with Dilantin is a tad more
> Precise than  40% or 85% of people using this will develop this symptom....
> WHEN **100% of people using it will develop it, there are NO people left who
> Won't develop it.  I (for one) didn't develop it, so that means the 100%
> figure was Incorrect.

I agree that 100% turned out to be incorrect and my response below that you
underlined with *** was
That's good news!
**************

i.e. "good news" that it is NOT 100%.

>     I'm not going to have to develop a NEW Glyph and Certificate to put
> those there am I, when '[Next Message' is only a Mouseclick away?   G./

The part that I was unhappy to see was when you said "Dilantin didn't control my
Complex Partial seizures" and I used a fairly common expression that I thought
you'd be familiar with. I'm hoping that it will control mine.

Bob

> > > I had regular blood tests while I used Dilantin, but
> > > changed to Tegretol within 18 months as Dilantin didn't control my
[quoted text clipped - 9 lines]
> > That's good news!
> > Bob
gaross - 08 Aug 2004 00:23 GMT
> >  The purpose of the post was to suggest that '100% of people etc...
> > experience... '  the stated problems with Dilantin,   was not a
[quoted text clipped - 21 lines]
> you'd be familiar with. I'm hoping that it will control mine.
> Bob

**G* The strange thing with something like Dilantin, is there **might be
Lots of people getting control with it, but who don't read or post here.  I
think Lisa Dapper Butts (the Musician), who used to post here, was using
Dilantin to control her seizures in 1998-2000 period and for a long time
ahead of that?    Since she and many others were getting full? control with
it, they (also) might not show up on a survey like above, done at a random
time on this group, so the statistics might get skewed.
  As I posted a few other times, my Neuro told me that Dilantin is often
used *first for Complex Partial (and other?) seizures, since it's been
studied longer (70 years?) and for those who can get control with it,
Research Costs have been recoverd so it's about 1/3 the cost of newer meds.
Many of us (around here) might not have had full control with it.   Even if
a 2nd med. were needed, it can be added (if the Dr. decides) to a base level
of Dilantin depending where the szrs. are still coming from.  I thought
Dilantin was a more General Med. for a variety of parts of the brain.  So
if, e.g. Tegretol or other pills are added that target a particular area of
the brain,  the Dilantin might be slowly removed so it doesn't conflict with
the other pill.  Then if the newer tablet doesn't give full control (my
Tegretol didn't after ~2 years), another supplemental tablet might be added
with the Newer one.
  Those then might be more expensive, but give more targeted (better)
control.   Mine did.    G./

> > > > I had regular blood tests while I used Dilantin, but
> > > > changed to Tegretol within 18 months as Dilantin didn't control my
Complex
> > > > Partial seizures.
> > >
[quoted text clipped - 6 lines]
> > > That's good news!
> > > Bob
Bob - 08 Aug 2004 01:25 GMT
> The strange thing with something like Dilantin, is there **might be
> Lots of people getting control with it, but who don't read or post here.  I
[quoted text clipped - 3 lines]
> it, they (also) might not show up on a survey like above, done at a random
> time on this group, so the statistics might get skewed.

It's just that I sort of shudder at the thought that Dilantin might not control
MY seizures and that's always a real possibility no matter how many other people
there are that it helps.

>    As I posted a few other times, my Neuro told me that Dilantin is often
> used *first for Complex Partial (and other?) seizures, since it's been
> studied longer (70 years?) and for those who can get control with it,

It's about a 70+ year old drug, although the Phenobarbital I'm on now is even
older.

> Research Costs have been recoverd so it's about 1/3 the cost of newer meds.

The prescription for #120 100mg capsules that I just filled cost US$17.73. which
is what I have to pay after my insurance paid 1/2 (an equal amount to my
payment). That is a *lot less* than what my Neurontin costs me.

> Many of us (around here) might not have had full control with it.   Even if
> a 2nd med. were needed, it can be added (if the Dr. decides) to a base level
[quoted text clipped - 5 lines]
> Tegretol didn't after ~2 years), another supplemental tablet might be added
> with the Newer one.

I've already been tried on Tegretol and it didn't help me. Others that don't
help are Keppra, Lamictal, Primidone, and Phenobarbital now with the night
pains. I honestly think though that I'm like you were in having seizures at
night that cause the pain. Perhaps Dilantin will stop me from having seizures in
my sleep.

>    Those then might be more expensive, but give more targeted (better)
> control.   Mine did.

I'd pay just about anything if I was given something that would stop this all.

Bob
Bob - 07 Aug 2004 01:16 GMT
Just to repeat and emphasize the point for you GR, there was absolutely no
offense intended nor contained in my response to you.

At the point that I made my 100% statement, the responses at that point in time
had been 100% gum problems. Then you & another person reduced that % to less
than 100% after my post.

Additionally, I used a colloquial expression that goes: "you could have gone all
day without . . . " which is always used in a humorous sense.and is the way that
I intended.  I should be more careful about what I assume people will understand
and I should not use that sort of joking colloquialisms unless I am certain the
other party is familiar with it. I apologize for that.

Bob
Dawn Compton - 04 Aug 2004 03:56 GMT
Bob.

    I am on both Dilantin and Keppra - Dilantin a few months before the
Keppra.  From what I can remember, Dilantin didn't have that many side
effects.  Brain fog, been tired more, gum problems, and a few little
concentration problems are the only things I can remember.  I hope this
helps!

                                                  ---Dawn
Bob - 04 Aug 2004 04:09 GMT
> Bob.
>
[quoted text clipped - 5 lines]
>
>                                                    ---Dawn

Thanks for the feedback, Dawn. :-)

Bob
CyberCafe - 04 Aug 2004 11:08 GMT
> To all Dilantin users.
>
[quoted text clipped - 13 lines]
>
> Bob

I take 700 mg daily.  The only side effect so far has been overgrown
gums.  Twice I've had surgery to remove the excess gum tissue.  I was not
very good at taking care of my gums back then.  I guess brushing the gums
helps prevent that.  Otherwise, no problems at all with Dilantin.  Have
been on Dilantin for over 14 years.

Barb
Bob - 04 Aug 2004 14:11 GMT
> > To all Dilantin users.
> >
[quoted text clipped - 16 lines]
> I take 700 mg daily.  The only side effect so far has been overgrown
> gums.  Twice I've had surgery to remove the excess gum tissue.

I had that same surgery a number of years ago and am familiar with it.

> I was not
> very good at taking care of my gums back then.  I guess brushing the gums
> helps prevent that.  Otherwise, no problems at all with Dilantin.  Have
> been on Dilantin for over 14 years.

Thanks for the feedback. I've always thought that your E symptoms were
similar to mine, so maybe it will work for me too.

Bob
CyberCafe - 04 Aug 2004 19:33 GMT
> > > To all Dilantin users.
> > >
[quoted text clipped - 18 lines]
>
> I had that same surgery a number of years ago and am familiar with it.

> > I was not
> > very good at taking care of my gums back then.  I guess brushing the gums
[quoted text clipped - 3 lines]
> Thanks for the feedback. I've always thought that your E symptoms were
> similar to mine, so maybe it will work for me too.

I'm going to have to watch/read your posts more carefully then because maybe I
can learn something from you.

Cheers,

Barb

> Bob
CyberCafe - 04 Aug 2004 20:07 GMT
Oh, I should have added a couple of things.  I think Dilantin has to be fiddled
with more as far as finding the right dose (and that might take time).  But in a
way, that's a good point because the dose can be finely tuned to each person's
needs.

The other thing I like about Dilantin is you are not tied down to taking it at
precisely the same time every day because it seems to last longer in the body.
There have been a few times though (when I was sick) that I had to split the dose
to get more even coverage, but it's easy to do with the capsules.  If I'm healthy
and feeling okay, I don't have to split doses or increase them or worry about
being late taking the Dilantin.  To me, that's a big plus.

There have been a few times when I was sick and ran an elevated temperature for
some time, which my brain doesn't like, but at least I can increase the dose
slightly (doctor's recommendation) to get me through that time.  Don't need to cut
any pills either (My Dilantin comes in 100 mg capsules.  I take 700 mg daily and
up it to 800 mg if I get sick).

The only thing I don't like about Dilantin is that the capsules themselves can be
kind of sticky when you try to swallow them.  The solution for that is to drink a
little water (or other beverage) before downing the capsules and also swish the
capsules around in your mouth with water before swallowing.  That solves the
problem.

I guess the main point with Dilantin though is that it works great for some
people.

Barb

> > > > To all Dilantin users.
> > > >
[quoted text clipped - 35 lines]
>
> > Bob
Bob - 04 Aug 2004 20:48 GMT
> Oh, I should have added a couple of things.

Thanks much for the additional info.

> The other thing I like about Dilantin is you are not tied down to taking it at
> precisely the same time every day because it seems to last longer in the body.

"The plasma half-life in man after oral administration of phenytoin averages 22 hours,
with a range of 7 to 42 hours."   That's a lengthy half-life as you say, although not
as long as Phenobarbital.  It's much longer than my Neurontin which is only 7-8 hrs
and requires that it be taken on a strict schedule.

> I guess the main point with Dilantin though is that it works great for some
> people.

I haven't made a decision yet, but we'll see.  The scariest part would be that it
would not only not control my seizures (i.e. go back to having Complex Partials), not
stop the pains, slurred speech etc etc.

Many thanks for the added input!

Bob
spam@spam.com - 06 Aug 2004 04:07 GMT
I've been on 300mg/day of Dilantin for the last 16 years w/o gum or any
other problems I know of.  I *think* I have less energy than before but
it's been too long to compare.
The only part I worry about for long term use is calcium loss in the
bones.  I've seen a few posts about it increasing the chances of
osteoporosis.  I take calcium supplements to help counter this.

> To all Dilantin users.
>
[quoted text clipped - 13 lines]
>
> Bob
spam@spam.com - 06 Aug 2004 04:10 GMT
try this:
http://groups.google.com/groups?q=osteoporosis+dilantin

> I've been on 300mg/day of Dilantin for the last 16 years w/o gum or any
> other problems I know of.  I *think* I have less energy than before but
[quoted text clipped - 20 lines]
>>
>> Bob
Bob - 06 Aug 2004 04:19 GMT
> I've been on 300mg/day of Dilantin for the last 16 years w/o gum or any
> other problems I know of.  I *think* I have less energy than before but
> it's been too long to compare.
> The only part I worry about for long term use is calcium loss in the
> bones.  I've seen a few posts about it increasing the chances of
> osteoporosis.  I take calcium supplements to help counter this.

Thanks. First person to report no gum problems!

I eat enough ice cream & won't worry about calcium.<g>

Bob

> > To all Dilantin users.
> >
[quoted text clipped - 13 lines]
> >
> > Bob
JoAnne Linsenbach - 08 Aug 2004 07:02 GMT
I was on Dilantin for about 30 years. The first neuro I went to just put me
on phenobarb (I was 13 at the time) and a couple years later a new doctor
was appalled that I wasn't on Dilantin. That was back in the 1960's when
there really weren't that many medications. Anyway, I have taken Dilantin in
several different combinations. Some in the "regular" capsule by itself, and
once I took it in a combination pill with phenobarb (I think that's what it
was; it's been so long I forget!). That was almost a problem because you
couldn't regulate the amount of dosage of each, if one was too high or low.
You just got what you got.

Side effects weren't too terrible. I was drowsy, but it was better than
phenobarb. What I did notice when I finally got off them all was it was like
a veil was lifted and I could finally see the world. Having been on this
stuff literally since I was a teenager, I had no idea how the world appeared
without being on sedative drugs. I was able to give birth to 2 healthy
children when I was on Dilantin, and nurse them. I did get drowsy enough
that one doctor added Zarontin to counteract the drowsiness. I was also on
that for years. I also had the gum problems. My dentist became very
concerned because it reached a point where it was almost gingivitis. I did
find out that the best way to counteract the gum problem is to make it a
habit to take a small washcloth or towel and at least once a day, if not
more, push your gums back. It won't cure the problem, but it will help you
to keep your teeth.

I am also photosensitive, so I have to be careful of that and wear
sunglasses outside.

I finally went off those meds when Felbatol came out, and I have been on
that since 1994 - it is supposed to have terrible side effects, but the
longer you are on Felbatol, the less likely you are to have the side
effects, so I figure that I'm good. It's been 10 wonderful years of not
being sedated. But try to find a doctor who will put you on it and you are
going to have a hard time. It's a long story, but I am currently going to
Johns Hopkins to see a neuro there. My other neuro refused to fill the
prescription again. He didn't say that, but  his actions showed me that.
When it didn't get filled, I was in trouble. But like I said, it's a long
story.

Besides the meds named above, I've been on Tegretol, Lamictal for a short
while, Topamax, Depakote, and there might have been something I forgot. 30
years is a long time to try to remember all the stuff. In general, it was
just phenobarb, Dilantin, and Zarontin, and then Felbatol. The other meds
were just to see if they could get me off the Felbatol or just tests to see
if they worked. I still take a small amount of Topamax with the Felbatol,
but I can't take it as monotherapy. I have never been suicidal in my life,
but when I tried Topamax as monotherapy, I became suicidal. I never want to
feel like that again. It was horrible.

I hope the Dilantin works out for you, and I hope this has been helpful for
you. JoAnne

> To all Dilantin users.
>
[quoted text clipped - 13 lines]
>
> Bob
Theo - 08 Aug 2004 08:57 GMT
>  I finally went off those meds when Felbatol came out, and I have been on
> that since 1994 - it is supposed to have terrible side effects, but the
[quoted text clipped - 6 lines]
> When it didn't get filled, I was in trouble. But like I said, it's a long
> story.

Is there something about Felbatol they didnt like? Ive never heard of it
before.
JoAnne Linsenbach - 08 Aug 2004 20:08 GMT
Ah, yes. It has some definite side effects. They tested it, but apparently
not thoroughly enough. Fortunately for me, I went on it and then they found
all the bad stuff. <g> It's generic name is Felbamate. It was found to cause
aplastic anemia (bone marrow disease). It also killed someone from liver
disease. That's when after the person died, and as I understand it, they
took everyone off of it unless it was medically necessary or nothing else
would stop the seizures. After each time they found something it had caused,
they took me off of it and I had to go on something else. Both times, the
meds they put me on made me so drowsy I was sleeping 22 out of 24 hours in
the day. I told the doctor that I didn't care about the side effects. I
would rather live a shorter life and at least be awake. I had to sign
multiple forms to go back on it the second time and sign my life away saying
I wasn't going to sue them, yada yada yada. Like I cared at that point. I
wanted to be awake and have a life again. Who wants to be alive but sleeping
all the time? This is not life. So anyway, then that doctor retired, I went
to another one, who didn't like Felbatol, but tolerated it, although he
continuously tried to get me off of it. I told him I was NOT going to sue
him. I had already signed my life away, I didn't care if it shortened my
life span (I can't say if it does or not - but that's my interpretation of
the whole thing). He still tried to get me off of it. I finally gave in and
said I would try another one if he was so insistent. I tried Lamictal as
monotherapy but it caused a lump under my arm so he took me off of it right
away and put me back on Felbatol. Later he took me off Felbatol again and
put me on Topamax as monotherapy and it made me suicidal and he did not
refill my prescription, although he said he did and blamed it on the nurse.
Since I literally had no more medication, I had my first grand mal seizure
in 24 years. I wasn't nice, to say the VERY least. I ended up going to Johns
Hopkins University in Baltimore (I live in Pennsylvania, so it's a 2-hour
drive for me, but well worth the trip) and got this fantastic neuro Dr.
Ronald Lesser.
According to his resume, he was actually one of the "Principle Site
Investigators"  for Wallace when Felbatol first came out.  His resume is on
the Internet if you are interested at
http://www.neuro.jhmi.edu/profiles/lesser.html. He teaches at John Hopkins
University, too, and I am pleased to have gotten so lucky to have found a
doctor who is not afraid to use Felbatol. When everyone was taken off
Felbatol, I understand I was one of about 1,000 people in the United States
still on Felbatol, and as I understand it, the number is shrinking.
When I have to go to the hospital, I have to take my own medications with me
because they don't keep it in the hospital's pharmacy. (You know it breaks
my heart not to be charged a huge price for one pill, right?) I think it's
hilarious that the nurses come in and they have to watch me take my
medication - like I'm not going to take it???? Right. Sure. I know the
consequences much better than they do.
But most doctors are afraid to use Felbatol because they are afraid that
they will get sued if the patient develops liver disease or aplastic anemia.
I think I'm very fortunate that I haven't so far. They say the longer you
are on it, the less likely you are to develop the side effects, but I am
always watchful. This is not to say you CAN'T develop them. I have to watch
for easy bruising that won't go away (signs of aplastic anemia). I do bruise
easily, but I always have. Maybe that's a side effect of all the meds. But
my bruises go away.
I haven't had to have blood tests in a long time, until recently, but that
has to do with my cholesterol and things like that. My alkaline phosphatase
had been high before I went on Felbatol, then it dropped. That's one reason
they put me on Felbatol in the first place. It began rising again, and
recently because of high triglycerides, I put myself on a very strict lowfat
diet and my alkaline phosphatase has never been lower. I was amazed. My
blood tests have never been better. I have copies of all blood tests since
at least 1990. I am almost obsessive when it comes to keeping copies of test
results, but that's just me.
Hope that answers your questions.
JoAnne

> >  I finally went off those meds when Felbatol came out, and I have been on
> > that since 1994 - it is supposed to have terrible side effects, but the
[quoted text clipped - 9 lines]
> Is there something about Felbatol they didnt like? Ive never heard of it
> before.
Theo - 09 Aug 2004 19:17 GMT
> Hope that answers your questions.
> JoAnne

Yes. No wonder I never heard of it. Maybe in the future there will be something
better for you.
Bob - 08 Aug 2004 15:54 GMT
> I was on Dilantin for about 30 years. The first neuro I went to just put me
> on phenobarb (I was 13 at the time) and a couple years later a new doctor
[quoted text clipped - 46 lines]
> I hope the Dilantin works out for you, and I hope this has been helpful for
> you.

Many thanks for the information, JoAnne!  I also have had my condition since my
teens and probably earlier. However, I was never properly diagnosed and sent to
the right kind of doctor and it wasn't until more recent years that I have been
treated for epilepsy.  My "strange feelings" (partial seizures) were always
either attributed to another medical condition or ignored. The meds I was
prescribed weren't epilepsy meds.

I have the Dilantin now and with your encouragement and that of others, I'll be
starting to take it shortly. I'll be keeping my fingers crossed that it will
control my seizures.

Thanks again,

Bob
JoAnne Linsenbach - 08 Aug 2004 20:16 GMT
Bob,
Good luck with it! It worked great for me for 30 years, like I said, and it
wasn't until something newer came out that I changed. One thing I neglected
to mention is that I had also had it in the hospital intravenously. I think
at that point I was already on Felbatol, but I could still take Dilantin if
I needed it (like in the hospital). I had been having surgery, and they gave
me some via IV. It gets where it needs to go quickly that way, but I
wouldn't recommend it unless it is necessary, though. I can still remember
how it burns when you have to have it that way. Ouch! At least it worked. I
guess they were worried I was going to have a seizure, or they would never
have done it that way. Oh well....
I was properly diagnosed at 13, but my parents didn't want to do anything
about it. I guess they were just hoping it would go away. When I got older,
I went to doctors myself and took care of it myself. I'm sure you know this,
but you have to forget about the stigma and be happy you're in as good shape
as you are. There is always someone better off and there is always someone
who is worse off than you. I am =very= fortunate that I have been able to
live a relatively normal life, and I know how lucky I am.
I hope everything works out for you.
JoAnne

> > I was on Dilantin for about 30 years. The first neuro I went to just put me
> > on phenobarb (I was 13 at the time) and a couple years later a new doctor
[quoted text clipped - 61 lines]
>
> Bob
Dawn Compton - 09 Aug 2004 04:58 GMT
JoAnne - I had to take Dilantin intravenously in the hospital once.  It
didn't burn when they had me on it.  It just felt like a regular IV.  It
didn't burn at all - I barely noticed I was on it unless I happened to
look down at my arm.  I had just got done having seven grand mals within
sixteen hours, so I wasn't moving too much.  I was dizzy and if I so
much as tapped my fingers, it sent the room flying around in circles.
JoAnne Linsenbach - 09 Aug 2004 06:00 GMT
Dawn,
That's great! I'll have to remember that if I ever need that again. I can
remember the nurse coming in and telling me "This might burn" and my
thinking how weird that sounded. I suppose instead of intravenously as in
they attach an intravenous bag or something like that, I should say they
took a needle and gave me an intravenous shot of it. I wasn't very clear
about that. I'm sorry. I have been trying to remember the last time I was in
the hospital, and if I remember correctly, it was for kidney stones. Yuck. I
was not a very good patient that time, because I was in extreme pain, so
they probably just wanted to sedate me. ha ha ha I'm just kidding. But I
understand about the room flying around in circles. It's a weird feeling,
isn't it? Makes you wonder why people want to ride roller coasters and such.
We get to do it for free. <g>
JoAnne

> JoAnne - I had to take Dilantin intravenously in the hospital once.  It
> didn't burn when they had me on it.  It just felt like a regular IV.  It
> didn't burn at all - I barely noticed I was on it unless I happened to
> look down at my arm.  I had just got done having seven grand mals within
> sixteen hours, so I wasn't moving too much.  I was dizzy and if I so
> much as tapped my fingers, it sent the room flying around in circles.
Dawn Compton - 10 Aug 2004 03:10 GMT
Joanne wrote:

>That's great! I'll have to remember that if I ever
>need that again. I can remember the nurse
>coming in and telling me "This might burn" and >my thinking how weird
that sounded.

Yeah, when I had an MRI, they put some kind of dye in my that did burn
my arm.  It also made it feel like something was boiling up in my mouth
and like I was gonna throw up, but there was nothing there in reality.

>I suppose instead of intravenously as in they
>attach an intravenous bag or something like
>that, I should say they took a needle and gave >me an intravenous shot
of it. I wasn't very
>clear about that. I'm sorry.

Hey, it is ok.  Between the side effects of my meds and some of my
seizures, I have bad short term memory.  I just can remember that day
all too well.  I don't think they gave me a shot of it - that may have
made the difference.  They hooked a bag up to me.

>I have been trying to remember the last time I
>was in the hospital, and if I remember
>correctly, it was for kidney stones. Yuck. I was >not a very good
patient that time, because I
>was in extreme pain, so they probably just
>wanted to sedate me. ha ha ha I'm just
>kidding.

I bet all patients who come in with that problem are not very nice
patients.  My brother just had to get one taken out and he just had to
tell me how they do it on a guy.  If he is telling the truth, I don't
even want to mention it.

>But I understand about the room flying around
>in circles. It's a weird feeling, isn't it?

The worst one in this world, in my opinion.  I hate being dizzy and I
tend to be some part of each day - have no idea why.  I sure didn't like
the room flying around in circles - I kept wishing it would stop.

>Makes you wonder why people want to ride
>roller coasters and such. We get to do it for
>free.

Yes, exactly.  As I said above, I stay dizzy parts of the day randomly.
Then I hear people who talk about how dizzy they got on a roller coaster
- it makes you want to slap them.  I bet they wouldn't like it if they
got free dizziness randomly.
Theo - 10 Aug 2004 05:46 GMT
> >Makes you wonder why people want to ride
> >roller coasters and such. We get to do it for
[quoted text clipped - 4 lines]
> - it makes you want to slap them.  I bet they wouldn't like it if they
> got free dizziness randomly.

Its been years since I was on a roller coaster, and I liked it. At least
then I would get to actually enjoy being dizzy instead of feeling sad
Dawn Compton - 11 Aug 2004 02:19 GMT
>Its been years since I was on a roller coaster,
>and I liked it. At least then I would get to
>actually enjoy being dizzy instead of feeling
>sad

Being sad sucks just like being depressed does.  I really doubt you
would like to have my dizziness - this morning I was dizzy and it felt
like my brain was going around in circles.  It tends to make you feel
really sick and give you a bad headache.  Trust me, you don't want it.
Theo - 11 Aug 2004 02:55 GMT
> >Its been years since I was on a roller coaster,
> >and I liked it. At least then I would get to
[quoted text clipped - 5 lines]
> like my brain was going around in circles.  It tends to make you feel
> really sick and give you a bad headache.  Trust me, you don't want it.

No I wouldnt want it that bad. The partials when I cant speak or
understand anybody are bad enough tho ;o)
Dawn Compton - 13 Aug 2004 00:11 GMT
>No I wouldn't want it that bad. The partials
>when I cant speak or understand anybody are
>bad enough tho ;o)

The dizziness is killer - I have some on a daily basis though it gets a
lot worse some days more than others.  I tend to be a bit dizzy at least
in spells every day and once or twice a week I have the major dizziness
I talked about.

I have simple partials too.  Mine have ranged mostly into two groups.
One is "falling" sensations - where I feel like someone has just pulled
the chair, bed, etc. out from under me but then after ten seconds that I
am still sitting/laying where ever I was.  

The second is where I am in a dazed state - best explanation where
nothing seems like reality though it is.  It feels like a dream and that
I am not really in total control of my body - though I can walk and
stuff.  It takes me longer to concentrate and understand people, though
on just a small few seconds delay.

Plus, I have absence seizures, complex partials, and the occasional
grand mal.  It isn't much fun, but there are others out there worse off
than me.  I just don't understand rollercoasters any more - why the
expensive thrill just to make you dizzy?  When you get it every day, it
isn't much fun - and I get mine for free and don't want it.
turbinado - 12 Aug 2004 02:22 GMT
(....)
But I
> understand about the room flying around in circles. It's a weird feeling,
> isn't it? Makes you wonder why people want to ride roller coasters and such.
> We get to do it for free. <g>
> JoAnne

It's not a feeling I would pay to get, in fact, I'd pay to prevent it.

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