I have lived with epilepsy for 20 years. I have been a patient at an
epilepsy center at a large university hospital for approximately 18 years
(and I have seen as many as 10 different doctors over the years). My
seizures have been grand mal (4 in the past 20 years), but I have also
suffered from myoclonic seizures for the past 6 years. I have been taking
Tegretol since the seizures began (allergic reactions to Phenobarb and
Dilantin). The doctor's are not quite sure how to control the myoclonis (my
form is that of an exaggerated 'hiccup', where I forget what I am
thinking/discussing for a few seconds, but can also appear as a jerking
motion of my arms/legs). I currently take 800 mg of Tegretol (extended tab)
and 400 mg of Lamictal daily. I find that if I do not get enough sleep
and/or have restless sleep that it is almost certain that I will have a
series of myoclonic seizures in the morning. My grand mal seizures have
been under control for 20 years (I had one relapse last summer due to
stress), but these small myoclonis episodes ("jerks") are quite bothersome.
Has anyone ever experienced the same? I would appreciate hearing from
someone who has experienced the same and what you have found to have stopped
(or even reduced the amount) the myoclonic seizures.
I am located in southwestern PA and am looking for a new doctor. I have
become a name and a number (with a LARGE file) to my doctor's office for too
many years. I am looking for a doctor who cares about me and actually takes
the time to look at my file and understand my symptoms and history, not one
who asks me the same questions everytime I visit the office - information
that is written on the front page of my file (something he would know if he
actually cared to look at the file). If anyone out there is from this area
and has suggestions, I would love to hear from you. I am a mother of a 9
month old and I need to find a better doctor and a solution for these
"jerks".
David Ruether - 15 Sep 2004 16:40 GMT
>I have lived with epilepsy for 20 years. I have been a patient at an
> epilepsy center at a large university hospital for approximately 18 years
[quoted text clipped - 14 lines]
> someone who has experienced the same and what you have found to have stopped
> (or even reduced the amount) the myoclonic seizures.
I'm not sure that we share the same problem, or even if we did,
that the same medications would help you. For me, both
Topamax (at very small dose, but with serious side effects for
me) and Depakote ER worked to remove my "jitters and jerks",
but not my other types of events (we are adding Lamictal at small
doses to try to conquer those - but Lamictal must be used
carefully with Depakote). Even if all the above were solved, I still
have an annoying Tourette's-like affliction - and it "drives me up
the wall"!
> I am located in southwestern PA and am looking for a new doctor. I have
> become a name and a number (with a LARGE file) to my doctor's office for too
[quoted text clipped - 6 lines]
> month old and I need to find a better doctor and a solution for these
> "jerks".
Ah, neurologists...! Another writer here and I have concluded that
they are sadists, control-freaks, or just plain uncaring... I don't
have a good solution - it isn't until you have spent quite a bit of time
with one doctor that you then know what you wish you had known
long before. Fortunately, a childhood friend became a neurologist
and has helped me much more than my local neurologist - but even
he cannot spend the time required to really track down all the
possibilities...
Good luck with your efforts!
--DR
Dawn Compton - 16 Sep 2004 02:54 GMT
David wrote: (though snipped)
>Another writer here and I have concluded that
>they are sadists, control-freaks, or just plain
>uncaring.
I dunno if I am the other writer you are talking about, but I think
that.
David Ruether - 16 Sep 2004 16:15 GMT
> David wrote: (though snipped)
>>Another writer here and I have concluded that
>>they are sadists, control-freaks, or just plain
>>uncaring.
> I dunno if I am the other writer you are talking about, but I think
> that.
Yes - we once "compared notes" on how neurologists
had treated us.....;-)
--DR
Eric - 19 Sep 2004 00:21 GMT
> I have lived with epilepsy for 20 years. I have been a patient at an
> epilepsy center at a large university hospital for approximately 18 years
[quoted text clipped - 25 lines]
> month old and I need to find a better doctor and a solution for these
> "jerks".
This is all I can suggest, for what it is worth. I constantly have
simple partials from not enough sleep. If you don't already, take the
evening dose of Lamictal at supper or around 4-6PM. This is what my
neuro. emphasizes. He claims that Lamictal causes insomnia and my
evening dose (150mg) is like "drinking a strong cup of coffee."
Tegretol doesn't control anything with me because I took it for 15
years and a tolerance built up supposedly. I again, as always :),
advocate Lamictal and Keppra combined. These are the only two that
have ever controlled other more severe seizures. I take 300mg Lamictal
and 3500mg of Keppra daily. Of course, as everyone knows, everyone is
different.
I also take Ambien (20mg) before bedtime, but for other causes of
insomnia. It doesn't have side effects on my epilepsy. It works dang
good. I don't need to get hooked.
Best Wishes,
Eric