My daughter is 19 and has had epilepsy since she was 11 years old, mostly
absences which later develeped to full blown convolusions. We've tried quite
a few meds thru the years but always returned to Depakote since it WORKS for
her, no seizures. The major issue became weight gain, gain more weight and
increase Depakote dosage ....well 45 lbs later it really was a problem. Our
doc suggested Topamax, we had not tried in the past, and things had been
going well for two months but she is on 400mg a day and has had a couple of
convulsions the last couple of weeks, her seizures are always shortly after
waking, and now he wants to add 500mg of Keppra in the evening.
I fear this "cocktail' since she had tried Keppra in the past, with a lot of
fatigue. Is anyone out there taking Topamax and Depakote together?
I guess the real question is why not return to Depakote? Well for a nineteen
year old girl, who just lost 35 lbs while off Depakote, her looks are very
important.
Hey I realize our problem is small compared to many others here but evey
morning is tough, and two weeks ago she had a seizure in the bathroom which
resulted in a huge knot on her head, and a day in the emergency room, The
other part that is tough is she wants to be independent at this age, do what
the other girls do -stay up all night...great!
Thanks,
Tim
Julie - 14 Mar 2005 23:10 GMT
Hi Tim, welcome to our group. I remember being 19 and coping with seizures. I
have had many a seizure in the bathroom. This group has all kinds of stories to
tell about the situations in which we have found ourselves after a seizure. My
most memorable seizure in the bathroom was when I had the flu and went to throw
up in the toilet. My body decided it was more exciting to have a seizure. I
started to regain consciousness slowly, called for my husband and the poor thing
had to help me get my head out from between the toilet and the wall. I didn't
end up in the hospital, but I was in bed for a few days.
I don't have much advise about your daughter's meds. I know that every case
needs to be handled on an individual basis. I would say that your daughter's
safety is most important and she needs to be aware of triggers. For example, I
have been working really hard, so I pay attention to how I am feeling. Some
days I can keep trucking (we are remodeling our kitchen) other days, I have to
rest. Last Saturday was one of those days that I had to listen to my body. My
husband did all the driving, we went to purchase a kitchen sink. I couldn't
even stay in one place because the lighting was making a noise that I was afraid
would trigger a seizure. When we went to a larger store I stayed right with my
husband and we received help so I didn't have to stay long, I stayed away from
noisy areas and crowds. I made it, but it is frightening to realize that a
seizure could be triggered. I rested the rest of the day and was able to keep
painting the next day.
I've gone almost 10 years now without a tonic clonic seizure.
Take care,
Julie Walton, Volunteer Webmaster
Epilepsy Foundation of Idaho
http://www.epilepsyidaho.org
> My daughter is 19 and has had epilepsy since she was 11 years old, mostly
> absences which later develeped to full blown convolusions. We've tried quite
[quoted text clipped - 21 lines]
> Thanks,
> Tim
Satch - 17 Mar 2005 08:30 GMT
> I would say that your daughter's
> safety is most important and she needs to be aware of triggers.
Yep, that is the most important part -she needs to accept that she needs to
live a regular live though I must admit that this is really hard at the age
of 19. Live is too important to risk an accident that can happen because of
uncontrolled seizures.

Signature
Thanks.
Marco
The Netherlands
Mary Fisher - 15 Mar 2005 00:32 GMT
> Hey I realize our problem is small compared to many others here
No, Tim, every person's problem is a big one, we're all individuals with
different things to cope with.
Mary
G.Ross - 15 Mar 2005 00:36 GMT
> My daughter is 19 and has had epilepsy since she was 11 years old, mostly
> absences which later develeped to full blown convolusions. We've tried
[quoted text clipped - 9 lines]
> I fear this "cocktail' since she had tried Keppra in the past, with a lot
> of fatigue. Is anyone out there taking Topamax and Depakote together?
** Hi. I didn't reply to this one earlier since I haven't used any of the
meds. you are concerned about. Keep reading and someone might still show up
with a reply, or if you don't hear shortly, you can repost it. Some people
only 'drop in' once or twice a week.
The Milligrams of Pill A, does not easily relate to xx Milligrams of Pill
B, so while one might look like it's a Larger dose than another one, it's
how a person absorbs it or reacts to it that determines the amount of each
pill a Doctor might suggest. Some of us might use a 'cocktail' of 3-4 pills
to get control, others might be able to use just one type. (I use 2 in
combination, and have since 1996, without any dose change.)
1) Julie put her Idaho Website at end of her reply to you. Click on
that and bookmark it. There are lots of Excellent topics you or your
Daughter might enjoy looking through. There are *2 Excellent "First aid for
Seizures" charts that will help if you haven't seen that type of thing
before. They help bring a seizure under control more comfortably that not
knowing how to help-- one is the Basic One, the second for First Aid in
Water.
2) Has her Dr. ever suggested (or think she should wear) a Medic Alert
Bracelet or *Necklace? There are 'regular ones', or Plain Silver or Gold
ones that look more like Jewellery without the Red Colouring that's on the
Basic type. The 'Oval' shape is what a Dr. will look for if she were
having seizures or in 'Emerg'. The Computer file (at Medic Alert) keeps
phone nos. of her Doctors (up to 3), plus up the 3 Family Contacts, and
lists any Other Medical conditions if any apply, PLUS what medications
(names only) she uses. Those can be important so they don't give her
something that might conflict with a particular pill and lead to further
loss of seizure control.
(They need her Blood Type for the computer file, so if she or Dr. don't
know it, they can find the Type with same Needle, if they check her
Medication Blood levels.)
These are excellent if she'll be travelling or away from 'home' soon,
since a Doctor can Call Medic Alert Collect from anywhere in the world, 24
hours a day. Not bad Insurance for a one time cost of $40 to $100,
depending which Bracelet or Necklace type is chosen. Bracelets (basic ones)
I've had, last 3-6 years each, before the 'safety clasps'
start to wear out. I don't know how long the Silver Plated or Gold Plate
ones last (the clasps). They could probably tell you at the 800 number, or
Locally if they're in your phone book.
3) The U.S. Ep. Foundation of America has some glossary-type information,
plus a medications glossary that can be useful. EFA is at http://efa.org
. Often if you want more specific information on a particular medication,
the Pharmacist who fills the prescriptions might have a site for the Pill
Maker, although the things to watch for (usually alcohol with some of these
pills, Grapefruit Juice for example with Tegretol, etc.) should have come
with the *original prescription filling, via the Pharmacy. /
> I guess the real question is why not return to Depakote? Well for a
> nineteen year old girl, who just lost 35 lbs while off Depakote, her looks
> are very important.
*** G - Some pills, anyway, if you move off them onto something else,
*Might be type which you can't or shouldn't go back to, since they won't
control szrs. a 2nd time around. *I haven't used those so don't know if any
of those are that type. /
> Hey I realize our problem is small compared to many others here but evey
> morning is tough, and two weeks ago she had a seizure in the bathroom
[quoted text clipped - 3 lines]
> Thanks,
> Tim
** None of our Problems or difficulties getting seizure control are 'small'.
Each of us is different in how we 'seize' or react to particular pills or
triggers that might aggravate seizure control. Each, in our own 'sample',
are "100% of the condition" we're trying to help with. Sometimes these
things are difficult to get control of, sometimes they're more easily
controlled. I hope her's turn out to be the latter. (Did the Dr. ever
suggest if her seizure types could be 'grown out of'' ? I know some people
that might apply, but don't know which types or what percent of us, that
would be the case.) G./
tko - 15 Mar 2005 02:29 GMT
Thanks for your replies and kindness.
Tim
>> My daughter is 19 and has had epilepsy since she was 11 years old, mostly
>> absences which later develeped to full blown convolusions. We've tried
[quoted text clipped - 81 lines]
> some people that might apply, but don't know which types or what percent
> of us, that would be the case.) G./
Satch - 17 Mar 2005 08:26 GMT
> Each of us is different in how we 'seize' or react to particular pills or
> triggers that might aggravate seizure control. Each, in our own 'sample',
[quoted text clipped - 6 lines]
> that might apply, but don't know which types or what percent of us, that
> would be the case.) G./
Yeah, most people with absences outgrow their epilepsy if it is being
controlled by medications within a short time. Did the doctor tell you
something about this or did you daugther have other kinds of seizures as
well? In my case I outgrown epilepsy. Then I ignored all triggers for a
couple of years and suffered from a full blown seizure (tonic-clonic). Now I
am back to medication again and have become seizure free for more then a
year now. Hopefully, I will be back to where I was: no meds / no seizures.
As you might now, sleep abreviation and alcohol lowers seizure threshold
resulting in less seizure control.

Signature
Thanks.
Marco
The Netherlands
angeleyes1@ntlworld.com - 15 Mar 2005 22:34 GMT
Hi Tim
>My daughter is 19 and has had epilepsy since she was 11 years old, mostly
>absences which later develeped to full blown convolusions. We've tried quite
[quoted text clipped - 12 lines]
>year old girl, who just lost 35 lbs while off Depakote, her looks are very
>important.
I got weight gain on Depakote and Tegretol. While on Topomax I
couldn't eat so I lost weight with that one, course I got depressed on
it as well so now I'm on 500mg of Lamictal plus 1.5mg of Rivotril. It
has taken a while but my seizures are very well under control now. I
get myoclonic seizures though, not absence.
As for using Depakote, I know it works for some people but I had to
have regular checks of my levels but that didn't stop it from going
toxic on my liver.
I was told that most seizures happen at night while you are sleeping
and they are likely to happen first thing in the am and when you are
trying to get to sleep at night. In my case anyway.
Sleep has always been a problem for me so I try to go to bed as early
as I can coz I have to get up early to go to college. (Just finished
my first semester and got my results - passed every class, B+ average,
really pleased. Can't believe it at my old age - pushing 40).
I was diagnosed at 19 after having weird happenings all my life no one
could understand.
>Hey I realize our problem is small compared to many others here but evey
>morning is tough, and two weeks ago she had a seizure in the bathroom which
>resulted in a huge knot on her head, and a day in the emergency room, The
>other part that is tough is she wants to be independent at this age, do what
>the other girls do -stay up all night...great!
As for your problem, when it comes to epilepsy there are no small
ones.
>Thanks,
>Tim
Angeleyes
Satch - 17 Mar 2005 08:20 GMT
> Hey I realize our problem is small compared to many others here but evey
> morning is tough, and two weeks ago she had a seizure in the bathroom
[quoted text clipped - 4 lines]
> what
> the other girls do -stay up all night...great!
Hey man, having a 19 year old daughter is tough in the first place, having a
19 year old daughter that needs to take medicine with side effects that
results in weight gain is even more tough and dealing with the fact she is
having seizures while you know there are medications out there that help,
must be very hard. I would not say your problems is small.
I dealt with the same issue -as a teenager I want to stay up as well, go out
partying, drink booze, etc. It must be real hard man, dealing with all this.
I wish you and your daughter all the best.

Signature
Thanks.
Marco
The Netherlands