Doctor insights on:
Loads of choices.: Have no clue as to what meds you are taking, but the approach is to increase dosing until toxicity, cut back, and add additional medication. However, the third medicine has only a 3-4% chance of success. We often suggest vagal nerve stimulators if the meds have failed. Risk factors for break thru include missed meds, infection, sleep deprivation, recreational drugs, poor dietary habits, stress. ...Read more
My son has epilepsy. He's been having minute to 2 minute long breakthrough seizures. Had a 2 minute one today after med change. Any idea why?
Depends: Unlike an infection, which after culture, we know what antibiotics to prescribe, we do not have that specific a test. We learn about the adequacy of an anti seizure medication by its effect. It may take several days for any change in medication to reach a new blood level plateau, so it may take time for a change to be effective. ...Read moreSee 2 more doctor answers
Doc said stop taking st. john's wort b/c it would "mess up blood levels of topamax (topiramate) & cause breakthrough seizures". How does an herb do that though?
All medications : were made from herbs & plants until the era of man-made synthetic drugs. St. John's Wort alters levels of chemicals produced by your brain & competes with your prescription medication to be metabolized by your liver enzymes. People who take it within 2 weeks of starting a stimulant for ADHD can have a hypertensive crisis. Don't take any vitamin, herb, OTC or prescription med without asking 1st. ...Read more
Not right med/dose: Answers include Keppra (levetiracetam) not being the right medication for your sons seizures or he may need an adjustment in dose. There are many other anti seizure medications available. Speak to his prescriber about adjusting his dose or alternative medications. ...Read moreSee 1 more doctor answer
I want to take plan b but I am on lamictal to control seizures. Could I have a break thru seizure?
Bad brain activity: A seizure is an abnormal motor or sensory event that is caused by abnormal electrical discharges of the brain. Usually the brain can inhibit or suppress abnormal activity. However in certain disease states, genetic syndromes, scarring of the brain or acute infection or injury, the brain inhibition is lost and seizure activity will occur. ...Read more
Excitable brain cell: Anything that causes brain cells to be irritated or overexcitable can cause a seizure. Genetic causes of epilepsy that lead to an abnormality in excitability of neurons or miswiring of connections can cause seizures. Also, any scar or lesion on the brain can cause seizure. Infections and other conditions that alter the body's normal chemistry can cause seizures. ...Read more