Doctor insights on:
Peganone Seizure Agent
Ketamine: Ketamine offers very interesting possibilities for depressed patients who don't respond to standard therapies. It does induce dissociation and sometimes hallucinations, but in some there's an antidepressant effect that lasts for several hours/days after those are gone. Some drawbacks: can be liver damage; it must be given IV in a controlled setting; effects may wear off. All is being studied. ...Read moreSee 2 more doctor answers
Seizures (Uncontrollable Jerking Of Limbs) (Definition)
A seizure is a symptom in which a person has a convulsion or epileptic attack, usually involving jerking movements of the head, limbs, and rest of the body. It represents abnormal brain function, and can be caused by fever (mainly in young children), by brain infections or tumors, by drug abuse or overdoses, by chemical imbalances, sleep deprivation, etc. ...Read more
With Your Doctor: Weaning off of Keppra (levetiracetam) will depend on the dosage and length of time on the medication. It would be tapered down, much the same as it is generally started. Because of complications, it should only be done under your doctor's supervision. It is not something to try on your own at home. ...Read moreSee 1 more doctor answer
Can be effective: Phenytoin is one of the oldest patent medicines used to treat epilepsy. It has been an effective treatment. Due to its sedating effect and other side effects, newer agents have replaced it as a first line treatment. It continues to be an effective alternative treatment. ...Read more
Topamax = 3a4 inducer. Augments gaba. Xanax & Abilify (aripiprazole) are substrates. Potential reaction? Wondering about topa + seroquel, too. Titrating from sero.
Combo: No significant adverse interaction other than sedation, as long as doses are therapeutic & monitored. ...Read more
Can an anti-epileptic drug such as keppra (levetiracetam) prevent seizures that happen from taking tramadol?
Perhaps.: In theory, the answer is yes. However, the vast majority of patients who do not already have a seizure disorder will never have seizures or seizure-like activity if they remain below 300mg/day of tramadol. If seizure-like activity is noted, the better choice is to eliminate tramadol, rather than minimize side effects with yet another medication. ...Read more
Which is essential for bipolar depression to not mope ill
1-Haloperidol Carbamazepine Lamotrigine Biperiden Methocarbamol
Which is a safer, lower side effect profile drug, topamax (topiramate) or oxcarbazapine (in general terms, obv individuals vary)?
Don't 2nd guess: Neither is w/o risk and they are Rx'd for different (w/ overlap) conditions. You need to work w/ your Dr on selecting the best for you - say clearly that safety is impt to you. Know what they expect it to for your condition. Side EFX are pretty similar for both - your other health issues might be the swing vote. ...Read more
Which drug has less proarythmic effect,less negative inotropic effect , more effective for paroxysmal Afib cordarone (amiodarone) or flecanide?
M an epileptic patient.I used to take 3 med.Lamictal50mg, topamax100mg, depakene (valproic acid)1500mg twice a day.My new doc changed depakene (valproic acid) to tegretol250mg.Its ok?
Rfractory seizures in meningoencephalitis not responding to 4 anti convulsion drugs, like midazolam, levitricetum, eptoin and gardinal, what next?
Doubt meds will work: After 3 or 4 drugs, the chance of success is below 4-5% at best, and unless you have some metabolic imbalance, you should consider a more aggressive approach such as a vagal nerve stimulator or even a surgical procedure. Get evaluation at a local medical school and see what might be available for you. ...Read moreSee 2 more doctor answers
Rxd topamax, xanax, abilify (aripiprazole). Topa induces 3a4. I love white grapefruit juice, which inhibits 3a4. Is this an unsafe combo esp with the topamax..?
Confusing: Topomax is a weak inducer of cyp 3a4, and maybe c19. Your biggest issue here is the grapefruit juice, which inhibits 3a4 quite significantly. This could increase the effects of both xanax and abilify (aripiprazole). Either you need to stop the grapefruit juice or drink it at a constant level. Please inform your prescribing psychiatrist about this. ...Read more
Very Few..: Very few actually precipitate (cause) seizures, although many anesthetic drugs and drugs administered in the "peri-operative . Period" do lower the seizure threshold. This might "increase" the possibility of a seizure if these drugs were given in unusually large amounts, which they rarely are...Narcotics, ketamine, anticholinergics, antihistamines, insulin, some antibiotics. No worry! ...Read moreSee 2 more doctor answers