Community Forum Archive

The Epilepsy Community Forums are closed, and the information is archived. The content in this section may not be current or apply to all situations. In addition, forum questions and responses include information and content that has been generated by epilepsy community members. This content is not moderated. The information on these pages should not be substituted for medical advice from a healthcare provider. Experiences with epilepsy can vary greatly on an individual basis. Please contact your doctor or medical team if you have any questions about your situation. For more information, learn about epilepsy or visit our resources section.

I'm scared, Dilantin is killing me!

Sun, 01/09/2005 - 03:01

I have TLEs and Generalized sz's.  I sz every day at least with drops, absences and jerks and then I have the odd CP or Jamais Vu or t/c and other things thrown in here and there.  I have nocturnals which right now seem to be complex partials where I get out of bed wondering around trying to find my mother, who is deceased but I've also wondered around continually running into a wall trying to find a bathroom. I've even gone outside several times (I'm at least getting my exercise even tho I'm asleep!).  One of my big problems is that I'm unable to take anything more than Dilantin with Clonopin which makes it more effective.  I can take Keppra but it doesn't help me.  All other AEDs give me horrid side effects.  The new thought now is that this might be because I can't take other AEDs with Dilantin so an effort was just made in the hospital to get me off Dilantin, so I could once again try another AED and as terrified as I am to go through the wretched side effects I have with another AED, I was up for it.  During this attempt to get me off Dilantin I went status for a long period of time.  Wound up intubated, unconscious for quite awhile and the decision was made to send me home.  I have bronchitis right now too and my epileptologist felt as touchy as my body seems to be, he wants that cured first, which is seemingly hard to do, and we'll try again.  This time I'm going to slowly taper off Dilantin instead of cold cocking me off.  I have been cold cocked off Dilantin before and felt wretched but didn't go status and when I was just in the hospital I had an IV drip of sedatives to try and stop that from occurring, yet it did.

NOW this is what irritates me to no end.  I've had this for 6 years.  Actually I've probably had it all of my life, I know for sure since I was 7 as my mother had me treated for 10 months but insisted my doctor call it "hyperkinicity" aka ADHD and not epilepsy. I believe she was afraid of what that diagnosis could do to me prejudicially during that period of time (the 50's) but the notes state I had generalized epilepsy.  I do remember taking phenobarbitol, feeling sleepy but also getting rid of the weird feelings I had had all of my life.  Then I was taken off.  Had odd sensations, lost blocks of time and other things all of my life but 6 years ago exploded into full blown epilepsy I couldn't ignore.  I'm now on disability but I waited a long time to apply hoping to be able to work.  In my profession, or in any job I have found out, employers want me conscious at all times!  Can't blame them, and I'm considered by any employer a liability risk.  ALSO, I haven't been allowed to volunteer either so my home - has started feeling like a prison.

Anyway, I've been then primarily on Dilantin and Clonopin for 6 years after trying many other AEDs with disastrous side effects.  This is what really PO's me off.  Why don't these blasted neurologists tell you things like long term effects of these poisons?  When I was first put on both of these drugs my sz's stopped just like that for 5 months.  I was given a quinolone antibioitic that cancels Dilantin, which it did, and I've been out of control since then - about 5.5 years ago.  But at  no time did anyone ever tell me, and admittedly I didn't read about it for myself but took someone's word for it that Dilantin is an old thus safe drug (my A**).  No one ever told me that Dilantin shouldn't be used for long term use.  That's the latest news on Dilantin I've heard but how "latest" I don't know.  I read here someone took it for 40 years?  Good Grief!  I know we all have our own individual reactions.  I read someone takes Depakote or Neurontin especially and do just fine and I'm in a near coma.  I was a lunatic on phenobarbitol and on and on so I'm stuck on Dilantin and I became very insistent about no one changing me off of it as we changed communities twice, doctors several times, and I have been adamant not being changed off of Dilantin because of the side effect hell I went through for 2 years while neuros tried me on different things.  No one though told me Dilantin long term can be dangerous.

Over 2 years ago I think my Dilantin levels were always in the at least slightly toxic range but it seemed my sz's were a little better too so it was felt that was therapeutic, left that way.  Since then my levels are booming, huge, as my epileptologist states "not acceptable" but even now on a very low dose, not even a therapeutic dose I'm toxic but I have to take something for now, and Dilantin is it. 

But this long term use, long term toxicity?  Has shot my liver enzymes way up and nothing is bringing them down.  I now have peripheral neuropathy in both of my feet from the Dilantin and I'm not wild about loosing my feet!  And this week I find out I have pancreatitis, which is a dangerous inflammation/infection of the pancreas and that also is attributable to the Dilantin.  I'm supposed to be hospitalized for it and right now I'm refusing.  I had this about 1.5 years ago too.  I'm an RN.  I had a pic line installed, a long term type of IV line, and hung my own antibiotics at home, gave myself my own insulin and got over it in about 6 weeks but no one is allowing me to do that now.  Which is infuriating since I did it successfully once before.  All of that on top of my memory shot to shit from being on Dilantin which is the all time memory robber.

I feel so guilty about telling any of my family I have yet another problem.  One of my daughters and my husband have been my primary supporters.  As in another thread I read, a lot of my children and other "friends" and family have run like rabbits terrified I guess I'll have a seizure in front of them (don't you feel like with people like this telling them - how can they be so sure what they're health future is and if they get something devastating do they want YOU to be around and be supportive or should you take off too?)  My husband has been there but he's had an  obvious grudge, frustration, anger about this and I think I've hit the wall with his attitude and am probably divorcing him although I really can't live alone but I'm working or trying to work those kinks out but how can I when I keep getting one thing after the other?

Why am I posting?  I'm just depressed.  As bad as I have this I have fought hard and I live as full a life as I can and it is hard.  I don't feel like the doctors I've been to have given me information I should have had all along, any of them, about AEDs, seizures, any information that I should have had and now I wonder - and what else don't I know?  If I hadn't had been on some chat lines and looked things up for myself I wouldn't know anything about my epilepsy.  I know I'm not the only one who has this problem too.

The other reason is, I'm frightened.  I feel like I'm having one organ failure after the other.  Is this it!  I try to stay optimistic and usually do but it is very hard to stay optimistic when you're ill, and from these blasted poisons called AEDs, which I can't live without and can't seem to live with.

HELP (with my attitude)

Comments

RE: RE: RE: I'm scared, Dilantin is killing me!

Submitted by MORNING on Fri, 2004-12-24 - 21:35
Dilantin has it pros and cons. What I loved about it was that I could eat like a horse and lose weight! I lost 40 pounds and ate sweets, breads, Blue Bell Ice Cream, and the good stuff! Then, my doctor put me on Lamictal. I had to go off Dilantin because I had some spots on my liver. My brother took Dilantin for many,many years. He died of liver disease. My father took phenobarb nearly all his life. I took that as a child. My mother told me I had nerve trouble. She said I had trouble with my epileptic nerve. So, I grew up with nerve trouble. I never knew it was seizures and I felt guilty all the time I was growing up. I thought I was a bad child. I have CPS. The seizures went away and I even served in the Army during the Viet Nam War. Then, years later, that nerve trouble came back and hit me worse than ever. I was then put on Tegretol. It helped, but it gave me liver damage, also. With what happened to my brother, I think it is quiet possible that Dilantin is not the first drug of choice. But what happened to me when I took it, was really quiet nice! Morning Linda

RE: I'm scared, Dilantin is killing me!

Submitted by Karolwf on Mon, 2004-12-27 - 03:22
Get off of the Dilantin as soon as you can. I would get in touch with your doctor and if your doctor is not willing to listen to you and treat you like a person than find another neurologist. NOT ALL neurologists are experts in seizures-- each doctor has his own agenda and favorite subject. When seeing a neurologist ask him/her outright if they are interested in the subject of seizures and how much do they know about it and also if they are interested in doing some extra study on the subject to get the newest information that is out there. YOU ARE WORTH IT AND DESERVE TO GET THE BEST CARE AVAILABLE.  I have spent years in dealing with neurologists and doctors who THOUGHT they knew what they were doing but did not. Like anything else there is NO one doctor that knows everything. SO- for your health and your sanity- search and go shopping for a doctor who will help you. Praying to GOD to have Him lead you to the right one certainly is a good place to start.  I have a wonderful doctor now after 4 years of searching in Minnesota-- when I was living in Texas it took me 7 years to find a good one. SO hon- keep up your hope and remember the only one who is going to take care of you is YOU-- in these days of poor Health management you have to become your own HMO -- Health Management Organization. YOU have to research your illness-- and also all the medications and treatments available and make decisions of what you want to do or want you do not want to do. SO get on the internet and start looking at Epilepsy- seizure- sites and read up on it. Find out what applies to you and then document it all- write it all down and print it out and go in with your own health folder-- you have to be prepared and loaded. YOU will be surprised on how much a really GOOD doctor will appreciate the fact that you have taken the time to help him help you.  I even have a cover sheet on my health folder!!!! with who I am and what I want out of life.  Hon- you have to do the work and please get off that poison DILANTIN-- it can make your hair fall out and your teeth to fall out and it can kill you IF it is not right for you. Some people it works for and they benefit from it greatly and then there are other like you and me that it ends up killing us.--- SO GET OFF OF IT-- BUT MAKE SURE YOU HAVE SOMETHING TO REPLACE IT BEFORE YOU DO AND THAT YOUR DOCTOR HELPS YOU GET OFF OF IT-- but find a doctor who will work WITH you and FOR you and not for himself.  I will pray for you!!

RE: I'm scared, Dilantin is killing me!

Submitted by WendyS on Mon, 2004-12-27 - 11:28
Gretchen, Like you I was taking Dilantin and Tegretol. My seizures started getting worse and worse. my doctor took me off Dilantin and put me on Keppra, Trileptol and Zongran. This combination has been the best for me. Everyone is different. Zonegran may work better for you than it does with me I only use for night time. I tried it instead of Keppra but it didn't work as good by itself. Trileptol is a time release for of Tegretol and is better on my stomach. This combination as long as I have a good meal works great, just bear in mind that me. Everyone is different and you need to ask your doctor. Have you ever tried Zonegran? I just know that Dilantin almost killed me, literally! I had such a bad seizure that when I fell, and I never have fallen, that my neck snapped back and cutoff my oxygen.. I had been bowling and was sitting my head fell back on a chair instead of falling flat on the floor. My next set of seizures to follow were petti mal's. I haven't had petti mal's since I was in the car accident when I was 3 years old. It's definitely time to get off Dilantin no matter what you plan of action maybe.Good Luck

Sign Up for Emails

Stay up to date with the latest epilepsy news, stories from the community, and more.