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Weight Gain and Depakote

Sun, 02/06/2005 - 09:20

Okay so I went to see my neurologist yesterday and he told me some not so good things about my medicine.  Well lately I've been gaining weight..but I exercise everyday for 20 to sometimes even an hour a day and I lift weights.  I did the no carb thing but that was short lived but I still counted calories and all that and I havent lost any weight. 

My neuro was like "ah you gained weight" and I'm like yeah thanks for reminding me.  He said it's because of the Depakote..I was pissed cuz I forgot about that side effect.  And he said I can never go off of the depakote b/c when I was just on lamictal I kept having seizures.  So I heard Topamax makes you lose weight instead of gain like on depakote.  I was wondering..if you have JME-can you take topamax instead of depakote???

Comments

RE: Weight Gain and Depakote

Submitted by jmmjmm1 on Sun, 2005-01-23 - 13:20

OK.  Was diagnosed with epilepsy in 1992.  Been on Felbatol, Tegretol, Lamictal, Topamax and Depakote.  NOW my regimen includes Lamictal and Keppra.  Told nothing about any of the syndromes, learned these in medical school when I had to drop out after one year due to my absence seizures.  On Tegretol for 10 years.  Contraindicated for patients with absence seizures according to the FDA.  Read your inserts.  Ask your pharmacist.  None of the online literature will state so.  But it exacerbates the condition.  Was put on Depakote, gained 43 pounds in 6 weeks.  If I was not able to eat every two hours, I was about to pass out.  I was stunned.  It felt like my stomach was a cavern and if you stood in it, and spoke, it would echo.  I guarantee it!  I felt so down on myself.  But learned to deal with it.  I had been heavier before and lost over 60 pounds in med school.  So I was OK.  But I too exercised like a mad woman to try to take the weight off.  It only made me more hungry!  Topamax caused the opposite effect.  I could go days without eating and not feel hungry.  Neither were good for me.  I took off those Depakote pounds without even trying.  Ate whatever I wanted, whenever I felt like eating, and managed to come from 225 to now 175.  Not healthy, ladies.  Not at all.  I lost control of my seizures without the Depakote, had the best control ever with it.  I tell my family I would rather be fat than be a vegetable.  I had no control and almost lost my job because of it.  My personality changed and I drove my family and coworkers nuts.  Now I am taking Lamictal and Keppra.  Appetite is improved.  I eat three meals a day and I even noticed I am gaining a little weight back, but I think it is due to my healthy appetite.  The Depakote and Topamax screwed up my metabolism royally.  Almost as bad as my Tegretol experience.  I have to manage to get some exercise in now and be sure I don't get that weight back on.  But I am feeling so much better with the Keppra.  I like it.  I think!  I am not sure yet since I am still titrating up, but I feel so much better, so much more clarity when I think-- only tired more.  Sleepiness is a side effect, so I am sure that has something to do with it.  But I can deal with that, like all the other meds.  I pray for the magic bullet-- the one pill we can take to do away with this disorder, and also be comfortable without the side effects.  Hopefully medical progress will bring it soon, in my lifetime.  Keep your chin up and speak with your neurologist often.  My experience has been that I have had to be a little more aggressive with my doctors than normal people or normal circumstances might require.  But I have been successful, even though they think I am a pain.  Oh well-- I am not paying hundreds of dollars for his office to blow me off.  I stongly encourage you to speak with your doctor about your medications if your weight causes issues for you.  There are other options, but I am not certain of your E experience either.  What you have been taking may be the very best for you and it will be an adjustment, but you will be fine.  I am certain of it.  Having E is full of challenges (now 12 years for me!) but I am certain you can make it through them just like I did.

Jamie

OK.  Was diagnosed with epilepsy in 1992.  Been on Felbatol, Tegretol, Lamictal, Topamax and Depakote.  NOW my regimen includes Lamictal and Keppra.  Told nothing about any of the syndromes, learned these in medical school when I had to drop out after one year due to my absence seizures.  On Tegretol for 10 years.  Contraindicated for patients with absence seizures according to the FDA.  Read your inserts.  Ask your pharmacist.  None of the online literature will state so.  But it exacerbates the condition.  Was put on Depakote, gained 43 pounds in 6 weeks.  If I was not able to eat every two hours, I was about to pass out.  I was stunned.  It felt like my stomach was a cavern and if you stood in it, and spoke, it would echo.  I guarantee it!  I felt so down on myself.  But learned to deal with it.  I had been heavier before and lost over 60 pounds in med school.  So I was OK.  But I too exercised like a mad woman to try to take the weight off.  It only made me more hungry!  Topamax caused the opposite effect.  I could go days without eating and not feel hungry.  Neither were good for me.  I took off those Depakote pounds without even trying.  Ate whatever I wanted, whenever I felt like eating, and managed to come from 225 to now 175.  Not healthy, ladies.  Not at all.  I lost control of my seizures without the Depakote, had the best control ever with it.  I tell my family I would rather be fat than be a vegetable.  I had no control and almost lost my job because of it.  My personality changed and I drove my family and coworkers nuts.  Now I am taking Lamictal and Keppra.  Appetite is improved.  I eat three meals a day and I even noticed I am gaining a little weight back, but I think it is due to my healthy appetite.  The Depakote and Topamax screwed up my metabolism royally.  Almost as bad as my Tegretol experience.  I have to manage to get some exercise in now and be sure I don't get that weight back on.  But I am feeling so much better with the Keppra.  I like it.  I think!  I am not sure yet since I am still titrating up, but I feel so much better, so much more clarity when I think-- only tired more.  Sleepiness is a side effect, so I am sure that has something to do with it.  But I can deal with that, like all the other meds.  I pray for the magic bullet-- the one pill we can take to do away with this disorder, and also be comfortable without the side effects.  Hopefully medical progress will bring it soon, in my lifetime.  Keep your chin up and speak with your neurologist often.  My experience has been that I have had to be a little more aggressive with my doctors than normal people or normal circumstances might require.  But I have been successful, even though they think I am a pain.  Oh well-- I am not paying hundreds of dollars for his office to blow me off.  I stongly encourage you to speak with your doctor about your medications if your weight causes issues for you.  There are other options, but I am not certain of your E experience either.  What you have been taking may be the very best for you and it will be an adjustment, but you will be fine.  I am certain of it.  Having E is full of challenges (now 12 years for me!) but I am certain you can make it through them just like I did.

Jamie

RE: Weight Gain and Depakote

Submitted by millsj on Tue, 2005-02-22 - 11:29
i was just put on this medicine thursday and from then on i have seen a INCREASE in my appetite i am just afraid that i am going to gain alot of weight and i need to keep it down for my extracurriculur activities. also this medicine kinda makes me feel weird like i walk around and i feel like im being pulled from side to side? anyone else with these problems? just curious!

RE: Weight Gain and Depakote

Submitted by Myshkin on Sat, 2005-03-19 - 12:12
Hi,Was diagnosed with JME at 20 (am 25 now) and have been on various medications, including depakote (delepsine) for about 3 years now. In those 3 years I have gained a little over 22 pounds. Recently though I've been trying other combinations - 3000mg of Keppra and have been trying to loose the depakote. That resulted in 3 tonic-clonic seizures in 1 day once I was off the depakote (I used to take 800mg of Depakote and 2000mg of Keppra). So as it is I can't live without depakote. Keppra does nothing for me, except perhaps keeping the myoclonic jerks at bay.In any case, as I was stepping out of depakote, when I was only using 500mg, I lost, in 14 day period 11 pounds, and I felt healthier, happier and had a lot more energy too. I didn't even excercise, I just lost those pounds. I was so tired and exhausted when I was on 800mg. Now I can do so many things.I guess what I'm suggesting is that if your brain can handle it, perhaps you need your dose of depakote lowered just a bit. As it is right now I have not been getting tonic-clonic seizures (the worst of the worst when it comes to JME seizures, imo), only a few abcenses. Therefore I'm thinking about trying lamicital again, just for the abcences. The myoclonic jerks do not bother me, I've gotten used to them, I just don't want the tonic-clonic ones or the abcenses.In any case, always consult your neurologist :-)

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