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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: I'm scared, Dilantin is killing me!

Submitted by jennamay on Thu, 2004-12-23 - 14:16

Here are some links regarding depression and epilepsy that you may find useful.

 

http://www.epilepsy.com/newsfeed/pr_1096464600.html

http://www.epilepsy.com/epilepsy/behavior_personalitychanges.html

http://www.epilepsy.com/epilepsy/behavior_moods.html

http://www.epilepsy.com/articles/ar_1063661660.html

 

Best Wishes

Epilepsy.com Staff

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

Submitted by momof1 on Sun, 2004-12-26 - 12:00
  This reply is actually about the links.  I just went to the one re: moods.  It is funny (sarcasm) to read that epilepsy can effect interest in sex and memory.  I asked a neurologist about these 2 things and she told me that epilepsy does not affect these at all.  This doctor is a bit stupid.  I described my seizures to her Complex partial and she told me those aren't seizures, yet in 2 books I have on epilepsy they are seizures.  I swear these doctors go out of their way to frustrate and confuse us.

Dilantin and complex partials

Submitted by mjh1990 on Tue, 2018-01-09 - 19:09
Your doctor couldn't be anymore wrong, I've never heard a neurologist say complex partials aren't seizures, that's crazy! They're technically half of a seizure, where gran mals are full seizures called generalized seizures, which is starting to be a new term for gran mals. During my complex partials, I lose your mental state and often are mentally not conscious, just physically and I often don't know what I'm saying or doing and sometimes forget where I am. I rely on witnesses to tell me exactly what happened, which is a good idea to ask someone so you can further explain it to your doctor and it can be very useful to them. Also, I have both the same exact problems as you described above, I was very curious to know if it affected anyone else's sex drive, now I know I'm not the only one and it by far affects your memory for a fact. But I'd recommend getting a new neurologist, this one clearly has no idea what she's talking about! I have had just a medical doctor at the hospital not understand what a complex partial is and just because I was blinking, he believed it was over and my parents had to argue with them that I wasn't out of it yet. This is because a lot of medical doctors only understand gran mals, but know nothing about the different type of seizures and I think they need to be more educated on understanding seizures. So that is understandable for just a medical doctor at the ER, but for someone in the field of neurology should defiantly recognize exactly what that is, she must be very under-educated and even like you said, just plain stupid! As for Dilantin, I plain out hate it! It has so many very bad side effects that interfere with many things, but this is absolutely the only medication my body will respond to to get out of gran mals and stop them from even happening. With me, they can easily get me out of a seizure, but mine just keep reoccurring unless they inject me with a load of Dilantin. My neurologist attempted to have me go off it as studies have shown being on it for a long period of time can actually damage and literally kill the part of your brain that controls your balance, making it impossible to walk on your own, but this isn't a guaranty to happen. But for me I had to think short term for now and go back on it and worry about the future later, but defiantly not forget about it. I hope this was helpful to you not only to answer your questions, but to further explain complex partials as well

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