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Topomax- AED intolerance

Fri, 11/25/2005 - 02:05
I have refractory E. I sz daily and have too frequent hospitalizations and status sz's. I have bilateral TLE's, right frontal E, and generalized. My two current AEDs are the only ones out of 12 that I've tried that I've been told are keeping me alive. I'm not a candidate for surgery or the VNS. Not a comforting thought. I have a problem tho. One of these AEDs is causing me to loose the nerves in my feet plus causing me bouts of pancreatitis. I don't want to loose my feet and eventually I will perhaps loose my pancreaus. I can't live without it. Often I have to take insulin because of pancreatitis. It is becoming more severe, bouts of it are becoming more often. I have other health problems also that are concerning but are not thought to be related. It is not a situation that I am uncomfortable with side effects, I'm a woose, or can't gut my way through. I have side effects on what am on now but I put up with it. The side effects I've had with all others are very severe, some are dangerous, some increase sz's, and my doctors have decided I should go off of them. I think I'm a strong person and some of the most miserable I stayed on for over 3 months but it is not a matter of getting used to them. I don't. The side effects got worse. It's not a matter of gutting my way through, I felt I was going crazy, maybe i was. The doctors said no more. I agreed until now. The only hope I have is to find an AED that helps me better. The axiom is that is if 2-3 don't help a person, then probably more won't help either. Yet I'm on No. 13. My AED trials lasted about 2 miserable years. I'm a strong person I think but too much is simply too much. I was relieved when the trials stopped until I started having peripheral neurapathy (dying of nerves) in my feet, which isn't reversable and frequent pancreatitis. My epileptologist hospitalized and sedated me trying to slowly reduce me from my primary AED, place me on another slowly but I had a status seizure every time that was severe. I went home trying on my own with a slower schedule but always it failed. Then no one did anything and I thought they had all given up. This week I met with my new neuro, I've recently moved, and my epileptologist who I trust implicitly. They had conferenced and decided they want me to try Topomax. I don't think I've tried it before but I'm not sure. It's not in my medical records tho. They told me they knew with my history this may not work but they are taking me up very slowly. Currently I'm on a sub therapeutic pediatric level - 25 mg a day. They wanted to put me on 15 mg a day in sprinkles but had none of those samples and didn't want me spending money on medicine I might have to stop taking. I have been very anti AED trial in my thoughts for years but I know now I can't afford that. And who knows, maybe something else will help me more. I doubt it and I don't count on that but I must make another try. My goal is to get on a safer AED for my primary one. I was very satisfied I was listened to and listened myself during my long appointment. I've now taken 2 days of Topomax, 25 mg, and will stay at this dosage for at least 6 weeks, to call if I have ANY side effects. The only thing I've noticed and it might be hypochondria or maybe I should say my imagination but if I move my head fast I feel a little woozy momentarily. But I'm looking for side effects too, so who knows. This is my problem. I have spoken to one person who works at an epileptic center who states that many of their patients take Topomax without problem except for excessive weight loss and if so, they are removed. I did read the entire crimp and several things alarm me. I know they have to list every single side effect that might occur too but they do not say what percentage have experienced these. A lot of the side effects listed are the same as the AED I'm on now. Am I going to deteriorate in my memory, word find? It's bad enough already. It may also be permanenet I'm told. It stated that some people become very cranky. I did tell my husband because there is a chance I won't notice this but I'd hate to have this happen but I don't know what percentage this happens to. So, I used "search" to see how others faired on Topomax but the way our forums work they are necessarilproblem oriented. IOW I didn't read about the people who do well on Topomax, what side effects they do have and that is what I want to know. Can anyone who can take this drug share their experiences with me? I really need and want to know and would appreciate your sharing if you successfully take it. I can take some side effects. I can't go through what I have with others though. I am afraid yet I know I must make a change. thank you. Gretchen

Comments

Re: Topomax- AED intolerance

Submitted by Anonymous on Fri, 2005-11-25 - 13:55
HI Gretchen, Wow, sounds like you are certainly going thru a lot! But you are asking good questions! I wonder if the package insert of Topamax would help you, or make you more nervous.. If you realize that the FDA makes companies list every possible side effect that may occur during clinical trials, regardless of whether they are sure they were caused by it, and don't get nervous by this, there is lots of good info in it! For example, you can see how often a symptom occurs in double blind controlled trial as compared to placeob (or inactive pills), and how many occurred in uncontrolled trials. It can be real helpful to see the comparisons.. and pay attention to the controlled trials.. lots of good info here! http://www.epilepsy.com/medications/b_topamax_pi.html Let me know if this helps or if any questions I can answer easily! Better yet, take the package insert to your doctor and have him/her interpret the findings in relation to what he/she would expect to occur in your situation! Good luck, will be thinking of you! Epilepsy.com resource specialist

Re: Re: Topomax- AED intolerance

Submitted by gretchen1 on Fri, 2005-11-25 - 17:32
Thank you Patty for responding. I did read the "crimp" or package insert, partially, and that's how I got freaked out. However, you mentioned the blind, and double blind studies. The placebo studies? I was in the car when I read this immense source of info and of course, skipped around and zeroed in on - what scared me most. I also at least at first couldn't figure out how to read their graphs of their studies. I'm going to go back and try again. If I don't succeed? I'll ask for help. I did go to the site you referenced already but thank you for that. I was going to say "I seem overly nervous" but then realized I AM overly nervous. I wasn't going to read the package insert for the very reasons I knew it would make me nervous with my past history but I couldn't resist. Sometimes a little bit of knowledge......ya know? Yes, I've been thru a lot but many have. My feeling is, usually, whatever you have to bear is the worst thing for that person. I do have quality of life. Thankfully I have many blessings. But i don't feel E has ripped away the life I did have and loved - it did. I'm sure though many people can say the thing. At this point my husband and I are rebuilding what we lost, including each other for a period of time, and are finding the lifestyle we lost was superficial. What we're building and who we have become is (are) more substantial. I believe if a person has E in a family then all, in ways have it too. IOW it effects all in a family. I know my E has dramatically changed my husband's life and some of my many children. For that reason it makes it doubly hard for me when I know, and they politely disagree, that the many things I have gone thru have been hard on them too - if not more so. Not everyone likes who I am now, but I do more than I ever have, and to me, that's most important. Thank you again for responding. Gretchen

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