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mamajess
mamajess

advice for the neuro today

My son's Neurologist called me back today and said we had room to up the clobazam. He said that the clobazam seemed to be limiting the seizure spread somewhat. Darren is now aware during the seizures and able to talk during them and he wasn't before. The clobazam is obviously not doing all it is supposed to be doing however as Darren is still having the same number of seizures as he was pre-medication. We will start giving him 30 mg/day starting tomorrow and then talk to the Neuro at our appointment later this month about adding a second medication to the clobazam. I read that Clobazam is usually the add on drug not the stand alone... i wonder why we wouldn't try a different stand alone drug instead of adding one on to an existing drug that is obviously not getting the job done. Why create a coctail of medication if you have a useless ingredient? My husband is ready to pull him off everything and see how things go that way as it really is no better on drugs so far...I do want to give Clobazam a thorough chance though... i don't want to cross off a drug until it is proved completely useless... and clobazam seems to be headed in that direction for Darren. It has produced no known side-effects and that has been a blessing... i'd rather give this a good go than start on something new that may bring with it side-effects and a possibly more complicated dosage schedule...EEG is on the 12th and Neuro appointment is on the 27th so i guess we don't have too long to wait which is nice at this point. I have a load more questions and i'm ready for some answers even if they aren't solid ones...It must be difficult to find the right concoction for each person suffering from epilepsy...each one with their own body chemistry, possible lesions, life stresses and special circumstances... I recognize the need for us a parents or patients to be vigilant with our own research and care. The importance of keeping notes, not just for us but for the medical professionals trying to help us solve each of our puzzles.

By mamajess at Sun, 06/03/2007 - 7:20pm | 154 views | 2 comments
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hi, you are right that clobazam is an add on drug, it is what is classed as a benzodiazapine. in the same range as diazapam and lorazapam...it basically is a muslce/nerve relaxant, you can also build up a tolerance to it and so it is best not used as a full time drug, more when a sz is more likely to happen, eg, in times of stress or when more tired...it would be better to use a different drug such as tegretol, lactimal, topomax or keppra to start with, though of course they all have thre side effects. then add clobazam if it is still bad..30mg is a hellava lot anyways. i used to be on 20mg max a day... along with 750mg of keppra x2 daily

emily

sonicboom

Tegretol gave my son a rash. If you have an allergic reaction to Tegretol are you more likely to react to specific other drugs that are similar in make-up... and which ones are they? I read that all of these meds are fairly similar in make-up and that is why if more than 3 fail, you are less likely to find one that will work for you. The Neuro has been waffling between a diagnosis of BRE and lesional epilepsy. Darren has 2 lesions that showed on 2 separate MRI scans. One on the parietal lobe and one on the frontal lobe. He is not presenting "typically" as either diagnosis. Wouldn't BRE most likely respond to treatment though? I understand that most people with BRE only have 1 or so seizures a year (can be more though of course) and aren't usually medicated. What are your thoughts? --jess

mamajess