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Recent changes

Sat, 06/09/2018 - 19:54
Hi, this is my first time asking a question on this site. I was diagnosed with absence seizures about one and a half years ago at the age of 47. This came as a huge surprise because I have been so healthy! I have been put on Levetiracetam 1000 in the am and 1500 for evening. I’ve had some minor side effects like irritability and anxiety. I take 100 mg of vitamin B to help. I’m not sure it does much. So recently, my husband has noticed the seizures returning but a little different, I can talk through them sometimes, and others are the same, mouth moving and a blank stare. Another event was I urinated without knowing. My question is, will my dr increase my dose because of these recent activities?

Comments

I believe the maximum dosage

Submitted by birdman on Sat, 2018-06-09 - 21:24
I believe the maximum dosage for Levetiracetam is 3000 mg.  Your doctor is interested in balancing two things: seizure control and side effects.  If you have been on Levetiracetam for a few weeks then the medication's levels have stabilized in your bloodstream.  So it sounds like this drug is either too low or it may not be effective at all for your absence seizures.  The only way to know if this drug does or doesn't work is for doctor to increase the dose until the side effects become too uncomfortable, and / or seizures become controlled.  This is the long process of testing medications for epilepsy.  Since your seizures have changed this may be an indication that the drug is working and needs to be raised to gain control. Changes in seizure patterns may be the result of the developing cycle of your epilepsy.  My seizure patterns have change some over more than 50 years of having epilepsy.  The greatest changes occurred during my teens which I'm sure had to do with hormonal changes.  It's unlikely but it could also indicate some important change in the brain that the doctor will want to know about and treat.Medications do often have significant effects.  Keep track of all the seizure changes, medications tried, side effects, and anything else that you think may be effecting your health.  By doing this you can become a partner in the treatment of your epilepsy rather than just leaving it to the "experts".  Also, you could just wait until your next doctor appointment to tell of the changes you are experiencing, or you could contact the doctor's office and inform doctor of what has happened.  By contacting the office you may receive instructions to help hasten the process of trying Levetiracetam and getting on to more comfortable control sooner.

It depends on the neurologist

Submitted by just_joe on Tue, 2018-06-12 - 19:21
It depends on the neurologist, They are trying to control the number of seizures you have and keep your life balanced. Meaning stop your seizures with very little affect on your life. As for your keppra it can control all the different seizures since I can have or had them all. As for the max dose welllllll according to charts it is listed. But then specialists have gone to the makers and have been given approval for it to be given at higher dosages. Personally I take the highest dosage the makers have approved for keppra that Doc has given any patients. The makers (UCB Pharma) allowed him to have me taking 3-750 mg tabs morning and night. But then I have always had to take the maximum dosage of all the AED's I have used.Seizures do change over periods of time Like I posted I have had most of the seizures listed. But today I have a focal seizure that lasts a few seconds and most people would not know I had it. As for the B complex yes it does help but it is used for many other reasons.  The seizures you have had recently are partial seizures and they can move from simple [atrial to complex partial. Do call your neurologist and let them know what has been happening. Tell them about the seizures you listed and dosages or even medication changes can be started in that call.

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