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Have catamenial epilepsy. Have seizures, convulsions. On lamictal, keppera. Suggest?

I am 26 year old female, I weigh 115 pounds( underweight for my build, medium), and stand 5 2. I have catamenial epilepsy , and now things are getting desperate . I started having seizures(I have simple partials, complex partials, grandmal convulsion, and a hybrid grandmal convulsion where I m fully concious(sp) during the convulsion). I started having seizures in 2002. I am 26 years old. I lived off of Lamictal and keppera and then in 2010, I ran into the miracle drug - Depakote! I haven t had a convulsion in over 2 years after taking this and my simple partials were not nearly as many as back then(it was horrible back then!)! And I have only had two complex partials(which were very mild) withen that time line - but then, last year, the simple Partials started kicking up again. I was stuttering like I used to in those old horrible days. And to make things even worse - I had a convulsion just 2 weeks ago. I used to take sleeping pills for over a year(I stopped after the convulsion), and yes I m sure they took role in the simple partials after waking up in the morning cause I usually don t have any if I sleep without them(unless during my period). It s very hard to fall asleep. I ve had to miss out work many times cause sleep deprivation is a trigger for my seizures. But I am confused. That convulsion I recently had - what was the trigger? I had it in the early morning, waiting for my ride to work. I was on my period, but period-based convulsions usually occure in the late afternoon. Infact majority of my convulsions occure in the afternoon. Only missed-pill and drinking(it only happend once, I was just curious about what it s like being drunk - and it was not fun)convulsions happen in the morning - but usually interrupt sleep in the middle of the night. And I took my pills and did not drink. What can I do? Thanks for any help
Asked On : Fri, 15 Mar 2013
Answers:  1 Views:  26
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

Epilepsy can have many triggers, and sometimes, seizures can occur without any obvious triggers also.

So, the correct approach is to use full dose of anti epileptic drugs, and avoid the known triggers, such as sleep deprivation, fasting, stress, etc.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Answered: Thu, 27 Jun 2013
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