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What Causes Talking Difficulty With Anger Fits When On Epilepsy Treatment?
I'm Amanda Runck diagnosed with epilepsy in 2011 45 minute grand mal seizure put me in the hospital started me on keppra broke through the medication dose added Topirmate broke through the medication dose and recently added Lamicatal my doses are Keppra 2000 mg BID Topirmate 100 mg BID Lamicatal 100 mg BID recently put in the hospital for 5 days to medically induce a seizure I had 3 on day 4 but my big concern is some days I get up and can't talk very well at all my mom gets angry at me and says try to talk properly and I end up trying to write on a piece of paper what I want to say it goes away then I have angry fits where I get so mad nothing can settle me down for 5 minutes then I settle down and I also have days where I forget how the shower works my dad is a dentist he doesn't think much of it but I'm not sure if I'm having mini TIA's I'm a medical assistant and we have figured out where the seizures are but if you could give me some insight it would help me out thank you
Fri, 18 Sep 2015
User's Response
Dr. Aida Quka,
Neurologist's Response
Neurologist's Response
Hello Amanda!
Welcome and thank you for asking on HCM!
Your symptoms are not related to any TIA.
In my opinion your symptoms may be therapy related adverse effects.
You should know that one of the most known side effects of Keppra is aggressiveness (which could explain your episodes of uncontrolled anger.
The memory problems, the confusional episodes and the speech problems may be related to the three drugs you are taking. Rarely every one of these drugs could cause similar adverse effects.
I recommend consulting with your attending physician for the possibility of decreasing Keppra dosage, even though with your seizure history, a change of therapy would increase the risk of possible seizure exacerbation and even status epilepticus.
Hope to have been helpful!
Best regards,
Dr. Aida
Welcome and thank you for asking on HCM!
Your symptoms are not related to any TIA.
In my opinion your symptoms may be therapy related adverse effects.
You should know that one of the most known side effects of Keppra is aggressiveness (which could explain your episodes of uncontrolled anger.
The memory problems, the confusional episodes and the speech problems may be related to the three drugs you are taking. Rarely every one of these drugs could cause similar adverse effects.
I recommend consulting with your attending physician for the possibility of decreasing Keppra dosage, even though with your seizure history, a change of therapy would increase the risk of possible seizure exacerbation and even status epilepticus.
Hope to have been helpful!
Best regards,
Dr. Aida
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