Hello,
My sincere condolences to you and your family. I am compelled to give you some insight as I have experience on both sides of this coin. This letter is long, but I hope that it will shed a bit of light and give you some peace.
I was a pharmacy technician for over 10 years (assistant to a Pharmacist) and I have Epilepsy. Your list of prescriptions she was on is shocking, although I know that the conditions that she suffered would require any Doctor to prescribe. Upon further consideration, I have realized that they may have well been appropriate. Sometimes if one has multiple Doctors they try to sort-of out-do each other. It is sad, with the patient in the middle, but I have seen it happen.
As for her medications from your listing:
torn her rotator cuff and would need surgery, prescribed methocarbamol 750 mg. â this is a muscle relaxant
Twice a day, mabumetone 750 mg. â Relafen is an NSAID â Non-Steroidal Anti-Inflammatory drug
Twice a day and tylenol #3 with codeine as needed until she could have her surgery. â understandable, for pain
My wife's shrink had my wife taking 600 mg.Effexor â usually used as an anti-depressant
900 mgs of trileptal - anticonvulsant
3mg of risperdal - antipsychotic
6 mgs of clonazepam - used to treat anxiety
40 mg. Amphetamine â stimulant 90 mg. Remeron - anti-depressant
and 10mg. Ambien at night. â sleep aid
For migraine relief she was prescribed a 10 mg. Bottle of butorphanol every week. - morphinan-type synthetic opioid analgesic â yes, used in migraine management
My wife's primary care doctor had my wife taking 25 mg promethegan suppositories â this has many uses
10 mg. Metoclopramide â is primarily used to treat nausea and vomiting
10 mg. Prevacid - heartburn and other acid reflux
and 32 mg atacand â used for high blood pressure
I cannot speak about contraindications of medications, but a Pharmacist can. I strongly suggest that you write out her meds and take it into a Pharmacist. They sometimes need an appointment if your discussion will be lengthy and they are in a busy pharmacy, but they are the best people to ask about drug interactions. The list above I have completed, to help you with reasons for her meds. The Pharmacist can tell you if they counteract.
I am sorry that you had to see a seizure. They are scary. I have had grand-mal seizures and once helped a young man through one. Not nice. Her medications speak volumesâ¦she was on 2 meds for epilepsy â not unusual. Depression and anxiety sometimes go hand in hand, so that is not uncommon. The meds from the primary care doctor are not unusual. I see some problems in this list that could actually cause other problems, such that she wouldâve been prescribed the others. Again, this is unfortunate, but very possible.
Also, as someone with Epilepsy, I can say that one must trust oneâs Doctor. She obviously trusted hers. I trusted mine until I was given a reason not to. Epilepsy can be very difficult to treat; even more so if she was bipolar! It is very possible if she was manic that she may have stopped her anticonvulsant (as in a manic stage, one thinks s/he is insurmountable and therefore did not need the meds). If this is so, there probably would have been a seizure that started. She even could have gone into status epilepticus, therefore suffering hypoxia.
I am sure that it is extremely difficult, especially given such a vague reason for her passing. Although I am not a Doctor, having experience in both areas lets me make sense of the physical possibilities. Honestly, I think that it would be the latter; that she would've stopped her meds in a manic state. This could lead to a passing of a seizure disorder.
Talk to people. Talk to the medical examiner. To the Doctors, the Pharmacist. You have the right to know as much as you can. You may never know the exact reason, but asking these people will help give you peace.
sincerely,
Kelly