Hello to everyone on Keppra (levatriacetam). I was on it too, 2000mg a day in conjunction with epilim (sodium valproate) 2400mg a day. I was tired on it, felt stoned on keppra when i first started, I lost balance, and i was lathargic. Not depressed that i know of. But the two medications together made me very sleepy and i was'nt a help to anyone, walking around in a daze. I could not function and my speach was not good, i always had to describe something to get the words out that i wanted to say. It was frustrating for me and others around me.
I have now been taken off keppra and i have been lowered on the epilim down to 400mg a day of epilim, but my neurologist introduced me to lamictal ( lamotringe) I am on 300mg a day and i have never felt better, I do get nausiated on lamictal at times when i first wake up, but i have learnt to eat a peppermint lolly which is a natural anti-nausia preventative, which i learnt off my chemist. Or she said that you can eat ginger. But i dont like ginger lol. and i've found that the peppermint works very well, so i always keep them on hand.
Since i have been on lamictal i can function, i get up early, and i am acctually tired when i sleep, which is wonderful, because when i first started treatment for epilepsy i was put on tegretol (cabramazapine) which kept me awake at night and i would sleep all day, i felt like my brain would never shut down.
I have never been seizure free in the 4 yrs that i have been an epileptic, but i am greatly reduced in seizures now then ever before thanks to the lamictal. I can go up to 6 weeks with out a seizure. My seizure types are Grand mal, Simple partial, Peti mal, and a mix of others. Sometimes i can have an aura, and it really is annoying because i would rather have a grandmal so i dont remember it, because auras make me feel yucky. And sometimes an aura can last a long time for me. I do not get a warning when i am going to have a grand mal, but since on lamictal i get a slight warning and i can tell the ppl around me that i feel funny and they help me get to a place comfortable. I was told by a nurse that they dont like patients on keppra, because it highers blood pressure. And when i was in hospital for a 4 day extensive VEEG the neurologists discovered that the keppra un beknown to me was giving me high anxiety just before my seizure which was not good. My neurologist does not believe in blood levels, or weight ratio, he believes on what level makes you feel better. because my experience with other doctors and my doseages have been based on weight and level ratios.
the way that my neurologist approaches dealing with epilepsy is that best levels in blood arent nessecary in what you are taking in the drugs. Althought i might just add that lamictal is very good for women, it doesnt inteffer with the pill, and women on lamictal can safely get pregnant.
where as women on Epilim (sodium valproate) is not a good drug for women in high doesages because there is risk of polysystic overy syndrome and birth defects. Even though i am on epilim also my neurologist has me take folic acid every day 5mg in the morning, to make sure that i have regular cycles.
I hope this information helps some of you.
Regards
Sami