Thursday, October 29, 2009

Re: [epilepsy] What type of seizures is Topomax used for?

 

Julie,

What "restless legs" med was this, Requip or Mirapex? I think all those RLS
commercials were for Requip. Mirapex is very similar.

One thing you should know about these guys is that they induce pathological
gambling several months into therapy:
http://www.mayoclinic.org/news2007-rst/3918.html

From that link, a patient example:

[snip snip]

One patient, a woman seen in the Mayo Clinic Sleep Disorders Center, had a
five-year history of regular nighttime creeping-crawling sensations in her
legs, accompanied by the strong urge to move her legs. Two and a half years
prior to her Mayo Clinic visit, she had been diagnosed with RLS and
treatment with pramipexole [Mirapex] was begun.

Her symptoms improved, however, a problematic behavior developed soon after
she started taking the medication. She developed an uncontrollable urge to
gamble when visiting the nearby casino. As the dose increased, her gambling
compulsion grew stronger. The transition of her therapy to another dopamine
agonist, ropinirole [Requip], further increased her compulsion to gamble.
Prior to her treatment for RLS, she had no history of gambling and viewed
gamblers as "unfortunate individuals," the authors report. The patient lost
more than $140,000 from gambling.

Mayo Clinic physicians discontinued the dopamine agonist therapy and her
urge to gamble completely disappeared, but the troublesome leg sensations
returned. Her RLS is now successfully treated with a non-dopamine agonist,
gabapentin [Neurontin], and she has no side effects, according to the
authors.

[/snip snip]
So you see, if you're not gambling enough, your doctor may have to prescribe
you Requip or Mirapex, even though you might not have restless legs.

Jason

On Thu, Oct 29, 2009 at 3:40 PM, Julie Hope <epilepsyhealth@sasktel.net>wrote:

> Agree with you Jason - I was given by my neurologist a med for my RLS and
> cramping in my legs if you want to
> call it that. He was concerned it wasn't making me sleep well at night.
> My legs and feet with the RLS
> appeared much better and my family doctor had lowered the dose and told me
> could take only when needed type of
> thing. OH YEH....real good idea. We went on a camping trip with family -
> never took that med with me as why
> didn't need it and would be having so much fun and relaxed etc. Had a
> seizure each night that was there!! I
> soon figured out that it was also a AED, even though just the generic.
> When told family doctor she nearly had
> a fit and told me that is one drug you do not go off without going off very
> slowly, also that had taken long
> enough that it had blended itself in with the rest of my drugs becoming
> part of them, reason for the seizures.
> Julie
>

> On Thu, Oct 29, 2009 at 1:46 PM, pierce407720032003 <sacornelius@msn.com
> >wrote:
>
> > And what else is it used for? I'd like to know more before agreeing to
> > take it. Whether or not my doctor gives it to me depends on the blood
> test
> > results for the Lamictal I had the other day.
> >
> > So far I've read that Topomax is also used for things like binge eating,
> > emotional problems, migraines, and other things. I do have a
> prescription
> > pain killer since over the counter ones don't work. I take it for normal
> > headaches, not migraines.
> >
> > I now wonder if when I told my doctor normal pain killers don't work, he
> > somehow thought I said they weren't strong enough. I told him they don't
> > work for normal headaches and said nothing about migraines, which I don't
> > have.
>

[Non-text portions of this message have been removed]

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