Hi Liz,
I was told that I had to stay within the therapeutic range, so I have always done so. How can I tell if I can get by on a lower dose? I take 400mgs of generic Dilantin and 1000 mgs of Keppra daily. I had been on 300mgs of generic Dilantin per day with the Keppra, but was told that my body metabolizes the Dilantin fast, so they increased it by 100mgs. Take care.
Terry
Sent from my iPhone
On May 5, 2010, at 9:09 PM, Liz Welker <lizard110366@
Too much med can lead to toxic effects, which can be very dangerous, but too little, for many, can mean a higher likelihood of szs. For me, a "therapeutic level" usually is MUCH lower than the "standard" dose. In fact, the dose I have been told nearly all my life--no matter what med--was what I had to take to be "in therapeutic range" ALWAYS (and I do mean ALWAYS) fried my brain beyond belief and left me with other potentially deadly effects. For this reason, I will never see another neurologist again. I'm very, very fortunate that only a minute dose of Keppra (250 mg a day) shuts my epi up entirely. If a neuro were overseeing my care, and not my neurosurgeon, who's known me my whole life, I would have either died from the effects or committed suicide. It was THAT bad, no matter what med, and I have been on phenobarbital, Tegretol, Ativan, and now Keppra. Neuros have a pathetic way of refusing to think outside the box. Therefore, I no longer see them.
Moral: If a smaller dose works well for you, stick with it!
LIZARD, list mod, living with epi 43 years :)
--- On Wed, 5/5/10, pierce407720032003 <sacornelius@
From: pierce407720032003 <sacornelius@
Subject: [epilepsy] medicine levels question
To: epilepsy@yahoogroup
Date: Wednesday, May 5, 2010, 9:23 PM
What exactly does medicine levels mean? If a dose works then why bother changing because of what a blood test says the medicine levels are?
I had a blood test last week and today came home to find a message from my doctor's office saying to call them. The dose I take now is fine. Is there a reason to change it if the blood test says I have too much or little in my system?
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