I Have Been Seizure Free 6 Years. My Neurologist Increased Lamictal Because After Bloodwork, Said It Was Not At Therapeutic Level. Why? | MyEpilepsyTeam

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I Have Been Seizure Free 6 Years. My Neurologist Increased Lamictal Because After Bloodwork, Said It Was Not At Therapeutic Level. Why?
A MyEpilepsyTeam Member asked a question 💭

I don't understand why I would need more medication if I am seizure free. It makes me sleepy and depressed. I have been on seizure medication for 50 years and seems to me it causes clinical depression which I have dealt with for many years.

posted February 23, 2019
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A MyEpilepsyTeam Member

When any AED ( AntiEpileptic Drug ) levels are low and the Dr. Doesn’t increase the dose, there’s a chance that yours seizures will come back. Your Dr. Is just making sure your seizures stay under controlled.

posted December 24, 2023
A MyEpilepsyTeam Member

It’s all relative. What time of day was it compared to others draws? When had eaten? Did you miss a dose in 24 hrs? Exercise last? …my kepra can be very low and I’m up to speed. Is their a trend line for your results online?

posted December 24, 2023
A MyEpilepsyTeam Member

You have the ultimate say here. Can you speak with your doc about your concern? If you're uncomfortable, maybe you need another MD. Its hard to be assertive sometimes, but I think your argument is very reasonable. Therapeutic doses are in fact different for everyone. Research gives us a range, based on trials that historically involved a very narrow demographic (white, male). Trust your body, and talk to your provider. You can always up the dose IF you begin experiencing symptoms. I hope this is useful.

posted February 21, 2023
A MyEpilepsyTeam Member

The only time they increase the meds is when your blood levels are low.

posted February 26, 2019
A MyEpilepsyTeam Member

Thanks. So just take the extra half of a pill and let it go? I just hate taking seizure medication! But it does beat having a seizure.

posted February 26, 2019

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