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I take Keppra, Clobazam and Amitriptyline for my epilepsy. My cycle isn't anywhere near regular. It can very from 31 - 52 days. Never has been 100% but it's beyond a joke atm. Looking for some tips and tricks to manage because I'm sick of the pms symptoms. They are bad! 😩

March 15
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A MyEpilepsyTeam Member

Sounds like you are doing all that you can do. Nice work. The meds are the issue plus the interaction of the meds. Talk to a couple neurologists. Not just one. Good luck!

March 15
A MyEpilepsyTeam Member

So my hormones are a mess

March 15
A MyEpilepsyTeam Member

So things I have done is hormone tests as AI suggested. They came back fine. I can't take the pill, my consultant won't let me. I've tried other contraceptives which didn't work for me.

I practice yoga on a daily basis and currently trailing a gluten free diet. I can't reduce my dose in epilepsy meds as I've only just got my seizures under control again. I also have a very active job.

March 15
MyEpilepsyTeam

How can you manage PMS symptoms and irregular cycles while taking Keppra, Clobazam, and Amitriptyline for epilepsy?

Managing hormonal symptoms with epilepsy meds can be really challenging. The irregular cycles and intense PMS you're experiencing might be related to how your medications interact with your hormones.

Here are Show Full Answer

How can you manage PMS symptoms and irregular cycles while taking Keppra, Clobazam, and Amitriptyline for epilepsy?

Managing hormonal symptoms with epilepsy meds can be really challenging. The irregular cycles and intense PMS you're experiencing might be related to how your medications interact with your hormones.

Here are some approaches that may help:

Hormonal Management Options:
- Birth control methods (pills, implants, shots, vaginal rings, patches, or IUDs) can help regulate cycles
- Progesterone therapy may be beneficial
- Hormone level testing could identify imbalances - one MyEpilepsyTeam member found that checking hormone levels revealed estrogen dominance, which is common in women with epilepsy

Lifestyle Adjustments:
- Identify and avoid dietary triggers that may worsen symptoms
- Exercise daily to help balance hormones
- Prioritize getting enough sleep
- Practice stress-reduction techniques like meditation or yoga
- Consider whether certain foods trigger your symptoms

Medical Consultation:
It's worth discussing with your neurologist whether adjusting medication doses might help. A MyEpilepsyTeam member found that even a small dose reduction improved their side effects significantly.

You might also benefit from seeing both your neurologist and an OB-GYN who understands epilepsy to create a comprehensive management plan for your hormonal symptoms.

March 15

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