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Be honest w/you doc about your meds!


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Recently cut my knee open (thanks to my big Golden dragging me off my steps, my clumsiness, 7 stitches later) the dang wound won't heal. Two rounds of anti-biotics, I decided to email my neuro. to make sure the anti's and oxycodine would play well with others. As always, he responded quickly and informed me that anti-biotics are fine w/AEDs and wouldn't affect seizures.

BUT! ladies beware; if you are taking an early menopausal drug, especially Vivelle, be warned: it cuts the effiency of Lamictal in HALF.

He was quite pissed I never told him I was taking the Vivelle patch. I didn't really know it affected my AEDs, but I get so tired reading the side affects and fine print you receieve with every damned drug that comes in the mail...I just ignored it, you know?

So he boosted my Lammie level by an additional 200 mgs (slowly.) I never realized this...but especially if a drug has estrogen in it, it can increase seizure activity. Even if you drink green tea, if it has ginko in it, your activity can increase as it is a stimulant.

So be sure to tell your doc about every drug you're taking, even vitamins.

I'm just sayin' is all.

Best wishes to all.

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I'm surprised they didn't mention that when giving it to you in the first place. The interaction between stuff like that (including most hormonal birth control) and Lamictal is very well known to doctors and pharmacists. For added fun, some of the other ACs can affect hormone levels.

Like you said, the moral of the story is to always let all your doctors know about everything you're taking, even your dentist. Did you know that lidocaine can lower the seizure threshold? Good times.

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I'm surprised they didn't mention that when giving it to you in the first place. The interaction between stuff like that (including most hormonal birth control) and Lamictal is very well known to doctors and pharmacists. For added fun, some of the other ACs can affect hormone levels.

Like you said, the moral of the story is to always let all your doctors know about everything you're taking, even your dentist. Did you know that lidocaine can lower the seizure threshold? Good times.

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You are correct, sir!

Well, as I have no need for birth control, that's not a problem, but it could be for others, so they must communicate with their obgyn's about everything they take. I had to have surgery due to a seizure (broke my nose, screwed up my septum) and I told the anethesthesiologist-could I screw up the spelling worserer?) everything I was taking.He seemed baffled , a bit. He was more interested in my allergies--like Amoxicillin and Omnicet--then I was off to the OR.

While being rolled out of recovery he gave me a thumbs up and said, "HEY! NO seizures!" I felt like saying, "Great!! Where's the morphine?

As I only attend doctors in the Duke Medicine "family" (not my choice) I'm part of their network so they're supposedly well aware of the gazzilion of meds. I take. Imagine my surprise when I went to get my bloodied knee stitched up and the nurse pulled up my records and said, "Ok, what is this Lamotrigine?.."What about this Levtiracetam?"

Oh, trust me, I'm no drug seeker. When I saw the "Wound Specialist" this week he gave me another 45 painkillers. I still had four leftover from three weeks before. I know my limits.

I gag down enough anti-seizure meds a day to make matters worse.

My orginal post..be your best advocate and stay on top of things. Doctors, nurses are sometimes overwhelmed and can't keep track of things.

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