My internist switched me from Dilantin to Tegretol this week. I had a splotchy, itchy, dry rash on my forehead, my arms felt "tight" and had breast tenderness. Also, in Canada there is a shortage of Dilantin as they switch to a some new kind (Type 2.)
I was on 400mg of Dilantin and when I am finished being weened off of that I will be on 800mg of Tegretol daily. Does this sound right? The pharmacist had a difficult time understanding his prescription, but I believe this is what he told me in his office (that I'd be on 4 pills a day.)
I'm concerned that the new drug will not work for me and have warned everyone at work what to expect and what to do (or rather, not to do) if I have a seizure (they really only saw one, as the Dilantin worked very well for me.) I feel scared that I'm going to be riding my bike (no license yet) and black out and fall in traffic somewhere. But I have to ride my bike.
I got my first EEG results back this week as well. My MRI and CT scan were clear, but the EEG showed a couple of spikes for a few seconds from the right side of my brain. I really don't know what this means...I guess I'll just be on medication forever?
I also used to take Dilantin although it was only for about 6 months. For quite a few years I was medication free. Recently my seizures started again and because Dilantin isn't really used anymore over here I was put on Tegretol.
The first time I started taking it I broke out in a rash on my right shoulder. It was itchy and painful at the same time. Because I was getting married my doc let me go off the med so my rash could clear up (it did). About 3-4 weeks ago I went back on Tegretol and so far, so good. No rash!
For me the worst side effect is the drowsiness. I take the med in the evening right before bed (I'm on 600mg once a day). Oh yeah..I'm on the extended release med. Do you find yourself getting really sleepy when you take your med during the day. I know that there's no way I could take Tegretol during the day!
Hope this post helped a bit. Take care and keep in touch!
I had trouble with Dilantin, and have been on Tegretol (Carbatrol) for over a year. On 800mg I was still having grand mal seizures, so I didn't have total seizure control on either of drug. My Neurologist raised my dose to 1200 and I began having muscle twitches which was a side effect evidently. Now I am on 800mg Carbatrol and 300mg Lamictal. So far no seizures (since Nov. 24) Don't get confused about the dosage differences between Dilantin and Tegretol. They are simply two different drugs, and work at two different dosages. I like Tegretol much better than Dilantin because I feel clearer in the head (although neither is wonderful.) Oh...I agree with Nic about taking the meds at night if it works for you. Unfortunately I need to take it am and pm but everyone is different. Good luck. Kathy
When Mamma ain't happy ain't noone happy!
Linda: I was on Dilantin for 25 years. It controlled the grand mal seizures but not the petit mal. A friend recommended Tegretol after her daughter was put on it and it worked really well for her. Being that the Dilantin was causing my gums to bleed, I decided to ask my doctor about trying the Tegretol. Little did I know that my dentist was about to recommend that I have surgery to correct the problem I was having with my gums beginning to grow down over my teeth.
I've been on Tegretol (600mgs) now for 14 years with no side effects except for the first couple days when I was so sleepy. I've had no seizures of any kind and my teeth and gums have returned to normal.
I'm 55 years old and have had several EEG's in my lifetime. The majority of the time they were coming back "normal", but I was still having seizures at the time. I've decided that after 55 years of all this, I'm not going to worry about the results anymore. As long as I'm not having seizures and I'm feeling fine, why worry!
It's good that you've told your co-workers about the epilepsy--just in case. I've found that it helped alot wearing a medical necklace or bracelet. I know it's easy to say, but try not to be too concerned about your new medication not working. Be more positive! Good luck to you. Loretta
Thanks guys. So far so good on the new meds and I've done some research on it. Seems as though Tegretol is still used today as an anti-depressant as well (which isn't a bad thing for me these days.) I've been a bit tired, but not anymore than usual. It's about 3 times as expensive as Dilantin, but still fairly cheap I suppose. Now I just hope this rash starts to disappear off my forehead...it's soooo itchy!
Because my son's carbatrol dosage was recently increased, I just reviewed the potential side effects. Has your doctor mentioned Stevens-Johnson Syndrome as a side-effect? Probably not a concern in this early stage of your treatment but worth asking about. Also, did your doctor discuss with you the option of taking an extended-release form of Tegretol (Carbatrol). You may benefit from the gradual release of medication into your system. -kp2002