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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Weaning Off Of Kepra. On Topiramate. Having Daily Blank Outs. Normal?

Hi, my son is weaning off of Keppra, is taking 250 mg 2x a day. He is also on topiramate 400 mg per day. We had to take him off the keppra as he is a university student and could not function at all. During this stage of the drug reduction of keppra he is having daily blank outs . I guess my question is this normal? He has 3 more days of keppra and will done with it, but remain on the topiramate
Sun, 30 Jun 2013
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Psychiatrist 's  Response
Hi there ~

I understand your concerns. I believe that Keppra is not a medication that would have any side effects when you are being weaned off of it. If you are having daily blackouts it probably is due to another reason. Please have yourself checked by a doctor to see if you have vasovagal syncope, orthostatic hypotension, low blood sugar or another condition that may be causing you to have this effect. Another reason may be that your topiramate levels have increased, a side effect of which is daytime drowsiness, which you have to check with you doctor to see if you need to lower the dose of the medication. Either ways a phone call to your doctor's office to set up an appointment and let them know what is happening will be a good idea.

I hope this helps. Take care and have a lovely day!
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Weaning Off Of Kepra. On Topiramate. Having Daily Blank Outs. Normal?

Hi there ~ I understand your concerns. I believe that Keppra is not a medication that would have any side effects when you are being weaned off of it. If you are having daily blackouts it probably is due to another reason. Please have yourself checked by a doctor to see if you have vasovagal syncope, orthostatic hypotension, low blood sugar or another condition that may be causing you to have this effect. Another reason may be that your topiramate levels have increased, a side effect of which is daytime drowsiness, which you have to check with you doctor to see if you need to lower the dose of the medication. Either ways a phone call to your doctor s office to set up an appointment and let them know what is happening will be a good idea. I hope this helps. Take care and have a lovely day!