Thank you for posting your query on DoctorSpring.com.
I have noted your details and agree that these episodes could be complex partial seizures (epilepsy). It is important to know the investigation findings, such as MRI brain-epilepsy protocol and EEG. If you have the results of these tests, please upload them in the follow up.
Lamotrigine is a good drug. However, as per your response, you may need to increase the dose.
Other good medications for this condition are Carbamazepine and Oxcarbazepine.
I am sure you would improve with treatment and lead a good quality of life. You sould discuss with your doctor about an increase in the Lamotrigine dosage or the alternate drugs.
I hope this was helpful. Please do write back if you have further queries.
Dr. Sudhir Kumar MD (Medicine), DM (Neurology),
Senior Consultant Neurologist.
Patient replied :
Thanks for you're reply.
They are not episodes, the spaced out feeling is constant all day and never goes away but worsens when i concentrate. Is this possible with seizures?
Unfortunatly when my parents split up the documents were lost while moving houses. Would it be neccessary to request another scan although my medical records do state i have Temperal Lobe Epilepsy?
Lamotrigine is what i was perscribed when i was younger aswell as Oxcarbazepine but the Oxcarbazepine gave me a poor apitite so i was boosted up on the Lamotrigine and cut out the Oxcarbazepine. I am currently only on 100mg (50mg x 2) a day of Lamotrigine because i lost too much weight at one point and the doctor didnt want to give me too much.
I hope that this is the answer as it hold a big restriction on my life at the moment. A year a go while i was employed i had to resign as when i worked sometimes i would daydream for 20 minutes and not get any work done. My boss told me that i needed to resign or i would be fired. I will deffiniately discuss about increasing the dosage.
I have uploaded a document i received in 2004 after my diagnosis and after starting my medication.
Thank you for getting back. The additional information was helpful.
I agree that this could still be temporal lobe epilepsy. Increasing the dose of lamotrigine seems to be the best solution at this point. So, please discuss with your doctor about that.
There is no need to repeat the MRI brain and EEG at this stage.
Hope this helps, would be glad to answer any follow-ups.