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My daughter had a seizure - first ever in her life - two…

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My daughter had a seizure...
My daughter had a seizure - first ever in her life - two weeks ago. She is 26 and had been suffering from months of anxiety, not sleeping well and had been sick. She had an MRI (normal) a CT scan with contrast (normal), and EEG (normal but the neurologist said her brainwaves looked mildly disorganized). She is severely run down from not sleeping and we found out a few days ago she has mono. At the time of her seizure she had been taking Zoloft and we had just increased the amount. We stopped having her take it for a few days after the seizure and then had her start taking it again because her doctor insists that it does not cause seizures. So, as soon as we went up to 100 mg, she started having absence seizures again. Is there a medication other than Zoloft that will help her constant anxiety without causing the seizures. Also - she is taking trazadone to sleep but still isn't sleeping. She is in a constant state of worry. We cannot get into a psychiatrist for a month. I'm afraid she is going to expire from lack of sleep before then. Also - she has been seeing a social worker for therapy.  Your thoughts?
Submitted: 6 years ago.Category: Mental Health
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Answered in 2 hours by:
3/4/2012
Mental Health Professional: Dr. Owen, Doctor replied 6 years ago
Dr. Owen
Dr. Owen, Doctor
Category: Mental Health
Satisfied Customers: 55,754
Experience: Board Certified Physician and US Medical School Graduate
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She is on 3 psychiatric medications now?
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Customer reply replied 6 years ago
The neurologist put her on the trazadone and risperadol after her unremarkable EEG because of her lack of sleep and anxiety. The zoloft was recommended by her family doctor prior to those two medications. No one ever said not to take all three and there was strong encouragement not to give up on Zoloft for the anxiety.
Mental Health Professional: Dr. Owen, Doctor replied 6 years ago
The zololft medication is a good drug and this could be an interaction at the dose she is on at 100mg with the other medications - so it might be wiser to possibly switch to a SNRI - serotonin norepinephrine reuptake inhibitor vice just the serotonin reuptake inhibitor such as zoloft - so perhaps Pristiq, Lexapro or Celexa might be better suited for her and less likely to cause a seizure.
I hope this helps, please click on ACCEPT, thank you
Dr. Owen
Dr. Owen, Doctor
Category: Mental Health
Satisfied Customers: 55,754
Experience: Board Certified Physician and US Medical School Graduate
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Customer reply replied 6 years ago
I like your recommendation, but just to clarify, she was originally only on Zoloft until she had a seizure. Then we had her stop for a few days after (she had only been on it a week when she had the seizure) because we were concerned that the Zoloft had caused the seizure. Then when she had her EEG with a neurologist five days after the seizure, he put her on the Trazadone and Risperadol. He said we should reconsider the Zoloft - which we did. So - about five days ago, we switched from the Risperadol to the Zoloft as the Risperadol seemed to have no effect. Neither had the Zoloft though, either, but all of the medical professionals felt that it would take more time to tell if the Zoloft was helping or not.

I just wanted to makre that the clarification didn't change your recommendation.
Mental Health Professional: Dr. Owen, Doctor replied 6 years ago
Well - considering it was the higher dose of zoloft the SNRI's will allow lower doses of the serontonin reuptake inhibitor while also providing norepinephrine - so this could help.
It is worth a try for her anxiety.
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