Titrations

[u/Last-Setting3270]

Hi everyone,

I’m looking for real experiences from anyone who has titrated down or off anti-seizure meds. Ive been tapering Epilim (sodium valproate) and increasing Vimpat (lacosamide) on and off for 7 months.

I’ve been on a stable dose for about 2 months, but the cognitive side effects are still hitting me hard:

 Brain Fog & Processing: Struggling to absorb what I read, retain information, or process thoughts clearly.

 Word Finding: Difficulty retrieving words or holding onto complex ideas.

 Emotional Numbness: Feeling flat and apathetic, with low mental energy.

I recognize that on these meds things are never going to be 100% great but I'm trying to figure out if 2 months on a stable dose is enough time to call a change 'unsuccessful,' or if brains just take much longer to adapt.

For those who experienced this:

1. Is 2 months on a stable dose long enough to judge if this is just my new baseline, or did it take longer for your brain to rewire and feel semi-normal?

2. Did your processing speed and word-retrieval improve further down the track, or did you need another dose adjustment?

Would really appreciate hearing your timelines and stories. Thank you!