After a week in the hospital we are finally being discharged, diagnosis "rare" reaction to Trileptal. Reggie has many nicknames. Rare Reggie.and rubber band man he showed us this week.
After Reggie's initial thamalic storming was stabilized, he still want not ok. On a repeat CPK he went from 1000 in the ER to 20968. I immediately requested to stop the Trileptal, he began showing signs of improvement within 12 hours.
He did have a grandmal seizure today, but we are going home to establish a new baseline before adding any medication.
In 24 hours off Trileptal his CPK was down to 4000. Reggie liver enzymes are also 10 times what they were upon admission. We will recheck in a week. It could be Reggie just detoxing of the Trileptal and metabolizing the CPK. If liver enzymes are still up he week have to come off the Depakote.
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