Giles was a company director, successful, with a nice home, a family he loved and a good job. He had occasional grand mal seizures, and his doctor had advised him that he shouldn’t drive and reminded him that it was a condition of his licence that he let the vehicle licensing department at Swansea know that he had been diagnosed as suffering from epilepsy. His doctor also warned him that he shouldn’t drink alcohol.
Despite this, Giles insisted on driving. He was careful about drinking; although he drank occasionally he would nearly always stay within the legal limit, and he never drove after he’d been drinking. One evening he had a business dinner, and as he was getting a lift home, he drank about half a bottle of wine. The next morning as he was driving himself to work he had a seizure. His car struck an oncoming Rolls Royce, badly damaging it and injuring the owners wife, who was a passenger. Unfortunately for Giles, an on-the-spot policeman saw what had happened, realized he had had a fit and reported him to the Licensing Authority. His insurance company was also informed; they wrote to his GP who confirmed that Giles did have seizures. The insurance company then refused to cover his claim, which was considerable as it included not only the Rolls but damages for injuries sustained by the passenger. Giles had to sell his house to meet the claim.
Of course, Giles should not have been driving at all, regardless of whether he had been drinking. In addition, he had not properly understood that it is withdrawal from alcohol that tends to trigger seizures, not the drinking itself.
You will have to drink with care while you are taking anticonvulsant drugs although you may not need to cut out alcohol altogether. There are several reasons for taking care with alcohol. It will react with your drugs and slow you down much more than you would expect. Alcohol causes what is known as ‘liver enzyme induction’. It stimulates the liver to produce more enzymes which break it, and other drugs, down more rapidly so that it can be excreted. If you have one or two drinks a day regularly over a long period and then stop suddenly, the liver function returns to normal and your anticonvulsant drugs will not be broken down so fast. They also tend to accumulate in your blood. If you are taking phenytoin, the raised level of the drug may cause seizures; the raised levels of any other drugs you are taking may also have toxic effects. And, as discovered, if you have been drinking and then stop, alcohol withdrawal itself may precipitate a seizure.
If you have epilepsy, your best policy is not to drink at all. But if you find this impractical or impossible, do try to stick to these rules for safer drinking:
Drink as little as possible and try not to develop a regular drinking habit, even if it is only a moderate one.
Take ‘shorts’ or order half a pint of beer to avoid the water load that can sometimes precipitate a seizure.
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LIVING WITH EPILEPSY: ALCOHOLGiles was a company director, successful, with a nice home, a family he loved and a good job. He had occasional grand mal seizures, and his doctor had advised him that he shouldn’t drive and reminded him that it was a condition of his licence that he let the vehicle licensing department at Swansea know that he had been diagnosed as suffering from epilepsy. His doctor also warned him that he shouldn’t drink alcohol.Despite this, Giles insisted on driving. He was careful about drinking; although he drank occasionally he would nearly always stay within the legal limit, and he never drove after he’d been drinking. One evening he had a business dinner, and as he was getting a lift home, he drank about half a bottle of wine. The next morning as he was driving himself to work he had a seizure. His car struck an oncoming Rolls Royce, badly damaging it and injuring the owners wife, who was a passenger. Unfortunately for Giles, an on-the-spot policeman saw what had happened, realized he had had a fit and reported him to the Licensing Authority. His insurance company was also informed; they wrote to his GP who confirmed that Giles did have seizures. The insurance company then refused to cover his claim, which was considerable as it included not only the Rolls but damages for injuries sustained by the passenger. Giles had to sell his house to meet the claim.Of course, Giles should not have been driving at all, regardless of whether he had been drinking. In addition, he had not properly understood that it is withdrawal from alcohol that tends to trigger seizures, not the drinking itself.You will have to drink with care while you are taking anticonvulsant drugs although you may not need to cut out alcohol altogether. There are several reasons for taking care with alcohol. It will react with your drugs and slow you down much more than you would expect. Alcohol causes what is known as ‘liver enzyme induction’. It stimulates the liver to produce more enzymes which break it, and other drugs, down more rapidly so that it can be excreted. If you have one or two drinks a day regularly over a long period and then stop suddenly, the liver function returns to normal and your anticonvulsant drugs will not be broken down so fast. They also tend to accumulate in your blood. If you are taking phenytoin, the raised level of the drug may cause seizures; the raised levels of any other drugs you are taking may also have toxic effects. And, as discovered, if you have been drinking and then stop, alcohol withdrawal itself may precipitate a seizure.If you have epilepsy, your best policy is not to drink at all. But if you find this impractical or impossible, do try to stick to these rules for safer drinking:Drink as little as possible and try not to develop a regular drinking habit, even if it is only a moderate one.Take ‘shorts’ or order half a pint of beer to avoid the water load that can sometimes precipitate a seizure.*58\193\2*