Levetiracetam (Keppra) — Another Possible Potassium Channel Modulator?

Discussion in 'Research News' started by Viking, Dec 15, 2014.

    1. AUTHOR
      AUTHOR
      Viking
      No Mood

      Viking Member Benefactor

      Location:
      Italia
      In the history of possible drug treatments of tinnitus, were examined many antiepileptic but none showed an actual effectiveness (Tegretol, Tolep, Topamax, gabapentin, Lyrica, Sabril, Vigabatrin and many others). Strangely no study on Keppra !!! Together with my neurologist, who has followed my and your adventure with Trobalt (in relation to potassium channels activation and depolarization KV3,1) he suggested to try the Keppra, because as you can see at the beginning of the discussion I ask clearly: "it is possible that levetiracetam can help us? "I do not understand why you get angry with me. I'm just following the "thread" with Trobalt that I could not take more because of its strong side effects. It took me months to study and try to find an alternative. I never said that he had found a cure!
       
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    2. john2012

      john2012 Member

      Location:
      Germany
      Tinnitus Since:
      2012
      i am not angry! I am very grateful that you have found keppra
      thank you very much for trying it...it seems like an amazing breakthrough
      especially since it targets kv3 like autifony's new drug.
       
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    3. Jesse Pinkman
      Badass

      Jesse Pinkman Member

      Tinnitus Since:
      11/2011
      @Viking
      Have you noticed any change in volume after taking this drug? Btw, that picture that youre using, is that from a movie? If it is, whats the name of the movie and actor?
       
    4. lapidus

      lapidus Member Benefactor

      Location:
      Sweden
      Tinnitus Since:
      1999
      Cause of Tinnitus:
      Noise induced
      It's Robert Carlyle from the movie Trainspotting.
       
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    5. AUTHOR
      AUTHOR
      Viking
      No Mood

      Viking Member Benefactor

      Location:
      Italia
      To be correct, it is too early to speak. I'm only at the third day. I can only say that there is a change in volume and not have the annoying headaches. It may be a placebo effect. Then we have to consider that not all tinnitus have the same etiology. I go to the road of epilepsy sensorineural. The Image is from the movie Trainspotting - Francis Begbie (Robert Carlyle) .... the nightmare of his friends junkies in the movie.
       
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    6. skoupidis

      skoupidis Member

      Tinnitus Since:
      09/2014
      Cause of Tinnitus:
      Acoustic trauma or mvc
      May Viking be the first to show the way! Best wishes for recovery my friend.
       
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    7. Silvine
      Bookworm

      Silvine Member

      Tinnitus Since:
      03/03/2010
      Here's a link quantifying the prevalance of tinnitus as a side effect on people taking Keppra as of Nov 28th 2014 http://www.ehealthme.com/ds/keppra/tinnitus

      Bear in mind it's not a random sample of the population and only involves patients suffering from epilepsy. This could skew the sample as some seizures can be triggered by "startle sounds" which would imply an dysfunction in synaptic connections to the auditory cortex.
       
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    8. AUTHOR
      AUTHOR
      Viking
      No Mood

      Viking Member Benefactor

      Location:
      Italia
      Summary: Tinnitus is found among people who take Keppra, especially for people who are female, 60+ old, have been taking the drug for 1 - 6 months, also take medication Verapamil, and have Epilepsy.

      We study 19,870 people who have side effects while taking Keppra from FDA and social media. Among them, 71 have Tinnitus. Find out below who they are, when they have Tinnitus and more.
      Top conditions involved for these people * :
      1. Epilepsy (21 people, 28.77%)
      2. Gastrooesophageal reflux disease (11 people, 15.07%)
      3. Convulsion (6 people, 8.22%)
      4. Skin ulcer (6 people, 8.22%)
      5. Mouth ulceration (6 people, 8.22%)
      Top co-used drugs for these people * :
      1. Verapamil (19 people, 26.03%)
      2. Nexium (18 people, 24.66%)
      3. Gabapentin (16 people, 21.92%)
      4. Clonazepam (15 people, 20.55%)
      5. Neurontin (14 people, 19.18%
       
    9. Danny Boy
      Cheerful

      Danny Boy Member Benefactor Hall of Fame

      Location:
      England
      Tinnitus Since:
      7/2014
      Cause of Tinnitus:
      Ear infection
      Hope it does work, I'm gonna try this alongside trobalt...Can you do that?
       
    10. AUTHOR
      AUTHOR
      Viking
      No Mood

      Viking Member Benefactor

      Location:
      Italia
      i haven't understand! Do you want take trobalt and keppra????
      Do not do it!
       
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    11. Danny Boy
      Cheerful

      Danny Boy Member Benefactor Hall of Fame

      Location:
      England
      Tinnitus Since:
      7/2014
      Cause of Tinnitus:
      Ear infection
      Lol, why?
       
    12. AUTHOR
      AUTHOR
      Viking
      No Mood

      Viking Member Benefactor

      Location:
      Italia
      @Danny Boy ...please do not do anything stupid that can damage your health. Do not mess with these drugs.
       
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    13. Danny Boy
      Cheerful

      Danny Boy Member Benefactor Hall of Fame

      Location:
      England
      Tinnitus Since:
      7/2014
      Cause of Tinnitus:
      Ear infection
      I need the relief though, better than me trying to kill myself surely?
       
    14. AUTHOR
      AUTHOR
      Viking
      No Mood

      Viking Member Benefactor

      Location:
      Italia
      Gobbling drugs ... this is not the way to get relief. I understand your pain and your frustration. Believe me I understand. Take two medications (anti seizure) without suffering from epilepsy will not give you any relief. But ... there is a high risk of further physical suffering. Do not do this.
       
    15. Danny Boy
      Cheerful

      Danny Boy Member Benefactor Hall of Fame

      Location:
      England
      Tinnitus Since:
      7/2014
      Cause of Tinnitus:
      Ear infection
      Trobalt is normally supplemented with other epilepsy drugs though?
       
    16. AUTHOR
      AUTHOR
      Viking
      No Mood

      Viking Member Benefactor

      Location:
      Italia
      Right....but we are not EPILEPTIC!!! You risk to have all the side effect. Is really serious!
      If you are on Trobalt, take only it. Let your neurologist to seek relief for you. Do not do it alone!
       
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    17. Danny Boy
      Cheerful

      Danny Boy Member Benefactor Hall of Fame

      Location:
      England
      Tinnitus Since:
      7/2014
      Cause of Tinnitus:
      Ear infection
      I don't have a neurologist though.
       
    18. AUTHOR
      AUTHOR
      Viking
      No Mood

      Viking Member Benefactor

      Location:
      Italia
      ...found it...I think it isn't difficult ... if I found myself in Italy ...
      Here we are not curing the tinnitus but share experience and models to manage better our disease waiting for a cure. It's a multifactor disease. You will solve nothing taking a lot of pills! Be Patient
       
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    19. Danny Boy
      Cheerful

      Danny Boy Member Benefactor Hall of Fame

      Location:
      England
      Tinnitus Since:
      7/2014
      Cause of Tinnitus:
      Ear infection
      Well, what if using both actually silences the tinnitus? We won't know until someone tries it.
       
    20. Jesse Pinkman
      Badass

      Jesse Pinkman Member

      Tinnitus Since:
      11/2011
      Has trobalt stoped working?
       
    21. Danny Boy
      Cheerful

      Danny Boy Member Benefactor Hall of Fame

      Location:
      England
      Tinnitus Since:
      7/2014
      Cause of Tinnitus:
      Ear infection
      No, it's still working. Just wanna make sure it stays that way.
       
    22. Carlos1

      Carlos1 Member Benefactor

      Location:
      Boston
      Tinnitus Since:
      08/2013
      Cause of Tinnitus:
      Root Canal
      Danny if it's working why rock the boat ....thank the dear lord that you found something that works for you and find peace bro
       
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    23. Jesse Pinkman
      Badass

      Jesse Pinkman Member

      Tinnitus Since:
      11/2011
      Well mixing up drugs like that wont make sure of that. I think I read about this in one of your posts. The dangers of mixing drugs. When they mix they can change properties, wich usually arent for your own good. Quite the oposite
       
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    24. Danny Boy
      Cheerful

      Danny Boy Member Benefactor Hall of Fame

      Location:
      England
      Tinnitus Since:
      7/2014
      Cause of Tinnitus:
      Ear infection
      Thanks Carlos! Seriously, I hope we all find relief...This is one of the toughest most horrible things I have ever faced in life. I would not wish tinnitus on anybody, even my worst enemy! Seriously, this condition needs to be taken far more seriously! It's embarrassing how little is being done.
       
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    25. Danny Boy
      Cheerful

      Danny Boy Member Benefactor Hall of Fame

      Location:
      England
      Tinnitus Since:
      7/2014
      Cause of Tinnitus:
      Ear infection
      Yes, but Trobalt is normally used with other epileptic drugs, so what's the issue? Christian takes clonazepam alongside trobalt and that drug is far worse than this. I'd rather give it a go, than never know.
       
    26. AUTHOR
      AUTHOR
      Viking
      No Mood

      Viking Member Benefactor

      Location:
      Italia
      A German study about Levetiracetam, Retigabine and others. How affect potassium channel at synaptic and presynaptic level:
      http://hss.ulb.uni-bonn.de/2012/3068/3068.pdf
      I know about 204 pages are more...but is interisting there is a link between retigabine/ezogabine and levetiracetam
      on Gaba receptors. The mechanism is different but the antiseizure efficacy is similar
      At page 20/21 are illustrated the structures and you will see the specific potential of retigabine (as we know is the best for us guineas pig in tinnitus at this moment). Page 25 the effect of levetiracetam on potassium channel

      more here: http://www.ncbi.nlm.nih.gov/pubmed/20065495

      Experimental and simulation studies on the mechanisms of levetiracetam-mediated inhibition of delayed-rectifier potassium current (KV3.1): contribution to the firing of action potentials.
      Huang CW1, Tsai JJ, Huang CC, Wu SN.
      Author information
      Abstract

      Levetiracetam (LEV) is an S-enantiomer pyrrolidone derivative with established antiepileptic efficacy in generalized epilepsy and partial epilepsy. However, its effects on ion currents and membrane potential remain largely unclear. We investigated the effect of LEV on differentiated NG108-15 neurons. In these cells treated with dibutyryl cyclic AMP, the expression level of the K(V)3.1 mRNA was elevated. With the aid of patch clamp technology, we found that LEV could suppress the amplitude of delayed rectifier K(+) current (I(K(DR))) in a concentration-dependent manner with an IC(50) value of 37 microM. LEV (30 microM) shifted the steady-state activation of I(K(DR)) to a more positive potential by 10 mV, without shifting the steady-state inactivation of I(K(DR)). Neither Na(+), nor erg (ether-a-go-go-related)-mediated K(+) and ATP-sensitive K(+) currents were affected by LEV (100 microM). LEV increased the duration of action potentials in current clamp configuration. Simulation studies in a modified Hodgkin-Huxley neuron and network unraveled that the reduction of slowly inactivating I(K(DR)) resulted in membrane depolarization accompanied by termination of the firing of action potentials in a stochastic manner. Therefore, the inhibitory effects on slowly inactivating I(K(DR)) (K(V)3.1-encoded current) may constitute one of the underlying mechanisms through which LEV affect neuronal activity in vivo.
       

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    27. Champ
      Woot

      Champ Member Benefactor

      Location:
      Boston, MA
      Tinnitus Since:
      01/2013
      Cause of Tinnitus:
      Acoustic trauma from headphones
      I feel like brain science is so advanced, its really cool to see how we have figured out how to interact with it.
       
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    28. RichL
      Inspired

      RichL Member Benefactor

      Location:
      Palmerston North NZ
      Tinnitus Since:
      1990
      Cause of Tinnitus:
      Acoustic trauma
      Where did you read this?

      I have gone through all the possible side affects of this drug and Tinnitus is not listed!

      With all due respect if you are are going to announce a so called fact, please, would you back it up with a link to the documentation for your info!

      Thanks Rich
       
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    29. RichL
      Inspired

      RichL Member Benefactor

      Location:
      Palmerston North NZ
      Tinnitus Since:
      1990
      Cause of Tinnitus:
      Acoustic trauma
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    30. RichL
      Inspired

      RichL Member Benefactor

      Location:
      Palmerston North NZ
      Tinnitus Since:
      1990
      Cause of Tinnitus:
      Acoustic trauma
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