[CaspersGh0sts]

Speaking as someone who routinely prescribes anti-epileptic drugs and who also orders neuropsychiatric testing on my patients, I can’t say I’d agree that anti-epileptics are a sledgehammer to cognition.

I have also never heard anything more than case reports of neurontin or depakote causing psychosis, and I prescribe them routinely. Not to say that psychosis and reduced cognitive function are directly related.

I have seen some adverse events with Keppra, but to attribute an eloquently written Supreme Court decision to a medication... I don’t think so. It’s just not going to happen.

[EBH]

Sorry Dr., but I will dissent with your opinion.

Those drugs are tough on cognitive functions. The fact your patient doesn’t report the problems is anecdotal. Ask their spouse, friends, or employer...

[To-Whose-Benefit?]

Then I suggest you go through just the Alphabetical listings of all the different, discrete AERs Medwatch gathered between 2004-2006

http://bonkersinstitute.org/depakoteffex.html
acute psychosis

http://bonkersinstitute.org/neurontineffex.html
acute psychosis

Use your browser’s find function and have a ball. There’s all Manner of noxious treats in store with that Rat S**t that you “Prescribe Routinely”

And Routinely is right. It’s All become “Routine” with over 40% of Doctors too lazy, crooked or stupid to even read the best bought & paid for FDA labels the makers can buy on drugs they “Prescribe Routinely”.
http://www.medpagetoday.com/ProductAlert/Prescriptions/15639

While I haven’t seen Justice Roberts actual written decision yet, the substantive eloquence of it so far is as eloquent as what drops out of the south end of a north bound horse.

You also order neuropsychiatric testing on your patients?

That Would explain how you can describe Roberts opinion as ‘Eloquent”.

[arthurus]

I was on Dilantin or years. It is not a sledgehammer. It is a progressively greater amount of lead weight continually applied to the mind. It does not level off. It continually gets heavier. I know two other people now who went on Dilantin and Depakote. They are experiencing the same thing. One describes it as being pushed further and further into a smaller and smaller hole. The other doesn’t talk much any more because she is afraid people will know she is stupid.I got to where I was forgetting nouns as in Alzheimer’s.