Is it possible to take melatonin with Keppra?

Question

I am a nocturnal epileptic (my seizures happen only during my sleep) and I have been a light sleeper since my last seizure last September. Thank you for your advice and quick response! It is much appreciated! I will put these tips into practice.

Naji-tom Samaha · Accepted Answer

Hello ma'am, I have found references indicating that melatonin can precipitate seizures in some people. Considering this and the modest benefits of melatonin, I do not recommend taking it. The most important thing is to look at non-pharmacological measures to improve sleep hygiene and quality. Here are a few of them: At least 1 hour before bedtime, turn off any type of screen: computer, phone, TV, and handheld readers too. Most of them emit a type of light that is stimulating. Regardless of bedtime, I suggest getting up at the same time each day, which will help establish a sleep routine eventually. Keep the bedroom for sleeping and intimacy only. No reading, work, or TV in bed. This way, the body will associate the bedroom with sleep as soon as you enter it. Avoid naps during the day, and avoid stimulants like coffee as much as possible, especially in the afternoon. If you have been in bed for 15 minutes and are not falling asleep, I suggest you get up, go to the kitchen or living room for a few minutes, and then return to the bedroom. This can have a reset effect. If you have a lot of worries, write them down in a notebook or journal at night, so you can be reassured that they won't be forgotten and that you can address them the next morning. These strategies can take up to 2 weeks to implement, so take your time, gradually, be patient and willing too. If they don't work at all, I would advise you to see a doctor. I hope I've been helpful to you, so don't hesitate if you have any other questions! Sincerely, Tom Samaha, pharmacist With pleasure, do not hesitate if there is anything! Good luck!