Good afternoon everyone,
Lynne - Glad to hear Shiloh's seizures have stopped. Winston did not have any more seizures past the one on Saturday around 6 p.m. either so I am grateful for that. He was out of it yesterday as was I

I finally found the gumption to get up and get motivated and had to get Patty's flea medication and luckily my vet was there. We spoke at length and decided to up the Keppra just slightly to 1 1/4 to 1 1/2 pills tid, so we are going to play around with that a little bit before going up on the Pheno anymore, even though we still do have some wiggle room. I think she is worried about potential toxicity, even though he has demonstrated very little side effects besides sedation at first and hunger at times. Bromide was discussed briefly but she, and I, would prefer to avoid that as a last ditch effort due to the severity of the side effects, even though she said she has several dogs who have done very well on low doses of the drug. She considers it the last option in the long list of available treatment.
I also brought up Zonisamide which she said she would discuss with the neurologist and get back to me, so we'll see! We're, as usual, in the waiting pattern to see how he does and will play around with the Keppra dose to see if we can find a controllable dosing schedule. We did discuss adding another small dose of Pheno to the 1 a.m. dose of Keppra but decided to hold off at this point. Again, I think we prefer to take baby steps before giant leaps in dosing.
Ellen - I am sorry you lost a good friend. As for the Clorazepate, we have used Valium to this point, and I believe they are in the same family but have read that Clorazepate is being used more frequently. If the Valium stops working or is not as effective, I will recommend the drug as well and discuss the dosing that you use. Otherwise, I have a pretty similar usage with the Valium pills and continue to administer over the course of several days after seizures, in particularly when I go to work. Unfortunately, this time the rectal and oral did not seem to effect him as well as in the past but I think he was in a state and nothing much was going to stop it with the exception of sedation and letting it run its course. I also use the lowest dose of rectal and then move up if necessary, which the vet told me not to be afraid to do on days like Saturday if he will not calm down.
Like I said though, he was zonked yesterday and back to his routine drug regimen which was good. The pacing and running around Saturday drove me batty as well Lynne. Winston is like a giant moose running around and tries to barrel through me for food or whatever. He was running into things like a drunkard because of the massive drugs and even stumbled while playing with Patty and rolled over in the floor, which I have to say did make me LOL he was being so silly and did give us at least one laughable moment during the stretch of hell. He almost put the rope through my TV again so I had to take it away until he chilled out

It's just crazy.
But, he does seem better and I did start the slight increase of Keppra last night, so we'll see. Had to get Valium pills called in last night as I was out and will pick them up tonight or I would have given him one this morning.
The worst news is that his vet is leaving and starting her own practice, which is still in the area but somewhat far from me, which stinks, so I have to make a decision in that regard. She has done a wonderful job with him, and with me for that matter. She spent a long time with me yesterday just talking about what to do and there are not a lot of vets who would take that time without an appointment.
I hope everyone is doing well today and that Shiloh has calmed down. I am at work and still worried about going home to a giant mess but we are still keeping our paws crossed and hoping for the best.