Hello
Wife was dx on 1/07 with gbm iv and had gross resection then rad then temodar then combo of cpt-11/avastin then avastin. Was taken off avastin in Aug 09 since there was no sign a cancer (stable is the expression they used along with remission). She is on 1000 mg/day of Keppra since april of 08 when she had a 3 minute mini seizue of her upper lip. It seems that since that time she is fatigued and sleeps about 12 hrs per night. She started on 100mg/day of provigil around August and it seemed to lessen the fatigue and she was more alert, For her the amount of provigil was critical if she took 150mg it made her completely loopy and disconnected. Anyway the good effects of provigil seemed to wear off in late september and her energy level lowered again. We are seeing a neurologist so he can maybe see what to do to get her energy level up. Her past term memory is fantastic. However sometimes she has short term problems and sometimes not. When she has problems I give her hints and that helps her to remember and then she does.
We have also heard that because of the radiation there might be some permament brain damage. She does take longer (makeup, shopping about 50% longer) to do things but they do get done. She has also lost vision in right eye due to radiation but her sense of smell is very good.
We didn't notice any change in memory function due to provigil, only if it was to much then the memory was almost non functional. It recovered after 24 hrs.
We are hoping that the docs will try a different anti-seizure med and this might improve her fatigue and memory issues or maybe find a replacement for provigil. Originally they suggested Ritalin or Provigil and we chose the Provigil.
Let us know if you find a drug or combination or change or elimination of one or any that improve the memory function or fatigue.
JED