Lina in the Light

Diana, mom of 6-year-old Lina, shares how ZTALMY has helped reduce Lina’s seizure frequency, allowing them to spend more meaningful time together as a family.

Lina is living with CDD. Her family was compensated for sharing their story.

Estimated read time: 3-4 min

Diana can tell you exactly who her daughter, Lina, is. “She just has this purity about her, this innocence and sweetness,” Diana says. “She’s calm and open and loving and patient, and she’s strong.”

Lina getting a hug from her brother

Lina is 6, with big gray-blue eyes and a fluff of brown hair. She was diagnosed with CDKL5 deficiency disorder at 3 months. It wasn’t always easy, in the months and years after Lina’s diagnosis, for Diana to know her daughter. Through the seizures and the missed milestones, Diana struggled to understand who Lina was and who she might become.

“When she was diagnosed and I was conceptualizing her as a person,” Diana says, “I didn’t feel that she was a full person because I didn’t think that that’s what a full person is.”

But Diana and her husband, Bryan, showered Lina with affection even when she didn’t respond. It didn’t matter, Diana knew, whether they got something back. “I wanted her to feel loved.”

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“We’ve done more things together as a family this past 12 months than we’ve done in any year together, because she could participate.”

Those were difficult years. Some days, Lina’s seizures were few, and she could go to school, or sit outside in the sun with her younger brother Jacob. Other days were harder, Bryan and Diana holding Lina as she screamed for hours, unable to tell them what she needed.

A bad day, says Diana, is “like living on a boat in the middle of the ocean, in a storm. You can’t get ahold of anything; nothing is ever still.”

Lina using a standing chair in her room

When a seizure begins, their stomachs drop. During the first few years, they feared that “any seizure could be a trip to the hospital, or worse,” says Diana. In time, that fear lessened, as they learned more about what to expect during Lina’s seizures and how to support her. But they still feel acutely how a seizure disrupts Lina’s day and the family’s time together, what Diana calls “lost days”—missed school, missed therapy, and time with Lina that they can’t get back.

The family tried various seizure medicines over the years but weren’t happy with many for long. ZTALMY became available when Lina was 5 and Diana saw the opportunity to try something different. Their doctor agreed.

After starting ZTALMY, Lina experienced sleepiness. Diana worried about missing more of Lina’s waking hours and wanted to taper off the medicine, but her husband and their doctor wanted to give it more time.

Diana, who often leads the decision-making for Lina’s care, realized she couldn’t always make those decisions alone. “Bryan said, ‘Let's wait,’” she remembers. “It was the right call.”

Lina’s sleepiness subsided, and her seizures became less frequent. She still has bad days, but more often, at school and in therapy, Diana says Lina is “awake and engaged, able to participate.” And the effects have rippled through the household: fewer seizures, when Lina is rested and comfortable, mean more good days for everyone.

Lina outside wearing a red hat

“When she sleeps all day, when she doesn’t engage, I really miss her,” Diana says. Fewer seizures for Lina have meant that “we’ve done more things together as a family this past 12 months than we’ve done in any year together. Because she could participate.”

Recently the whole family visited a market at a nearby farm. They strolled through the vendors of vegetables and flowers, enjoyed the fresh air, and ran into a couple of families they knew from Jacob’s school. “We just hung out,” Diana says happily. An ordinary, perfect day.

Knowing what frequent seizures can take from them makes moments like those sweeter. Even just greeting Lina when she wakes each morning feels, Diana says, “like the sun shining through the clouds.”

“When I look at Lina,” she says, “I see a whole universe inside her. All I want to do is continue to get to know her.”

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about ZTALMY?

Sleepiness: ZTALMY may cause sleepiness. Taking ZTALMY with central nervous system (CNS) depressants including alcohol may increase sleepiness. Do not drive, operate heavy machinery, or do other dangerous activities until you know how ZTALMY affects you or your child.

What is ZTALMY?

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about ZTALMY?

ZTALMY can cause serious side effects, including:

Sleepiness: ZTALMY may cause sleepiness. Taking ZTALMY with central nervous system (CNS) depressants including alcohol may increase sleepiness. Do not drive, operate heavy machinery, or do other dangerous activities until you know how ZTALMY affects you or your child.

Suicidal Thoughts or Actions: Like all other antiepileptic drugs, ZTALMY may cause suicidal thoughts or actions in a very small number of people, about 1 in 500. Call your healthcare provider right away if you or your child have any of these symptoms, especially if they are new, worse, or worry you:

Pay attention to changes, especially sudden changes in mood, behaviors, thoughts, or feelings. Keep all follow-up visits with your healthcare provider as scheduled.

Stopping ZTALMY: Do not stop taking ZTALMY without first talking to your healthcare provider. Stopping ZTALMY suddenly can cause you or your child to have seizures more often or seizures that do not stop (status epilepticus).

What should I tell my healthcare provider?

Before taking ZTALMY, tell your healthcare provider about all of your or your child’s medical conditions, including if you or your child:

Tell your healthcare provider about all the medicines you or your child take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. ZTALMY may affect the way other medicines work, and other medicines may affect how ZTALMY works. Do not stop or start taking other medicines without talking to your healthcare provider.

Especially tell your healthcare provider if you or your child take: alcohol; opioids; antidepressants.

Know the medicines you or your child take. Keep a list of them to show your healthcare provider or pharmacist when you or your child get a new medicine.

What should be avoided while taking ZTALMY?

Do not drive, operate heavy machinery, or do other dangerous activities until you know how ZTALMY affects you or your child. ZTALMY may cause you or your child to feel sleepy.

What are the side effects of ZTALMY?

See "What is the most important information I should know about ZTALMY?"

The most common side effects of ZTALMY include:

These are not all of the possible side effects of ZTALMY. For more information ask your healthcare provider or pharmacist. Tell your healthcare provider about any side effect that bothers you or your child or that does not go away. Call your doctor for medical advice about side effects. You may report side effects to the FDA at www.fda.gov/medwatch or 1-800-FDA-1088. You may also contact Marinus Pharmaceuticals at 844-627-4687.

For additional information, please click here for Medication Guide and Instructions for Use and discuss with your doctor.