Hi- I take two meds but not Keppra and trilepital. I know some people take 3 meds. I'm on tegretol and vimpat. I've been on phenobarbital to start, then dilantin, then dilantin and tegretol, then tegretol and topamax, now new med is vimpat. I'm told older drugs work differently that they are called a sodium channel drug. Not sure if thats good or bad. I have 2 to 4 seizures a month nothing seems to keep me entirely seizure free. Its extremely frustrating...nothing I hate more than my husband saying "did you know you had another one" Well I hope everything works out for you with the new med and having a new dr.

My son is currently on 3 meds (Vimpat, Trileptal and Klonopin), in the past we started out on Keppra, then added Dilantin but that combo wasnt working well for us anymore. He still does have breakthrough seizures.

Good luck on the med change, and i hope you find one that helps you soon.

It is not the current recommendation after only 5 months. Mono-therapy is recommended. Remember how many years you went without have seizures, and consider what has changed for you in the past year.

I have been having seiz. (epilepsy) since I was 9 yrs. old and am going to be 43 next month. I have been on 2 meds at a time for as long as I can remember.
I take keppra and lamictal and they seem to be the best for me although nothing has totally stopped my seiz. The Dr. told me that the only thing that will help is surgery.
I took Vimpat at one time to see if it could help at all and it just made things worse.
I have different types of seiz. throughout the month. Everything from simple complex (very light) to grand mals.
I'm not quite sure what's going on, but lately I have been having ones that people say I look like I am headed for a grand mal, but then all of a sudden seem to pull my way out of before I drop. I guess my eyes go back and I look like I am going to fall, but I don't. I don't remember going into any type of grand mal at all, in fact it seems like I am just having a heavy petit, but I get the dizziness of what comes with a grand mal.
It's very weird.
I hope it works out for you.

to RSN54: I think what has changed is me going to college and there was someone being over the top mean to me. Which hurt me more than anyone else has in my life.

Thanks to everyone else. It helps a lot to know that I am not alone.

Hello rr,
Please, keep a Journal, if you aren't already. Include foods/beverages/activities. This can help you figure out any thing that Mite trigger your seizures. You mentioned starting college & someone being 'mean'. This may be causing undue Stress. Stress is just one of many triggers. Although most sites claim sleep deprivation as the Main cause of Stress, I think any form of Stress can Trigger them. Try meditation &/or Yoga to help. Be sure you are getting enough sleep, too. :)

As Robin said Monotherapy is Best. But, it ain't unusual, as you can see by others replies, to be on more than 1 med. Be sure to give your new med/dose at least 4-6 weeks to reach therapeutic levels. Take it from there. If side effects interfere w/ 'Quality of Life' or seizures continue, do not be afraid to Try another med or med combo.

Keep Learning all you can about Epilepsy/seizure disorders. It will Help you to become your own Best Advocate. :)

Love Candi

Love Candi