Hello and Good Afternoon!

My younger brother Matt of 28 years has just had his seizure medication changed to Vimpat since he had close to 10 Grand Mal seizures this year, having been seizure free since November 2009.

My Questions:

Do doctors usually have more inputs than just a person's weight, age, and last Grand Mal seizure for seizure medication adjustments?

Do medical teams reporting to prescribing doctors, use the genome of the patient to mathematically model upcoming nerve stimulations?

If so, would the intent of the model be to predict the magnitude of neuron release from the synapse based on blood content circulating through the brain in addition to the air content being inhaled?

If so, would all Mayo Clinic sites do this type of modeling, or would the Rochester site be solely assigned to modeling neuron output of a patient's synapse?

I see many parts of both questions could possibly be answered from this thread.

Thank you for being my brother's voice.