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Focal Aware Seizure Medication

Epilepsy & Seizures | Last Active: 8 hours ago | Replies (2)

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@arkyjohn

right frontal lobe focal seizures. similar semiology to you. sEEG in Dec 2024 with ablation (4 months of seizure freedom). scheduled for resection in August 2025.
currently on 150mg Briviact BID, and 400mg Xcopri at night. I was on Keppra for a long time but my dose got to 4000mg XR daily and had horrible mood effects. no mood side effects since switching to Briviact. I have no proof, but I felt like Xcopri made the biggest difference in my seizures. Xcopri was a very slow taper up. I am tired all the time, but used to it after being on medication for so long.

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Replies to "right frontal lobe focal seizures. similar semiology to you. sEEG in Dec 2024 with ablation (4..."

Hi, @arkyjohn, and welcome to Mayo Clinic Connect. Hurray for the 4 months of seizure freedom and that the brivaracetam (Briviact) is helping with the mood effects you experienced on your previous seizure medication. Being tired all the time sounds rough. Glad you are at least getting used to it.

Are you planning on staying on the same medication, arkyjohn, or are you looking to switch to cenobamate (Xcopri) or something else?