Focal Aware Seizure Medication

I have focal aware seizures in my right temporal lobe. I was diagnosed in 2016. Due to the medications not helping, I had Laser Interstitial Thermal Therapy LITT in 2022. My seizures were much less frequent and less intense after the surgery until January 2025. Since January 2025, my seizures have been different than before. I am still aware, but they are more intense. My right arm and sometimes my right leg will shake. My family says my bottom lip will tremble. I breathe heavily and immediately want to lie down. I do not have a known trigger. I get a rising sick feeling in my stomach, and then I will tingle or tremble, but I do not lose consciousness. Before surgery, I tried the following medications: Briviact, Carbamazepine, Lacosamide, Lamotrigine, Keppra, Aptiom, and Clonazepam. I am currently on 200 mg of Xcopri-Cenobamate. I tried to go up to 300 mg, but it made me extremely sleepy, and I didn't feel well. I also take .5mg of Clonazepam if I have several seizures in 1 day.
Has anyone had any success with a medication I haven't tried?