When is comes to medication, all my neurologists and I repeat the same conversation. Some may have different methods, but this example is the typical talk track.
ME: I had a breakthrough seizure in April.
DOC: We will start you on Keppra XR at 500mg at bedtime, as we think this is an effective anti-convulsant with the least amount of side-effects.
ME: I had another nocturnal seizure in August.
DOC: Ok, lets increase your dosage from 500mg to 1000mg in Keppra XR.
ME: I had another seizure……