I have started on Topomax 4 weeks ago. It is the 6th medicine I have taken in 8 months as I have been allergic, or could not take the side effects. This one I like. Like all the others, they have started me out on the lowest dose, and plan to increase, if the seizures start to come back. As usual about the third week in I have started having seizures, however, they are very small, and maybe a couple a day. At this point, I am not wanting to tell my doctor, or wanting to increase. I would like to see how this goes. After my experience with Keppra, I am beginning to think that having a few seizures might be ok, rather than take so much medication that I feel like a zombie. Somebody here said to look at quality of life, and that is what I am thinking about. I was having 20 to 30 a day, and could barley get out of bed. I am not opposed to increasing if things get that bad, but I feel okay right now-not back to where I was before all this started, but better. Any advice?