Hi there!! I am new to this forum, but have had epilepsy all of my life and I am almost 39. I was actually diagnosed at age 9, and was put on Tegretol. It worked great for the most part, I would have an occasional petite mal seizure while taking it but didn't have a grand mal seizure for 20+ years. Well then the day came almost 3 years ago that my doctor decided we should switch me to keppra because Tegretol was starting to affect my liver and kidneys. He switched me over a matter of a few months, and since I have been on keppra I have has 4 grand mal seizures, 2 of which were in front of my kids which scared them both horribly. They are happening about every 6 months. We have increased my dose to 4500 mg daily and it still doesn't seem to be enough. Last night I had another grand mal seizure while at work. I am at a loss!! I am going to call my doctor tomorrow morning, but I am just wondering if anyone else has had a similar experience and what you did about it. I am tempted to go back onto Tegretol and just deal with the liver and kidney side effects since they were no near as bad as having seizures!! Or maybe look at another medication?? Any info anyone has would be greatly appreciated!!