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I have been on dilantin for grand mal seizures in upwards of 30 years. been very fortunate all these years that my seizures were very well controlled with Dilantin, and whenever they did occur, were only during sleep. So as life is grand I was thrown a loop and had a grand mal seizure a week ago at my office. The grace of God allowed it to happen after I arrived, within 10 minutes of driving to work, which is an hour away. Talk about luck! the previous day I was home sick, nauseauous, etc. Nothing like being wheeled out of your office in an ambulance clueless. Dr. made decision that it is a good time to switch me to Keppra from Dilantin. It took a few days to get out of the fog and constant sleep. I had 1 additional seizure after 2 days, but its been calm since the keppra was increased, and most of the tire effects have ceased. My EEG was extremely abnormal. To be honest, this is the first time in my life I've been truley scared of this disorder. I am extremely independent and very concerned for what this will mean career-wise. Any advice? Fortunately, both my sons are seizure free.