What can be done for breakthrough seizures?

Loads of choices.: Have no clue as to what meds you are taking, but the approach is to increase dosing until toxicity, cut back, and add additional medication. However, the third medicine has only a 3-4% chance of success. We often suggest vagal nerve stimulators if the meds have failed. Risk factors for break thru include missed meds, infection, sleep deprivation, recreational drugs, poor dietary habits, stress.