Ms. Smith tried phenytoin 300 mg daily, but stopped it because it made her dizzy and didn't stop her seizures. She was then asked to try levetiracetam, which she started at 500 mg BID; however, her insurance did not cover it; therefore it was discontinued. She is now taking zonisamide 200 mg at night (higher doses made her drowsy). As she is still having some seizures, she should be referred to an epilepsy center.
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