My 3 year old is on keppra. Has been for 4 months. His seizures are under control which is great. We has some lousy side effects for 2 months. Now he gets tired, needs a buggy more than normal and feels a bit off a few times a week. But most people would never notice these things. occasionally he says he feels very hot and sick - with no warning - no sign off illness and is fine a few minutes later which we wonder could be a near seizure? Anyway, despite these things, he's come a long way and we think his seizures are under control - which is great. Our neurologist thinks we may be able to improve things by changing his meds - after all he's been through I'm scared about this. I've read a lot that suggests tiredness is inevitable as a result of the meds for example and I don't want to put him through more with very little change to how he is now. But I would like to optimise things for him before he starts school in 12 months. Welcome thoughts / perspective?