My son has had seizures since the age of 6 months and he is almost 9. He has been on Phenobarb, Dilantin, Depakote, and Tegretol. Out of all of his meds, the Tegretol is the only one that didn't 'dope' him up and make him sluggish and foggy headed. He has been on Tegretol for almost 6 years now and I pray that the good Lord sees to it that he never has to change meds. It controls his seizures almost completely unless his level gets low due to weight gain, refusing to take his meds, etc. I know that doctors don't like parents who listen to everything they read, but I would NEVER again let anyone put my child on Phenobarb if it was the last medicine on Earth. It had horrible side effects and never did control the seizures, but he was too young to take anything else. I have a brother-in-law that was diagnosed with the same thing as your son when he was about 14 or 15 and he takes Tegretol for his seizures too and they are controlled as long as he doesn't stay up late into the morning or play a lot of video games. Don't know if it will help, I know different things help different people. Just sharing my experience with you and hoping that it helps in some way. Good Luck to you!!
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