22nd June 2023

A 21-year-old woman comes into clinic because she is having more seizures than she used to, with 6 episodes in the last 3 months

A 21-year-old woman comes into clinic because she is having more seizures than she used to, with 6 episodes in the last 3 months, despite being on treatment. She describes having generalised tonic-clonic seizures. She is currently on lamotrigine and is on the maximum dose. She is using a barrier method as her form of contraception.

Which of the following is the best next step to manage her seizures?