But of these medications, usually the medications tried the first time around are either lamictal, tegretol, trileptal, keppra
, or zonegran. Of these first try medications, keppra
, lamictal, trileptal
, and tergretol usually have the fewest side effects on a moderate dose, and are often the first drugs of choice amongst docs for focal epilepsy. If I were you, though—and I base this on personal experience—I would try either Keppra or Keppra XR, Tegretol, or Trileptal.