If you or your loved one is not achieving seizure control with current medication(s), it is not unusual for a neurologist or epileptologist to make a change. Being nervous is natural – one of the biggest fears being that stopping one epilepsy medication and starting another will lead to more seizures if the new medication doesn’t work. Neurologists help guide their patients through the process. Neurologists may recommend slowly starting the new medication while the patient is still on the old one and gradually tapering the old one down before stopping it. Fortunately, excellent epilepsy medications are available. It is a matter of matching the right medication to the right person.