(((Hugs))) I remember the last time you tried Keppra. (I guess it'll be a loooong time before you forget.) I am glad you're reducing Topamax. I was getting concerned with the side effects. (And, of course, you're making all of these changes to make *me* happy.) Is it "officially" tinnitis from Topamax? I hope Keppra goes much better this time. Riley is on a multi-vitamin, isn't she? (And it's gluten-free, too?) Don't forget the B6 for moodswings and lots of water... both for Topamax AND Keppra. Prayers for calm days and nights, as well as seizure-free days and nights.