I have taken Keppra for 11 years now. I took it with Lamictal at first but on my own changed to just the one med because I couldn't afford both. Are you seeing an epileptologist at a comprehensive epilepsy center or a neurologist in general practice? The epileptologist makes a huge difference in your care and quality of life. Why does your doc want to add Keppra with Topamax at this point and what kind of seizures do you have? Tattoo