A 30-year-old female presents with recurrent episodes of generalized tonic-clonic seizures despite adherence to her prescribed levetiracetam. She reports increased stress due to work and has been getting less sleep. Her current levetiracetam level is therapeutic. What is the most appropriate next step in her management?
✓ Correct Answer: Option B
For patients experiencing recurrent seizures despite adequate dosing of a first-line antiepileptic drug, adding a second appropriate antiepileptic drug is the next step in management. Dose escalation of an already therapeutic drug is unlikely to be effective.