Ugh, I've never heard of Epival but it sounds absolutely gruesome...
are you sure it's an anti - epileptic med? I've been offered
practically every med on the list, but I've never come across this drug
before, thank goodness! I'd hate to get excessively fat, and lose all
my long, thick dark hair... I'd have a heart attack!! :)    

I was recently weaned off Keppra as it didn't do much for me other than
give me excessive sweating. I was also taking it with Tegretol Retard
which, slowly goes through my blood throughout the day.

Although I've been on Tegretol Retard for years now, I've never wanted
to swap it as it works for me. As for the Keppra, I suppose it made me
feel tired and drowsy, but I don't know of one med I've been on that
doesn't make me feel the same way - you just lose a lot of your
concentration most of the day and have to do your best to try to stay
awake.

I doubt 250 mg can do you much harm though - I was on 500mg Keppra
twice daily + 800 mg Tegretol Retard twice daily, and it did
practically nothing to me. I suppose then again we always have the
fact that different meds react in different ways with each different
individual! What you are experiencing is your own little individual
after effects to the drug!

I usually take a multivitamin, a B-complex, a cod liver oil capsule,
and a vitamin E capsule. I've been doing so for years simply for good
health sake... nothing more.

I suppose you could supplement with vitamins if you like, but I doubt
it with help your seizures, or your fists. I can't be sure whether you
have the same problem as I've had ever since I was a child (I'm 43 early
January) and first started to get my seizures, but if I'm sitting
watching TV, eating or drinking something perhaps, and a seizure
suddenly comes on, I can get these muscle spasms in my wrists and
fingers, never letting go. My fingers can clench the cup I'm holding
tightly, and refuse to let hubby take hold of it, usually spilling hot
tea and coffee over most of my clothing.  Same thing if I'm eating,
when I hold onto a piece of cutlery, never letting it go, - the end
result being that my dinner is all over my lap and on the floor instead
of inside my mouth.

If your seizures are the same as mine, then you're never going to get
rid of them for good as they are part of the type of seizures you are
getting. Your neurologist can only give you drugs to help try and
control these seizures, which your muscle spasms are part of,  but
they will never get rid of them completely.

I should know, I've had so many different types of seizures throughout
my life, and I still have these clenching muscle spasms too - they drive
hubby crazy, as he always ends up having to clean the aftermath as
well.  I've now just resulted to feeling more sorry for him, than I
ever was for myself.

If you're going to have one, you're going to have one, so my best
advice to you would be to simply forget they are there for now, until
one occurs and just enjoy life to the fullest. Feeling sorry for
yourself will only make you feel depressed/suicidal perhaps, it did
with me,  which is why I try to be happy nowadays, going to an
exhibition, or the movies perhaps to make me forget I have them!

Best of luck in finding your perfect med

Sofie