In the end it's all about managing the side effects. The concern is mainly about the major side effects that's what you don't want.

Ask your Neurologist or Epileptologist. The would know about the side effects, having dealt with many people with different sorts of seizures, and many meds and combinations.

My concerns tend to be the lethargy and cognitive deficits. All other sides effects are given (gastro, tremor, some occasional blurred vision, suppressed libido, etc.) Eventually, I hope to taper one of the three should I tolerate this new one. Ideally, I am arguing that appropriate nerve stimulation will be more suitable than some of these pharmaceuticals, but I will comply with this trial. I keep good logs of my experiences.

You have a good understanding of the effects. In a day I increase the dosage and will be at a maximum on all 3. There have been no seizures, so good there. Anxiety and other tolerable anticipated side effects are presenting. Your cautionary note to those around you is a good one. I try to recognize some humorous stuff when it occurs as it’s worth noting. Thanks for the comment.

I usually just tell my family and friends what to expect the next few weeks with them. Especially the emotional ones. So that they understand where it’s all coming from.