Now some people may not approve of this but if ever I feel a little delicate I have a cigarette this provides an a relatively instant "sharpening" of thoughts. I have given up smoking and find this relatively unpleasant but find it works. In the US they treat with nicotine, in Canada they treat with a weak form of pot (but never smoke pot in UK it is strong and interfers with your prescibed drugs). 2 and a half years ago I had my last "proper seizure" I came round to find an ambulance crew standing over me in my office, trying to "sharpen me up" with oxygen. I was speaking a bit of rubbish and finding tricky to get the right words out but I got them to get me outside I had a cigarette and snapped right out of it. It is bad for you but unlike tegretol retard this gets very instantly into your system through your lungs. I have disscussed this with my GP and when I stopped smoking regularly I chucked another 100mg a day of lamotrigine into my diet. I had found that since taking epilsepsy treatment that I started smoking at very regular intervals and when I decided to give it up a patch and a little more lamotrigine actually made it incredibly easy. Again NOBODY SMOKE if you do then you will actually probably decrease "the smack round the face" impact but this has proved an incredibly useful trick for me.