Myoclonic epilepsy can be difficult to treat. If it is associated with generalized tonic clonic seizures (grand mal) such as in juvenile myoclonic epilepsy, the medications or combination of meds have to have coverage against these seizures as well as the myoclonic ones. Keppra has been reported to be helpful with myocl and is very safe with regards to side effects. No level needs to be drawn and it doesn;t affect the liver like many other ones. But it should be used in conjunction with a med like lamotrigine to cover gen seizures. Good luck.