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I am sorry you are going through this with your beloved dog.
It can take time to find the right dose to control break-through seizures. (It took 18 months for my cat.) Has your dog had an MRI to check for brain tumors or abnormalities? In most cases seizures are idiopathic, meaning they don't know why it happens, it's just the way the animal is wired. But an MRI can rule out things, at least.
Frequent blood work is important to check the phenobarbital levels, while slowing upping the dose.
There is another anti seizure called potassium bromide that can be used instead of, or in conjunction with, phenobarbital.
Most vets will say that if he is having break-through activity only once or twice a month, while on the medication, that may be about as controlled as it can get.
Yes the episodes are very distressing to observe in your beloved pet. And it takes a lot out of them. But if he is only having one or two a month, after all treatments have been explored and tried, his quality of life is most likely very good in spite of the occasional break-through.
If you haven't already, you might ask your vet for a referral to a veterinary neurological specialist.
Welcome to pet lovers, and please let us know how your dog is doing. Is his name Tiger?
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