A 24 year old woman with history of migraines, anxiety, depression, and structural epilepsy presents with a typical seizure episode. Her home medications consist of leviteracetam 1000 mg twice daily, propranolol 20 mg twice daily, amitriptyline 25 mg nightly, bupropion 300 mg daily, and escitalopram 20 mg daily. She has not added any new medications in the last month but she did adjust the doses of all medications in the last 6 months. Which medication is likely to lower her seizure threshold?

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