Generic Name: levetiracetam (LEE-ve-tye-RA-se-tam)
Brand Name: Keppra

Keppra is used for:

Treating partial-onset, myoclonic, or generalized tonic-clonic seizures in patients with epilepsy. It is used in combination with other medicines. It may also be used for other conditions as determined by your doctor.

Keppra is an anticonvulsant. Exactly how it works is not known, but it may work by slowing abnormal nerve impulses in the brain.

Do NOT use Keppra if:

  • you are allergic to any ingredient in Keppra

Contact your doctor or health care provider right away if any of these apply to you.

Slideshow: Flashback: FDA Drug Approvals 2013

Before using Keppra:

Some medical conditions may interact with Keppra. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have kidney problems or you are on dialysis
  • if you have a history of mental or mood problems (eg, depression), or suicidal thoughts or actions

Some MEDICINES MAY INTERACT with Keppra. However, no specific interactions with Keppra are known at this time.

Ask your health care provider if Keppra may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Keppra:

Use Keppra as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Keppra is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using Keppra at home, a health care provider will teach you how to use it. Be sure you understand how to use Keppra. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
  • Do not use Keppra if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
  • If you miss a dose of Keppra, contact your doctor right away.

Ask your health care provider any questions you may have about how to use Keppra.

Important safety information:

  • Keppra may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Keppra with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Do not suddenly stop taking Keppra or your other seizure medicines. You may have an increased risk of side effects (eg, seizures). If you need to stop Keppra, your doctor will gradually lower your dose.
  • Contact your health care provider if your seizures become worse or if you have a new type of seizure.
  • Patients who take Keppra may be at increased risk for suicidal thoughts or actions. The risk may be greater in patients who have had suicidal thoughts or actions in the past. Watch patients who take Keppra closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual changes in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.
  • Serious rashes have been reported with the use of Keppra. Most of the serious rashes that have occurred with the use of Keppra developed within the first 14 to 17 days after starting treatment. However, rashes have also been reported to occur at least 4 months after starting treatment. Contact your doctor at once if you develop rash symptoms, including red, swollen, blistered, or peeling skin. Treatment with Keppra should be stopped if rash occurs, unless it is clearly determined that the medicine did not cause the rash. Talk with your doctor for more information.
  • Lab tests, including kidney function, may be performed while you use Keppra. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use Keppra with caution in the ELDERLY; they may be more sensitive to its effects.
  • Keppra should be used with extreme caution in CHILDREN younger than 16 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Keppra while you are pregnant. Keppra is found in breast milk. Do not breast-feed while taking Keppra.

Possible side effects of Keppra:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; drowsiness; irritability; sore throat; tiredness; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); abnormal thoughts; dark urine; decreased coordination; extreme dizziness, drowsiness, tiredness, or weakness; fever, chills, or persistent sore throat; hallucinations; memory loss; muscle or neck pain; new or worsening mental, mood, or behavior changes (eg, aggression, agitation, anger, anxiety, apathy, depression, hostility, irritability, panic attacks, restlessness); new or worsening seizures; pain, itching, or redness at the injection site; red, swollen, blistered, or peeling skin; suicidal thoughts or attempts; unusual bruising or bleeding; vision changes; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include aggression; agitation; difficult or slow breathing; loss of consciousness; severe drowsiness.

Proper storage of Keppra:

Store Keppra at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Keppra out of the reach of children and away from pets.

General information:

  • If you have any questions about Keppra, please talk with your doctor, pharmacist, or other health care provider.
  • Keppra is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take Keppra or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Keppra. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Keppra. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Keppra.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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