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Roweepra XR

Generic Name: levetiracetam (LEE ve tye RA se tam)
Brand Name: Keppra, Keppra XR, Roweepra, Roweepra XR, Spritam

Medically reviewed by on Feb 4, 2021. Written by Cerner Multum.

What is Roweepra XR?

Roweepra XR is used to treat certain types of seizures in people with epilepsy.

Roweepra XR is for use in treating partial onset seizures in adults and children.

  • Extended-release (XR) Roweepra XR is not for use in people younger than 12 years old.

  • Spritam is for use in children as young as 4 years old who weigh at least 44 pounds (20 kilograms).

  • Roweepra and Keppra may be used in children as young as 1 month old.

Roweepra XR is also used with other seizure medications to treat tonic-clonic seizures in people who are at least 6 years old, and myoclonic seizures in people who are at least 12 years old.

Roweepra XR may also be used for purposes not listed in this medication guide.


Some people have thoughts about suicide while taking Roweepra XR. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor.

Do not stop using Roweepra XR suddenly. Stopping suddenly may cause increased seizures.

Before taking this medicine

You should not use Roweepra XR if you are allergic to it.

Tell your doctor if you have ever had:

  • kidney disease (or if you are on dialysis);

  • depression or other mood problems;

  • mental illness or psychosis; or

  • suicidal thoughts or actions.

Some people have thoughts about suicide while taking Roweepra XR. Your doctor will need to check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.

Follow your doctor's instructions about taking seizure medication if you are pregnant. Seizure control is very important during pregnancy, and having a seizure could harm both mother and baby. Your dose needs may be different during pregnancy. Do not start or stop taking Roweepra XR without your doctor's advice, and tell your doctor right away if you become pregnant.

If you are pregnant, your name may be listed on a pregnancy registry to track the effects of levetiracetam on the baby.

It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk.

Do not give this medicine to a child without medical advice. Different brands of this medicine are for use only in children of certain ages.

How should I take Roweepra XR?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

Take the medicine at the same time each day, with or without food.

Your dose needs may change if you switch to a different brand, strength, or form of this medicine. A child's dose needs may change if the child gains or loses weight. Avoid medication errors by using only the brand, form, and strength your doctor prescribes.

Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

Swallow the extended-release tablet whole and do not crush, chew, or break it.

To take the Spritam dissolvable tablet:

  • Remove a tablet from the package only when you are ready to take the medicine. Use dry hands to remove the tablet.

  • Do not swallow the tablet whole. Place it on your tongue and allow it to dissolve.

  • You may take a sip of liquid and let the tablet dissolve in your mouth with the liquid.

  • You may also dissolve the tablet in a cup with about 1 tablespoon of liquid. Swallow the liquid once the tablet has completely dissolved (in about 30 seconds). Add more water to the cup, swirl gently and drink right away.

Use all seizure medications as directed and read all medication guides you receive. Do not change your dose or dosing schedule without your doctor's advice.

You should not stop using Roweepra XR suddenly, unless your doctor tells you to stop the medicine because of a serious side effect. Stopping suddenly may cause increased seizures. Follow your doctor's instructions very carefully.

In case of emergency, wear or carry medical identification to let others know you use seizure medication.

Your kidney function may need to be tested often.

Store at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

Get your prescription refilled before you run out of medicine completely.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include extreme drowsiness, agitation, aggression, shallow breathing, weakness, or fainting.

What should I avoid while taking Roweepra XR?

Avoid driving or hazardous activity until you know how Roweepra XR will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.

Roweepra XR side effects

Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, depression, anxiety, panic attacks, trouble sleeping, or if you feel agitated, hostile, irritable, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have:

  • unusual changes in mood or behavior (unusual risk-taking behavior, being irritable or talkative);

  • confusion, hallucinations, loss of balance or coordination;

  • extreme drowsiness, feeling very weak or tired;

  • problems with walking or movement;

  • a skin rash, no matter how mild;

  • easy bruising, unusual bleeding; or

  • fever, chills, weakness, or other signs of infection.

Common side effects may include:

  • dizziness, drowsiness, tiredness;

  • weakness;

  • feeling aggressive or irritable;

  • loss of appetite;

  • stuffy nose; or

  • infection.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Roweepra XR?

Other drugs may affect Roweepra XR, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.