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solution for infusion

Should your doctor decide to stop your Kevesy treatment, he/she will instruct
you about the gradual withdrawal of Kevesy.
• There is no experience with administration of intravenous levetiracetam for a
longer period than 4 days.

Package leaflet: information for the user

If you stop using Kevesy
If stopping treatment, as with other antiepileptic medicines, Kevesy should be
discontinued gradually to avoid an increase of seizures.

Kevesy 5 mg/ml solution for infusion
Kevesy 10 mg/ml solution for infusion
Kevesy 15 mg/ml solution for infusion

If you have any further questions on the use of this medicine, ask your doctor,
pharmacist or nurse.

Read all of this leaflet carefully before you start using this medicine
because it contains important information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor, pharmacist or nurse.
• If you get any side effects, talk to your doctor, pharmacist or nurse.
This includes any possible side effects not listed in this leaflet. See section 4.
What is in this leaflet:
1. What Kevesy is and what it is used for
2. What you need to know before you are given Kevesy
3. How to use Kevesy
4. Possible side effects
5. How to store Kevesy
6. Contents of the pack and other information


Kevesy is an antiepileptic medicine (a medicine used to treat seizures in
Kevesy is used:
• on its own in patients from 16 years of age with newly diagnosed epilepsy,
to treat partial onset seizures with or without secondary generalization
• as an add-on to other antiepileptic medicines to treat:
- partial onset seizures with or without generalisation in patients from 4 years
of age
- myoclonic seizures in patients from 12 years of age with juvenile myoclonic
- primary generalised tonic-clonic seizures in patients from 12 years of age
with idiopathic generalised epilepsy
Kevesy is an alternative for patients when administration of antiepileptic oral
medicine is temporarily not feasible.


Kevesy must not be used
• if you are allergic to levetiracetam or any of the other ingredients of this
medicine (listed in section 6)
Warnings and precautions
Talk to your doctor or nurse before you are given Kevesy
• if you suffer from kidney problems, follow your doctor’s instructions.
He/she may decide if your dose should be adjusted.
• if you notice any slow down in the growth or unexpected puberty development
of your child, please contact your doctor.
• if you notice an increase in seizure severity (for example increased number),
please contact your doctor.
• A small number of people being treated with anti-epileptics such as Kevesy
have had thoughts of harming or killing themselves. If you have any symptoms
of depression and/or suicidal ideation, please contact your doctor.
Other medicines and Kevesy
Tell your doctor if you are taking, have recently taken or might take any other
Kevesy with food, drink and alchohol
Kevesy may be used with or without food. As a safety precaution, do not use
Kevesy with alcohol.
Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning
to have a baby, ask your doctor for advice before you are given this medicine.
Kevesy should not be used during pregnancy unless clearly necessary. A risk of
birth defects for your unborn child cannot be completely excluded. Kevesy has
shown unwanted reproductive effects in animal studies at dose levels higher
than you would need to control your seizures.
Breast-feeding is not recommended during treatment.
Driving and using machines
Kevesy may impair your ability to drive or operate any tools or machinery, as
Kevesy may make you feel sleepy. This is more likely at the beginning of
treatment or after an increase in the dose. You should not drive or use machines
until it is established that your ability to perform such activities is not affected.
Kevesy contains sodium
Kevesy 5 mg/ml contains 3.50 mg sodium per ml.
Kevesy 10 mg/ml contains 3.23 mg sodium per ml.
Kevesy 15 mg/ml contains 2.40 mg sodium per ml.



Like all medicines this medicine can cause side effects, although not everybody
gets them.
Some of the side effects like sleepiness, tiredness and dizziness may be more
common at the beginning of the treatment or at dose increase. These effects
should however decrease over time.
Very common side effects (may affect more than 1 in 10 people):
• nasopharyngitis (nose and throat inflammation);
• somnolence (sleepiness), headache.
Common side effects (may affect up to 1 in 10 people):
• anorexia (loss of appetite);
• depression, hostility or aggression, anxiety, insomnia, nervousness or
• convulsion, balance disorder (equilibrium disorder), dizziness (sensation of
unsteadiness), lethargy (lack of energy), tremor (involuntary trembling);
• vertigo (sensation of rotation);
• cough;
• abdominal pain, diarrhoea, dyspepsia (indigestion), vomiting, nausea;
• rash;
• asthenia/fatigue (tiredness).
Uncommon side effects (may affect up to 1 in 100 people):
• decreased number of blood platelets, decreased number of white blood cells;
• weight decrease, weight increase;
• suicide attempt and suicidal ideation, mental disorder, abnormal behaviour,
hallucination, anger, confusion, panic attack, emotional instability/mood
swings, agitation;
• amnesia (loss of memory), memory impairment (forgetfulness), abnormal
coordination/ataxia (impaired coordinated movements), paraesthesia
(tingling), disturbance in attention (loss of concentration);
• diplopia (double vision), vision blurred;
• liver function test abnormal;
• hair loss, eczema, pruritus;
• muscle weakness, myalgia (muscle pain);
• injury.
Rare side effects (may affect up to 1 in 1,000 people):
• infection;
• decreased number of all blood cell types;
• severe hypersensitivity reactions (DRESS);
• decreased blood sodium concentration;
• suicide, personality disorders (behavioural problems), thinking abnormal (slow
thinking, unable to concentrate);
• uncontrollable muscle spasms affecting the head, torso and limbs, difficulty in
controlling movements, hyperkinesia (hyperactivity);
• pancreatitis (pancreas inflammation);
• hepatic failure , hepatitis;
• skin rash, which may form blisters and looks like small targets (central dark
spots surrounded by a paler area, with a dark ring around the edge) (erythema
multiforme), a widespread rash with blisters and peeling skin, particularly
around the mouth, nose, eyes and genitals (Stevens-Johnson syndrome), and
a more severe form causing skin peeling in more than 30% of the body surface
(toxic epidermal necrolysis)
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This
includes any possible side effects not listed in this leaflet. You can also report
side effects directly via Yellow Card Scheme
By reporting side effects you can help provide more information on the safety of
this medicine.


Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the overwrap,
bag and carton after EXP:.
The expiry date refers to the last day of that month.
This medicinal product does not require any special storage conditions.
This medicinal product is for single use only, any unused solution should be
Medicinal product with particulate matter or discoloration should not be used.

To be taken into consideration by patients on a controlled sodium diet.

Do not throw away any medicine via wastewater or household waste. Ask your
pharmacist how to throw away medicines you no longer use. These measures
will help protect the environment.





Kevesy is administered by a doctor or nurse as an intravenous infusion, in one
of your veins.

What Kevesy contains
The active substance is levetiracetam.

Kevesy must be administered twice a day, once in the morning and once in the
evening, at about the same time each day.

■ Each ml contains 5 mg of levetiracetam.

The intravenous formulation is an alternative to oral administration (as
film-coated tablets or oral solution). Your doctor may decide to switch from the
film-coated tablets or from the oral solution to the intravenous formulation or
reverse directly without dose adaptation. Your total daily dose and frequency of
administration remain identical.

■ Each ml contains 10 mg of levetiracetam.

• Dose in adults and adolescents (from 16 years of age):
Recommended dose: between 1000 mg and 3000 mg each day.
When you will first start taking Kevesy, your doctor will prescribe you a lower
dose during 2 weeks before giving you the lowest general dose.

The other ingredients are: sodium acetate trihydrate, glacial acetic acid, sodium
chloride, water for injections.

Add-on therapy
• Dose in adults and adolescents (12 to 17 years) weighing 50 kg or more:
General dose: between 1000 mg and 3000 mg each day.
• Dose in children (4 to 11 years) and adolescents (12 to 17 years) weighing less
than 50 kg:
General dose: between 20 mg per kg bodyweight and 60 mg per kg bodyweight
each day.
Method and route of administration:
Kevesy is for intravenous use. The solution for infusion should be administered
over 15-minutes.
Duration of treatment:
• Kevesy is used as a chronic treatment. You should continue Kevesy treatment
for as long as your doctor has told you.
• Do not stop your treatment without your doctor’s advice as this could increase
your seizures.

Each 100 ml bag contains 500 mg of levetiracetam.
Each 100 ml bag contains 1000 mg of levetiracetam.

■ Each ml contains 15 mg of levetiracetam.

Each 100 ml bag contains 1500 mg of levetiracetam.

What Kevesy looks like and contents of the pack
Kevesy is a clear, colourless to light yellow solution for infusion that is available
in a single-use, ready-to-use 100 ml dual port bag with an aluminum over wrap.
It is available in three different concentrations in cartons of 10 bags
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder
Castle Court
41 London Road
Phone: +44 (0)870 351 87 44
Facta Farmaceutici S.A
Nucleo Industriale S. atto (loc. S. Nicolo’ A Tordino)
64020 Teramo (TE), Italy
This leaflet was last revised in 10/2015.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.