No More Seizures.org

Generic Name: Extended Release Levetiracetam (lev-eh-turr-RASS-ih-tam)

Used to Treat: epilepsy

Seizure Type: Generalized seizures (all types)

Forms of the medicine:
pill

Dosing:
1000 mg - 3000 mg

General Info:
What is Keppra XR?

Keppra XR (KEPP-rah XR) is a specially formulated drug of the generic medication levetiracetam.  Levetiracetam is used in the treatment of various seizures such as partial-onset, myoclonic, or generalized tonic-clonic seizures.  XR stands for “extended release,” which means slow release and slow absorption of medicine after someone swallows it.  This feature allows patients to take the medicine less frequently, usually once a day.  Keppra XR is usually used in combination with other medications.  Keppra XR is manufactured in the form of tablets.

How do I take Keppra XR?

Since Keppra XR tablets are specially coated for slow absorption, it should be swallowed whole.  Do not chew, break, or crush tablets.  Keppra XR is usually taken once a day.  It may or may not be taken with food.  However, try to take Keppra XR at the same time and manner every day. 

Take this medication exactly as it is prescribed for you.  Do not take the medication in larger amounts or longer than recommended by your doctor.  Do not change your dosage without your doctor's advice.  Tell your doctor if the medication does not seem to work in treating your condition.

What if I miss a dose?

Take the missed dose as soon as possible. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take an extra dose, unless prescribed by your doctor.

What if I experience side effects?

Various side effects may occur in taking this medicine. Most side effects are not serious and may disappear naturally.  Call your doctor if you have any questions concerning your possible side effects. However, do not stop taking your medication without advice from your doctor. They will discuss and recommend possible options for you.  At times it is necessary to continue taking your medication despite these side effects.

There are other side effects that may be serious and indicate that your body is not tolerating the drug properly. Call a doctor right away if these side effects become severe or cause considerable problems in your daily functions.  If you experience a change in seizures, severe rash, or allergic reaction contact your doctor immediately as these may indicate potentially life threatening problems.

Contact your doctor immediately if you experience any signs of these serious side effects:

• Depression
• Hallucination
• Thoughts about suicide or dying
• New or worse irritability
• Changes in seizure activity
• Acting aggressive, being angry, or violent
• Double vision
• Signs of infection (fever, sore throat)
• Allergic reactions (rash, swelling of the face, difficulty breathing, etc)

Storage

Keep this medication in its original container, tightly closed, and out of reach of children. Store your prescription at room temperature, away from excess heat and moisture (i.e. not the bathroom).  Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

Recommendation for women

Safety in pregnancy has not been established. Women who are taking this medication and who wish to become pregnant should discuss treatment options with their physicians before the pregnancy begins.  If you are breast feeding, discuss with your doctor before you take this medication. 

Other helpful information

Keppra XR may cause drowsiness or dizziness.  These effects may be worse if you take it with alcohol or certain medicines.  Do not drive or perform other possibly unsafe tasks until you know how you react to it.  Do not suddenly stop taking Keppra XR or your other seizure medicines as you may have an increased risk of side effects.  If you need to stop Keppra XR or add a new medicine, 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.  Before taking Keppra XR, tell your doctor about all of your medical conditions, especially if you

• have or have had depression, mood problems or suicidal thoughts
• have kidney problems
• are pregnant or planning to become pregnant
• are breast feeding

Side Effects