Important Drug FAQ » Common Drug FAQ » Keppra

Keppra

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Q: How long does it take to get used to the side effects of Keppra?

A: Some prescription medications’
side-effects you’ll never get used
to. (It varies, of course–different
meds have different side effects;
and some are worth it, others are
not.)
I’d suggest you educate yourself
a bit by going to Keppra’s web-
site. They’ll tell you what the side
effects are. And then talk to your
neurologist.

Good luck.

Q: Question about seizures in children. Does anyone have children that have had seizures and they now take Keppra?
My daughter is 4 years old. She recently had a seizure. She is currently taking Keppra and seems really out of it and has a hard time walking. She seems kinda week from it and drousy. They did blood work today. Just want to know if anyone else uses this drug and if it works for them. Thanks

A: My daughter used to be on Keppra, but it didn’t work for her (nor did any other drug) and it did make her very “out of it” as you have described. That doesn’t mean it won’t work for your daughter though, and she may get over the dopey feeling in time.

My daughter is now off all medications with the exception of Clonazapam Wafers to stop bouts of seizures and Miralax to help her stool. She is on a diet called Low Glycemic Index Treatment (LGIT). It helps, but we’re going to go futher and put her on the next diet which is similar to the Atkins diet (but more strict about which types of carbs to give her).

I also find that giving her fish oil daily helps and I found one that tastes pretty good (like orange baby aspirin) – it’s called Coromega. Another important part is daily vitamins. My daughter takes a sugar free scooby doo vitamin every day. LOL – actually, we all do!

Q: My 3 year old is on keppra.. Does anyone with kids in this age group have any experience w/this drug?
My son, whom has CP, has had seizures since 18 months old. He was on Trileptal the past year and had seizures the whole time. He was just weaned from the Trileptal to the Keppra and I was just wondering if anyone else has any experience with this drug, if they had seizures or not while on it. Thanks.

A: No, I don’t have any experience with that drug. I just wish you and your family all the good luck, blessing and strength in the world.

Q: Can I concive a child on the medications Keppra and Lamictal (anticonvulsants)?
I have my seizures under control.

A: Please discuss it with your doctor, it is not yahoo question. Both of those medications are not the best for pregnancy, although they are much better than other anti-epileptic drugs. On the other hand if you have a seizure during pregnancy, it can have a devastating effecs on you and your baby. It is a hard question of benefit versus risk that only a doctor who has your whole chart in front of him can decide.

Q: What decongestant can I give my son while he is on Keppra?
Benadryl, or Sudafed?

A: I’m a trained adviser in Epilepsy and if you want advice on what decongestant you can give him go to the link below for nice.org.uk tape in keppra and it will give all the different interactions with anti epileptic medications

If you can’t find the answer there go to nhsdirect who will talk to you online or arrange to call you on a mobile or land line

As someone who is o anti epileptic medications he is entitled to a medical exception from prescription charges. If you have not already got an exemption card you can get an application from you local G.P or ask you pharmacy

They will give you what in medical terms is known as “best advice”!

The 2 links r below:-)

Q: Keppra XR is once daily dosing (on label) so why am I on twice a day?
I’m confused. If extended release is meant for once daily only why did my doctor request 3 pills twice a day? I used to be on the regular Keppra. Am I overdosing?

Thank You!

A: If you are taking the same dosage as the regular Keppra, then you are not overdosing. The XR has the same amount of the drug–it is just formulated differently so that it’s released over a longer period of time.

I’m never quite sure what they mean when they say “extended release” vs “controlled release” vs “sustained release”. I think “extended release” is the same as “sustained release”, i.e., it follows first order kinetics (whereas, “controlled release” follows zero-order kinetics). Basically, the levels in your blood will still fluctuate–just not as fast as they would with the regular formulation. Because of this slower behavior, the drug can be prescribed once/day instead of twice/day.

Why did your doctor prescribe it twice/day? There are two possibilities:
(1) it was a mistake and the doctor meant for you to keep taking the regular Keppra, or (2) since you are at the max dose already, your doctor may feel better breaking it up into twice/day to help keep your blood levels more constant throughout the day. Keppra is not something I prescribe in my field, but I’ve seen the same thing done with Lantus (insulin glargine) dosing in diabetics. It was meant to be a once/day dosing, but some doctors prefer to break it up to twice/day because they think it helps maintains a more constant level throughout the day.

The only way to know for sure is to ask your doctor why he prescribed it that way.

Q: does anyone have a child on keppra? used to treat epilepsy. have u noticed behavioral side effects?
my daughter is 18 mo. old and she was recently diagnosed with epilepsy. they first thought her seizures were febrile and didnt do much until she started having them more often and prolonged. after a normal eeg they still diagnosed her with epilepsy. she has just been prescribed keppra and the doctor mentioned that there may be behavioral side effects. i would like to know of anyones experience with this medication. thank you!

A: 13 posts – Last post: 11 Nov 2007
I was switched to Keppra and it has been a nightmare for me, making me nausous, …. go overboard with medications initially designed to treat epilepsy. … I do have a question to ask and that is does anyone have any muscle twitches? … After the adjustment, I have had no side effects or seizures,

Q: Side effects from taking Keppra for seizures?
My son has had two seizures in the last 6 months and his neurologist put him on seizure meds before having an MRI and EEG done. He has these two tests this week but his DR put him on Keppra before these tests were done. We have noticed increased irritability and clumsiness. The increased anger and sarcasm is concerning and I’m hoping this will go away in time. I wanted to know if anyone else has experienced this with their child? My son is 12 years old.

A: You might want to try asking at one of the following sites:

http://www.epilepsy.com

http://www.epilepsyfoundation.org

There are lots of great resources to reach from at these sites, as almost everyone there either has epilepsy or loves someone who does. Kinda increases the chances of getting your questions answered. Best of luck to you!

Q: How common is hair loss with the drug keppra?

A: It seems to be pretty common. Medication induced hair loss usually beings around 2-3 months after starting the medication. So if the time line fits your hair loss, the medication can be suspected. It is said that keppra depletes b6. B6 is an important hair growth nutrient. Some people using keppra supplement with B6 for this reason.

Q: Has anyone Heard of the Medicine Keppra?
It is for Seizure and i wondering about side affects. Thanks for answering.

A: Keppra® is a medicine that is used with other medicines to treat primary generalized tonic-clonic seizures in adults and children 6 years of age and older with idiopathic generalized epilepsy, myoclonic seizures in patients 12 years of age and older with juvenile myoclonic epilepsy, and partial onset seizures in patients 4 years of age and older with epilepsy.

Keppra® is generally well tolerated but may not be for everyone. Keppra® may cause extreme sleepiness, tiredness, weakness or problems with muscle coordination. You should call your health care provider right away if you experience any of these problems or if you experience mood and behavior changes such as aggression, agitation, anger, anxiety, apathy, mood swings, depression, hostility, and irritability. A few people may get psychotic symptoms such as hallucinations, delusions, and unusual behavior. A few people may get thoughts of suicide. The most common side effects with Keppra in adults are sleepiness, weakness, dizziness, and infection. In children, the most common side effects are sleepiness, accidental injury, hostility, irritability, and weakness.

Q: Is Keppra ever used for bipolar disorder?
I know lots of epilepsy meds are used for bipolar. I know its an epilepsy medicaton but is it ever used in bipolar

A: Here is a link to a discussion by patients who were prescribed Keppra for Bi-polar.

http://www.epilepsy.com/discussion/979094

It is also listed as an off-label use for bipolar here:

http://www.crazymeds.us/keppra.html

I have taken Keppra for several years for seizures acquired as a result of head trauma. For me it has the side effect of moderate depression. I can’t imagine what it would be like to have depression AND bipolar!

Q: Does the medicines Lamictal and Keppra react with each other?

A: To be certain call your pharmacy and ask the pharmacist they will know for certain. They have all the information on their computers.

I do this when I have medication questions.

Q: how long does it take the drug keppra to take affect in your system after the dosage is increased?
once a person is on the drug keppra for seizure disorder , how long does it take to take affect in your system once the dosage is increased

A: ask your neurologist.

Q: should I take keppra with niacin?
I have seizures and I’ve been prescribed to take 500mg of keppra twice a day however I have to take a drug test in the morning and I may just fail. Will the niacin pills affect me in a good or bad way?

A: Buddy you failed! period.

Q: i accidentally took my son’s keppra 250mg and I am 3 months pregnant,?
I called poison control and a pharmacy and they said probably nothing will happen, but I don’t like that word “probably”. I am sooooo scared, it is sunday night and there are no doctors to call. Anyone as stupid as I am out there? Also, I am supposed to give myself lovenox injections for a blood disorder, and don’t know if I should now since I took that stupid keppra. Oh how do I wish there was a doctor or pharmacist reading this.

A: Contact your local hospital and speak with the on-call doctor there. They will be able to tell you if you need to come in so they can check you out or if there is something at home you can do.

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