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Clayton, DE
A 34-year-old female asked:

I have a seizure disorder i'm on keppra (levetiracetam) should i have my levels checked regularly?

4 doctor answers6 doctors weighed in
Dr. Oscar Novick
Pediatrics 58 years experience
Yes: It is a smart idea to get your levels checked periodically.
Dr. Tony Ho
Dr. Tony Hoanswered
Infectious Disease 14 years experience
Poor data: There isn't established strong data on what therapeutic levels of Keppra (levetiracetam) should be (compared to, say, dilantin), so levels of Keppra (levetiracetam) are somewhat difficult to interpret.
Dr. Bennett Machanic
Neurology 52 years experience
Not so easy: Levetiracetam levels not readily available, and not clear what constitutes therapy range. Also, these "levels" are merely a guideline, and not an absolute indicator at all. Simply, your doctor will adjust your dosage based on efficacy and tolerance to side effects.
Dr. Joseph Oommen
Neurology 21 years experience
Use of Levels: Ultimately, the level of a medication does not matter. The right level is the level which does not cause side effects and which effectively controls seizures. I periodically check levels in patients. Knowing what level establishes seizure control in your particular case is useful in case seizure control deteriorates in the future.

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Last updated Oct 4, 2015

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