Doctor insights on:
Keppra Weaning Protocol
Talk to neurologist: Assuming you are taking Keppra (levetiracetam) for seizures, you should only stop this medication with the support of your neurologist. He or she should be able to give you specific instructions. ...Read more
What is the protocol for weaning off keppra (levetiracetam) 500mg bid for someone who never had a seizure, and was put on it following a head injury after a fall.?
Situational: It depends on why exactly you were put on the medicine and how you have been tolerating therapy. Each patient is different - some people may tolerate stopping Keppra (levetiracetam) cold turkey, others may need a dose of 250mg bid before complete cessation. ...Read more
Need instructions on how to correctly wean off Keppra (levetiracetam). Have only been on it since 7/4/2014. 500mg in am, and 500mg in pm. Having HORRIBLE side effects?
With permission of your neurologist, a typical plan is to change the dose to 250 mg twice a day for 1 week, then 250 mg once a day for one week, then stop.
If you use the medicine to prevent seizures, you may need something in its place. ...Read more
Keppra (levetiracetam) weaned down?: So you're taking keppra (levetiracetam) and you want to stop taking it. Have you discussed this with the doctor who is prescribing the keppra (levetiracetam)? Have you asked your doctor the post question? Please repost and state your doctor's answers to your questions; or, if you haven't asked your doctor, please state why not. ...Read more
With Your Doctor: Weaning off of Keppra (levetiracetam) will depend on the dosage and length of time on the medication. It would be tapered down, much the same as it is generally started. Because of complications, it should only be done under your doctor's supervision. It is not something to try on your own at home. ...Read more
My son is 13 & weaning off Keppra, (levetiracetam) no new meds. We are on second step down 1ml3xday. What withdrawal symptoms could he be having? He is not happy.
Should be: Too rapid withdrawal without tapering, could cause sudden seizure activity. Avoid this by working closely with your doctor. ...Read more
I had one seizure which is how we found out I had a benign meningioma. Been on keppra (levetiracetam) for 1 yr. What is recommended schedule to wean off?
Tough answer.: There are many factors for you and your neurologist to consider before discussing a medication taper. First, if the meningioma is still there, you'll continue to be at risk for seizures. If the meningioma was removed, repeat eeg's would also need to be performed to look at your potential risk for future seizures. After that, your neurologist may consider tapering you off. ...Read more
Seizure free almost 3 years, monotherapy keppra (levetiracetam) 1000mg tid. Want to wean off meds to have kids. Am I considered stable, is weaning an option?
Not so fast!:
Prior to you tapering off meds, you will need an exam by neurologist, an updated EEG, and maybe some blood tests. If all is normal, no guarantee of full success, but odds are with you. Keppra (levetiracetam) seems safe during pregnancy, but not fully clear re fetal abnormalities. However, a seizure could cause a miscarriage. Discuss with your neurologist, pediatrician, and obstetrician.
Hope all works out. ...Read more
Simple partial seizure, 26 mos since last episode, on Keppra (levetiracetam) 250mg once a day for 26 months. What's recommended weaning schedule?
Take your time: It may or may not be safe to stop your medication at this point. I usually wait at least 3 yrs, and if totally seizure free over this time, I check an EEG, and repeat neurological exam. If all is well, would wean over about 3-4 months. But, you are taking exceptionally low dose of Keppra, (levetiracetam) which is likely sub therapeutic. Work closely with your neurologist. ...Read more
My doctor put me on 300 of dilatin. 50 lomitrigan...500 of keppra (levetiracetam) in the er...i was told I would be weaned off dilatin. Can I stop taking it?
Do not stop taking any medication until you have discussed the dosage specifically with your physician.
Rapid reduction in serum levels can lead to seizures. ...Read more
On keppra (levetiracetam) for 8 months now- 8 mg 2x day. Due to a fall, had 3 grand mal seizures 4-5 months after fall. Can I wean off keppra (levetiracetam)? Experiment getting off?
No, no, no: Do you wish more seizures? Do not stop, do not experiment, do not drive, do not do activities at heights, do not use power equipment. Do see your neurologist and make sure your dosing is appropriate for your problem, as I doubt your Keppra (levetiracetam) amounts are correct if you indeed are taking 8 mg twice daily. ...Read more
How easy to taper off or wean off 100 mg Zoloft (sertraline) /day after 6 weeks of usage? What protocol to use?
Taper off slowly: My best advice for you is to check with your doctor because he or she knows your condition. Best. But you should be able to taper your med to 50 mg a day for 2 weeks, then take every other day for 2 more weeks to see if you are ready to get off med. Since there is no dependency with zoloft (sertraline). Again chectk with your doctor. ...Read more
Yes: These drugs do not formally interact with each other. ...Read more
Effective: Lepta is one of the newer generation of anti seizure medications. It can be very effective and is often thought of as a first line treatment. ...Read more
Not right med/dose: Answers include Keppra (levetiracetam) not being the right medication for your sons seizures or he may need an adjustment in dose. There are many other anti seizure medications available. Speak to his prescriber about adjusting his dose or alternative medications. ...Read more
Generally yes: As always, be aware for side effects, increased suicidal thoughts, fatigue, etc. ...Read more
Keppra (levetiracetam): Talk to your doctor about alternatives.Get a more detailed answer ›
Who knows: I am amazed the amount money people spend on these products, , the seller who benefits most, always will advertise with a buzz word ' tons of scientific evidence', I yet to have read one paper written by scientists not by quacks in a peer journal, take what ever you like it is your life, no real licensed md of any country will rx them, fda warned untoward effects on some of these products. ...Read more
Is it better to take aderoll XR or the short kind while on keppra (levetiracetam) 1000mg XR for seizures?
Good question: There is probably a subtly increased risk of seizure due to your Adderall use, and hopefully your Keppra (levetiracetam) dose is sufficient to control it. Talk to your neurologist, but my inclination is to recommend you take the xr version because the short kind will cause higher peak concentrations of adderall, and more variation in drug levels, and that seems more destabilizing from a seizure standpoint. ...Read more
I am off of keppra (levetiracetam) but the rash continues. How long should it take for the itching and rash to stop?
I was wondering if taking a 750mg epilepsy (keppra) pill (or half of it) would be dangerous to do if I don't have it?
Probably not.: Let's assume you are taking it for seizures. The standard form of Keppra (levetiracetam) is taken twice a day. Doses vary, but the proper dose is the one that controls seizures without causing side effects. That dose is usually between 500 to 3000 mg per day. In general, these doses are well tolerated. ...Read more
I have been on keppra (levetiracetam) almost a year. I had 1 seizure last September. Will I need to stay on it? I take 2000 mg a day.
That is a: Discussion between you and your neurologist who knows you and all of your information. Would it even be worth, for the sale of argent, going off it and risking a seizure and losing your independence by not being able to drive?? I'm sure most states have seizure free no drive limits!! ...Read more
I take 2000 m of Keppra (levetiracetam) but had an episode. It was like I wanted to take a step but couldn't. Could that be a seizure?
Possible, BUT: I think your neurologist should consider this in context of your prior seizures. ...Read more
My daughter takes Keppra medicine and I forgot it and I want get it until 9 in the morning she will miss her 8:00 pm dose will she be ok.
Should be fine: Keppra has a "half life" of about 18 hours, meaning that at that time, she is down to about half of the blood level. For most people with seizures, missing a single dose means the blood level is much lower than normal, but not completely out of her system by the time she gets her next dose. Some people are very sensitive to this, and can have seizures with missing just one dose but that is rare ...Read more
Is generic keppra (levetiracetam) the same as the regular, my husband is on brand and it is very expensive doctor prefers him to not take generic?
Generic Keppra (levetiracetam):
Dose should be split (twice a day dosing) to improve 24 hour coverage even if its the once a day generic keppra (levetiracetam).
I usually also give 10 to 25 mg of Vit B6 daily to avoid / minimize side effects ("Keppratude") Be careful not to take too much B6 as it has a potential toxicity state.
www. Healthtap. Com/drericweisman ...Read more
My daughter is taking 1250 mg keppra (levetiracetam) 2 times per day, her mood is always very bad also she has headaches. Please advise about the headache?
Keppra (levetiracetam): Without knowing anymore details than you have given, I would discuss this with your neurologist. This can all e a side effect of the Keppra (levetiracetam) ad may improve over time, but may not. ...Read more
Hi Had an HIV risk and tested negative after 12 weeks though ive been taking Keppra (levetiracetam) for 2 years. Will it interfere in the test resulting in false nega?
No: Screening tests, are good negative tests, wouldn't be affected by keppra, (levetiracetam) they usually test for the antibodies for hiv 1 and hiv 2, and what's called the p24 antigen, part of the virus itself, false positives on the other hand would warrant confirmatory tests, wish you wellness, take care ...Read more