Keppra Oral

Uses
This medication is used in combination with other medications to treat seizure disorders (epilepsy). Levetiracetam has been shown to decrease the number of seizures in adults and children with a certain type of seizure (partial onset). It is not known how it works to prevent seizures.

How to use Keppra Oral
Read the Patient Information Leaflet provided by your pharmacist before you use this medication and each time you get a refill. If you have questions, consult your doctor or pharmacist.
Take this medication by mouth with or without food, usually twice daily or as directed by your doctor. Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same times each day, about 12 hours apart. Your doctor may slowly increase the dose to lessen the chance of side effects, especially dizziness and drowsiness. If you are using the liquid form of this medication, carefully measure your dose using a special measuring spoon or device. Do not use a household spoon because you may not get the correct dose.
Dosage is based on your condition and response to therapy. The dosage in children is also based on weight. Do not take this drug more often or increase your dose without consulting your doctor. Do not stop taking this drug suddenly without your doctor's approval since seizures may return or worsen.
If this medication does not control your seizures or your seizures change or become worse, notify your doctor.

Before using this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: blood disorders (e.g., anemia), kidney disease (including dialysis treatment), mental/mood disorders (e.g., depression).
This drug may make you dizzy or drowsy, especially during the first month of treatment. Use caution engaging in activities requiring alertness such as driving, riding a bicycle, or using machinery. Limit alcoholic beverages.
Kidney function declines as you grow older. This medication is removed by the kidneys. Therefore, elderly people may be at a greater risk for side effects such as dizziness while using this drug.
Caution is advised when using this drug in children because they may be more sensitive to the effects of the drug, especially mental/mood changes (e.g., irritability, aggression, agitation, anger, anxiety, depression, hostility, thoughts of suicide).
This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.
This drug passes into breast milk. Because of the possible harm to a nursing infant, breast-feeding while using this drug is not recommended.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include slow/shallow breathing, loss of consciousness.

NOTES:
Do not share this medication with others.
Laboratory and/or medical tests (e.g., complete blood count) may be performed to monitor your progress and check for side effects.

MISSED DOSE:
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

STORAGE:
Store at room temperature at 77 degrees F (25 C) away from light and moisture. Brief storage between 59-86 degrees F (15-30 degrees C) is permitted. Keep all medicines away from children and pets.
Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

MEDICAL ALERT:
Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA) or 1-800-668-1507 (Canada).

Drowsiness, dizziness, weakness, tiredness, constipation, and loss of coordination (e.g., difficulty walking and controlling muscles) may occur. These side effects are more common during the first 4 weeks and usually lessen as your body adjusts to the medication. If any of these effects persist or worsen, notify your doctor.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor immediately if any of these unlikely but serious side effects occur: hair loss, neck pain, mental/mood changes, vision changes (e.g., double vision).
This medication rarely may cause mood or behavior changes, such as anxiety, agitation, hostility, pressured/rapid speech, or thoughts of suicide. Tell your doctor immediately if you develop unusual (possibly sudden) mood changes.
Tell your doctor immediately if any of these rare but very serious side effects occur: unusual weakness, easy bleeding/bruising, signs of infection (e.g., fever, persistent sore throat).
A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching, swelling, severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.
Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use.
Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, risperidone, amitriptyline, trazodone).
Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain drowsiness-causing ingredients. Ask your pharmacist about the safe use of those products.
This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.