Keppra (Levetiracetam)
Class and Category of Drug
Before you buy Keppra (Levetiracetam) online, read common information about the medication.
Chemical: Pyrrolidine derivative
Therapeutic: Anticonvulsant
Pregnancy category: C
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Drug Indications and Dosages
Before purchase Keppra (Levetiracetam) online , you must read how it works.
As adjunct to treat partial seizures
Oral Solution,Tablets
Adults and adolescents over age 16. Initial: 500 mg b.i.d., increased by 1,000 mg daily every 2 wk if needed. Maximum: 3,000 mg daily.
Children ages 4 to 16. Initial: 10 mg/kg b.i.d., increased by 20 mg/kg daily every 2 wk until recommended daily dose of 60 mg/kg is reached.
XR Tablets
Adults and adolescents over age 16. 1,000 mg once daily, increased by 1,000 mg daily every 2 wk until recommended daily dose of 3,000 mg is reached.
Intravenous Infusion
Adults and adolescents over age 16. Initial: 500 mg infused over 15 minutes b.i.d., increased by 1,000 mg daily every 2 wk, if needed. Maximum: 3,000 mg daily.
As adjunct to treat myoclonic seizures in patients with juvenile myoclonic epilepsy
Oral Solution,Tablets
Adults and children age 12 and over. Initial: 500 mg b.i.d., increased by 1,000 mg daily every 2 wk, if needed. Maximum: 3,000 mg daily.
As adjunct to treat primary generalized tonic-clonic seizures in patients with idiopathic generalized epilepsy
Oral Solution,Tablets
Adults and children age 6 and over. Initial: 500 mg b.i.d., increased by 1,000 mg daily every 2 wk, as needed. Maximum: 3,000 mg daily.
Dosage Adjustment
Maximum dosage reduced to 2,000 mg daily for patients with creatinine clearance of 50 to 80 ml/min/ 1.73 m2; to 1,500 mg daily for clearance of 30 to 49 ml/min/1.73 m2; and to 1,000 mg daily for clearance less than 30 ml/min/ 1.73 m2. For patients with end-stage renal disease who are having dialysis, expect to give another 250 to 500 mg, as prescribed, after each dialysis session. For children who can't tolerate 60 mg/kg daily, dosage reduced to point of tolerance.
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Contraindications of Drug
Read contraindications if you want cheap Keppra (Levetiracetam) online.
Hypersensitivity to levetiracetam or its components
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Drugs Adverse Reactions
Central Nervous System: Abnormal gait, aggression, agitation, anger, anxiety, apathy, asthenia, ataxia, behavioral difficulties (children), confusion, coordination difficulties, depersonalization, depression, dizziness, emotional lability, fatigue, hallucinations, headache, hostility, increased reflexes, insomnia, irritability, mental or mood changes, nervousness, neurosis, paresthesia, personality disorder, psychosis, seizures, somnolence, suicidal ideation, vertigo
Eyes, Ears, Nose, And Throat: Amblyopia, conjunctivitis, diplopia, ear pain, nasopharyngitis, pharyngitis, rhinitis, sinusitis
Gastrointestinal: Anorexia, constipation, diarrhea, elevated liver enzyme levels, gastroenteritis, hepatic failure, hepatitis, pancreatitis, vomiting
Genitourinary: Albuminuria
Hematologic: Decreased hemtatocrit, hemoglobin, and total mean RBC count; leukopenia; neutropenia; pancytopenia; thrombocytopenia
Musculoskeletal: Neck pain
Respiratory: Asthma, cough
Skin: Alopecia, ecchymosis, pruritus, skin discoloration, vesiculobullous rash
Other: Dehydration, facial edema, infection, influenza, weight loss
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Nursing Considerations for Generic Drugs
• Children weighing 20 kg or less should be given only the oral solution form.
• For intravenous use, dilute parenteral levetiracetam in 100 ml of compatible diluent, such as normal saline injection, lactated Ringer's injection, or dextrose 5% injection. Use within 24 hours.
• Assess compliance during first 4 weeks of therapy, when adverse reactions are most common.
• Monitor patient for seizure activity during therapy. As appropriate, implement seizure precautions according to facility policy.
• Stopping drug may increase seizure activity. Expect to taper dosage gradually.
• Certain adverse effects, including somnolence, fatigue, coordination problems, and abnormal behaviors may be more likely in patieints taking levetiracetam for partial seizure disorders.
• Monitor patient closely for evidence of suicidal thinking or behavior, especially when therapy starts or dosage changes.
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Preparations
International Brand Drug Names
The information about drugs (tablets, pills, capsules, creams, solution, nasal spray, inhaler) around the world.
Proprietary Preparations
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