Keppra 500mg
₨ 6,500
Brand Name: UCB Pharma
Chemical Name: Levetiracetam
Dosage Strength: 500mg film-coated tablet
Rx/OTC: Prescription only (Rx)
Keppra 500mg is an antiepileptic tablet used to treat partial-onset seizures, myoclonic seizures, and primary generalised tonic-clonic seizures, either alone or with other epilepsy drugs. It works in a unique way by binding to a protein called SV2A on nerve cells to calm abnormal electrical activity. Mood changes such as irritability or low mood can occur, and the dose must be lowered if you have kidney problems.
Key Benefits of Keppra 500mg
How It Works
- Levetiracetam has a unique mechanism among antiepileptics; it binds to synaptic vesicle protein 2A (SV2A) in the brain.
- This binding modulates neurotransmitter release at the synapse.
- It also inhibits abnormal neuronal hypersynchrony and certain calcium currents, reducing seizure activity.
Dosage, Uses & Possible Side Effects
Dosage & Administration:
- Adults: start at 500mg twice daily; may be increased by 500mg twice daily every 2–4 weeks based on response.
- Maximum recommended dose: 1,500mg twice daily (3,000mg/day).
- Dose reduction needed in renal impairment (based on creatinine clearance).
- Take with or without food; swallow whole with water.
Uses:
- Monotherapy for partial-onset seizures with or without secondary generalisation in adults and adolescents (≥16 years) with newly diagnosed epilepsy.
- Adjunctive therapy for partial-onset seizures in patients ≥1 month of age.
- Adjunctive treatment of myoclonic seizures in juvenile myoclonic epilepsy (≥12 years).
- Adjunctive treatment of primary generalised tonic-clonic seizures in idiopathic generalised epilepsy (≥6 years).
Possible Side Effects:
- Common: somnolence, asthenia, dizziness, headache, nasopharyngitis.
- Behavioural: irritability, aggression, agitation, anxiety, depression.
- Serious: suicidal ideation, severe hypersensitivity (DRESS, anaphylaxis), Stevens-Johnson syndrome, decreased blood cell counts.
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Frequently Asked Questions
Yes. Irritability, aggression, and depression are recognised side effects, particularly in children and adolescents.
No. Sudden withdrawal may trigger increased seizures or status epilepticus. It must be tapered gradually.
Yes. Doses are reduced according to creatinine clearance, and supplemental doses may be required after dialysis.
Levetiracetam has minimal hepatic metabolism, so significant interactions are uncommon.
Keppra 500mg price in Pakistan at Medicine Store is ₨ 6,500.

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