Keppra® Tablets for Seizures

Keppra® is a prescription antiseizure medicine used to help control certain seizure types in adults and children. This page explains how it works, who it may suit, and the basics of using it safely. You can view Canadian options with US delivery from Canada and compare Keppra price without insurance considerations.

What Keppra Is and How It Works

Levetiracetam is the active ingredient in Keppra tablets. It belongs to an antiepileptic class that helps stabilize electrical activity in the brain. Scientists believe it binds to the SV2A protein on nerve terminals, which may reduce abnormal neuronal firing. The result can be fewer seizures when the treatment is used as prescribed.

YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.

This medicine is approved for use in partial-onset seizures, certain myoclonic seizures, and primary generalized tonic-clonic seizures. It can be used alone in adults and some adolescents, or with other antiepileptics across labeled age groups. Always follow your prescriber’s guidance and the official patient leaflet.

Who It’s For

This therapy is indicated for people diagnosed with epilepsy who have partial-onset seizures, juvenile myoclonic epilepsy, or primary generalized tonic-clonic seizures, as described in the label. It may be started by a neurologist or another qualified clinician. Levetiracetam generic products are also available when a prescriber allows substitution.

Some people should avoid this medicine. Those with a known allergy to levetiracetam or related compounds should not take it. Tell your prescriber about kidney problems, mood disorders, pregnancy, or breastfeeding. Report a history of suicidal thoughts or behavior. Children and older adults require careful dose selection and monitoring.

Learn more about seizure types such as Focal Seizures, Myoclonic Seizures, and Tonic Clonic Seizures.

Dosage and Usage

The usual schedule for the immediate-release tablets is twice daily, taken at the same times each day. Swallow tablets whole with water, with or without food. Do not chew. An oral solution is available for patients who need a liquid form; some families refer to this as Keppra liquid. If your prescriber changes your dose, they will typically do so gradually to limit side effects.

Keep to the plan made with your healthcare professional. Do not stop this medicine suddenly unless your prescriber instructs you to do so. If you use multiple antiepileptics, space them as directed to maintain steady levels. Use the dosing device provided with the oral solution for accurate measurement.

Strengths and Forms

Availability can vary by country and manufacturer. Common immediate-release tablet strengths include 250 mg, 500 mg, 750 mg, and 1000 mg. Extended-release tablets exist for once-daily use when clinically appropriate. An oral solution (for example, 100 mg/mL) is available for people who have difficulty swallowing tablets. In some markets you may find brand and approved generic presentations.

For reference only, some patients specifically ask about Keppra 500mg tablets based on their prescription. Your exact strength and form should match your prescriber’s directions.

Missed Dose and Timing

If you miss a dose, take it when you remember unless it is almost time for the next dose. If it is close to your next scheduled dose, skip the missed dose and resume your regular schedule. Do not double up. People using measured doses like Keppra 250 mg should keep a simple reminder system to reduce missed doses. If you often forget doses, discuss practical strategies with your clinician.

Storage and Travel Basics

Store tablets and oral solution at room temperature in the original, tightly closed container. Keep away from moisture and direct light. Do not store in the bathroom. Always keep out of reach of children and pets. For the oral solution, replace the cap promptly after each use and avoid contaminating the bottle tip.

When traveling, carry your medicine in your hand luggage along with the prescription label. Pack enough for the trip plus a small buffer in case of delays. A simple travel letter can help at security checkpoints if needed. Keep dosing on your home schedule while in transit, then adjust to local time with your prescriber’s advice.

Pen Handling and Sharps Disposal

Not applicable. This product is supplied as tablets or an oral solution. No pen or injector handling is required.

Benefits

This therapy can be used broadly across several seizure types, including as add-on treatment. It has a consistent twice-daily schedule for the immediate-release form, which many patients find straightforward. The medicine can be combined with other antiepileptics when a prescriber deems it appropriate. Fewer known drug interactions compared with some older agents may simplify overall care.

Side Effects and Safety

• Common: sleepiness, dizziness, fatigue, headache
• Gastrointestinal: nausea, vomiting, decreased appetite
• Neurologic: coordination problems, irritability
• Mood or behavior changes in some patients

Serious but less common effects can include severe rash, angioedema, significant mood changes or suicidal thoughts, and blood disorders. Seek medical help for swelling of the face or throat, rash, or sudden worsening of mood or behavior. Alcohol and sedating medicines may increase drowsiness and coordination problems. Report all side effects to your prescriber.

Drug Interactions and Cautions

Levetiracetam has fewer clinically significant interactions than some older antiepileptics, but caution is still important. Central nervous system depressants, including alcohol, benzodiazepines, and opioids, can increase sedation. Probenecid may alter drug handling by the kidneys. Methotrexate levels have been reported to rise when used together. Always provide a full medication list, including over-the-counter products and supplements. People with kidney impairment often require dose adjustments directed by a prescriber.

What to Expect Over Time

Responses vary. Some people notice fewer seizures after the dose is established and taken consistently. Others may need changes or combination therapy to optimize control. It can take regular follow-up to find a stable plan. Keep a seizure diary and share updates with your clinician. For background reading, see our article Epilepsy When The Brain.

Compare With Alternatives

Many patients consider approved alternatives based on seizure type and tolerability. A common substitute is the approved generic, Levetiracetam, when prescribers and patients prefer a non-brand option. Another option for certain seizure types is Lamotrigine. Your clinician may also discuss other antiepileptics such as topiramate based on your history and goals.

Pricing and Access

We list current options so you can compare formulary choices and packaging. Check Keppra price details by strength and quantity on the product page. Pricing reflects Canadian pharmacy rates, with US shipping from Canada for eligible orders. You can also review periodic offers on our Promotions page. We use encrypted checkout to protect your information.

For prescriptions already on file, you can request a refill through your account. If you are new, please upload or have your prescriber fax your script to our team for review. Our staff can coordinate with your clinic if needed.

Availability and Substitutions

Supply can vary by strength, manufacturer, and packaging. If a specific presentation is unavailable, your prescriber may recommend an alternative with the same active ingredient or a different antiepileptic. Pharmacists will contact you before making any substitution. Exact brand availability can differ from time to time and by province.

Patient Suitability and Cost-Saving Tips

This therapy may suit adults and children with the labeled seizure types when a prescriber confirms the diagnosis. It may not be appropriate for individuals with hypersensitivity to the drug or those with certain psychiatric histories unless carefully monitored. People with kidney impairment will often need a tailored plan.

For savings, consider longer fills if your prescriber approves, such as 90-day supplies to reduce per-fill fees. Set refill reminders so you do not run out. Ask whether an approved generic is appropriate for you. Compare options within Neurology to understand choices for your condition.

Questions to Ask Your Clinician

• Starting dose plan: how it will be adjusted
• Seizure types: which ones this medicine targets
• Side effects: what to watch and when to call
• Interactions: alcohol, sleep aids, pain medicines
• Driving and safety: when it is reasonable to resume
• Pregnancy and breastfeeding: benefits and risks
• Refill schedule: how to avoid missed doses

Authoritative Sources

US Prescribing Information

DailyMed Levetiracetam

Health Canada DPD

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