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What Keppra® Is and How It Works
Keppra® is the brand name for levetiracetam, an antiepileptic medication used to treat seizures. It is approved for partial-onset seizures, primary generalized tonic-clonic seizures, and myoclonic seizures in certain age groups. Keppra® is usually taken by mouth as tablets, including common strengths like keppra 500 mg and keppra 1000 mg. Your order ships from YouDrugstore, a licensed Canadian pharmacy in Manitoba that follows Canadian pharmacy standards, and prescriptions are checked by licensed pharmacists before dispensing.
This medicine helps reduce abnormal electrical activity in the brain. Levetiracetam binds to the synaptic vesicle protein SV2A, which may stabilize neurotransmitter release. Many people use generic drug for keppra to help manage seizures with reliable results. You can review keppra cost and keppra price options here, and you may see 60–80% savings versus typical US prices.
We source products from licensed and vetted partner pharmacies to provide authentic brands, a broad selection, and competitive pricing. YouDrugstore also offers brand and generic medicines at Canadian prices and carries OTC health products. Ordering is available online, and customer-service chat is available during posted office hours.
Dosage and Usage
Keppra® dosing depends on age, indication, and kidney function. Prescribers often start adults at 500 mg twice daily and increase by 500 mg twice daily every two weeks, as needed, to a common maximum of 1500 mg twice daily. Some patients use levetiracetam 1000 mg twice a day once stabilized. Pediatric dosing varies by weight and age. Extended-release tablets are taken once daily.
- Take tablets whole with water. Do not crush extended-release tablets.
- Try to take doses at the same times each day.
- If a dose is missed, take it when remembered unless it is near the next dose. Do not double up.
- Do not stop levetiracetam suddenly; tapers are often used to reduce seizure risk.
Storage and travel tips:
- Store your tablets at 15–30°C (59–86°F), dry, and away from light.
- Keep your medicine in the original container with the label.
- For travel, carry doses in your hand luggage with a copy of your prescription.
- Use a pill organizer only if it protects tablets from moisture.
Renal impairment requires dose adjustments because levetiracetam is cleared by the kidneys. Extended-release and immediate-release forms are not interchangeable milligram for milligram unless directed by a prescriber. Do not change strength (for example, levetiracetam 500 mg to levetiracetam 1000 mg) without medical guidance. Tablets are available in several strengths, including levetiracetam tablets 1000mg and levetiracetam 500mg tab options. Some patients may use oral solution if tablets are not suitable.
Benefits and Savings
Keppra® is widely used because it has a straightforward dosing schedule, minimal drug–drug interactions, and a relatively fast titration. It works as monotherapy or as an add-on for many seizure types. The generic brand of keppra (levetiracetam) can reduce monthly costs while keeping the same active ingredient and strength.
Ordering through YouDrugstore lets you compare keppra price, levetiracetam 500mg price, and keppra generic cost. Many patients see 60–80% savings compared with typical US prices. You can also order multi-month supplies to lower the per-month cost.
Side Effects and Safety
Common effects are often mild and improve over time. Serious reactions are less common but need prompt attention.
- Common: sleepiness, dizziness, fatigue, irritability, headache, nasal symptoms, decreased appetite, and infection.
- Less common: coordination problems, tremor, blurred vision, nausea, vomiting, diarrhea, or abdominal pain.
- Serious: mood or behavior changes, depression, anxiety, suicidal thoughts, severe rash, angioedema, blood abnormalities, or severe fatigue.
Behavioral symptoms can occur, especially during dose changes. Report new or worsening mood changes or unusual behavior. Patients with kidney disease often need lower doses. Older adults may be more sensitive to side effects. Alcohol and other CNS depressants may increase drowsiness or dizziness. In pregnancy, levetiracetam has more safety data than many older antiepileptics, but prescribers may adjust doses and monitor levels. Levetiracetam can pass into breast milk; risks and benefits must be weighed in each case.
Onset Time
Levetiracetam reaches steady levels in about two days with twice-daily dosing. Some patients notice fewer seizures within days, while others need dose adjustments over several weeks. Individual response varies by seizure type, dose, and other medications. Consistent dosing helps maintain seizure control.
Compare With Alternatives
Gabapentin is another anticonvulsant that is more often used for neuropathic pain and as adjunctive therapy for partial seizures. It requires multiple daily dosing and has different side effects and interactions. You can review Gabapentin to compare options with your clinician.
Dilantin® (phenytoin) is an older antiepileptic used for several seizure types. It needs blood level monitoring and has notable interactions and long-term effects such as gum changes and bone health concerns. If comparing choices, you may also look at Dilantin® with your prescriber. For many patients, levetiracetam offers fewer interactions and simpler dosing than older agents.
Combination Therapy
Keppra® can be used alone or with other antiepileptic drugs. It has low protein binding and few pharmacokinetic interactions, so it often pairs well with agents such as lamotrigine, valproate, or topiramate. Combination therapy should be individualized to seizure type, comorbidities, and tolerability. Dose changes are typically spaced by one to two weeks to assess response and side effects.
Patient Suitability and Cost-Saving Tips
Levetiracetam is used for partial-onset seizures in adults and children, for primary generalized tonic-clonic seizures in select patients, and for myoclonic seizures in juvenile myoclonic epilepsy. It may not suit patients with significant behavioral side effects, severe kidney impairment without dosing adjustments, or a history of hypersensitivity to levetiracetam. The keppra generic name is levetiracetam; the active ingredient is the same in brand and generic.
Ways to manage costs include choosing generic when appropriate, comparing keppra 500 mg price and 1000 mg levetiracetam options, and selecting multi-month supplies. You can set simple reorder reminders so your refills arrive on time. For current deals and bulk options, see our keppra coupon page.
If you are learning about seizure conditions, our condition pages on Epilepsy and Seizures explain symptoms and care pathways. You may also find our article Epilepsy When The Brain Goes Crazy But The Person With The Brain Isnt helpful for understanding how seizures affect daily life. For broader neurologic topics, see National Migraine And Headache Awareness Month Breaking Barriers To Better Care.
Authoritative Sources
Read the current FDA Prescribing Information for levetiracetam on the FDA label. Health Canada also lists approved products and monographs in the Drug Product Database. For manufacturer details, visit UCB’s Keppra product page.
You can order brand or generic tablets from YouDrugstore with confidence. Our team reviews each prescription before dispensing, and our support staff can guide your order. We offer prompt, express, cold-chain shipping to the US where needed, and we keep your package discreet.
This content is educational and does not replace your prescriber’s advice. Always follow the directions given by your healthcare provider. Product availability, images, and packaging may vary by manufacturer and strength.
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What is Keppra used for?
Keppra is the brand name for levetiracetam, an antiepileptic medicine. It treats partial-onset seizures and certain generalized seizures, such as primary generalized tonic-clonic and myoclonic seizures in specific age groups. Doctors may prescribe it alone or with other seizure medicines, depending on seizure type, age, and response.
How should Keppra tablets be taken?
Tablets are usually taken twice daily at the same times. Many adults start at 500 mg twice daily, then titrate in 500 mg steps every two weeks as needed. Extended-release tablets are taken once daily. Do not crush extended-release tablets. Follow the dosing plan from your prescriber and do not stop suddenly.
What are common side effects of levetiracetam?
Common effects include sleepiness, dizziness, fatigue, irritability, and headache. Some people notice decreased appetite or nasal symptoms. Less common effects include coordination issues, tremor, and stomach upset. Serious issues like mood changes, depression, suicidal thoughts, severe rash, or swelling need urgent medical attention. Report new or worsening symptoms promptly.
How fast does Keppra start working?
Levetiracetam reaches steady-state levels in about two days with twice-daily dosing. Some patients notice fewer seizures within days, while others need dose adjustments over weeks. Response varies by seizure type, dose, and other medications. Consistent dosing helps maintain stable levels and control.
Can I drink alcohol while on levetiracetam?
Alcohol can increase drowsiness, dizziness, and coordination problems when combined with levetiracetam. Many clinicians advise limiting or avoiding alcohol, especially during dose changes or if you feel sedated. Discuss your usual intake with your prescriber to set safe limits based on your treatment plan.
Is there a generic drug for Keppra?
Yes. The generic drug for Keppra is levetiracetam. It has the same active ingredient and strengths as the brand. Many patients use the generic to reduce monthly costs. Ask your prescriber if generic substitution fits your treatment and check pharmacy availability for the strengths you need.
How is dosing adjusted for kidney problems?
Levetiracetam is cleared by the kidneys, so reduced kidney function usually requires lower doses or longer intervals. Clinicians base adjustments on creatinine clearance or eGFR, and they reassess after changes in kidney status. Older adults may also require lower doses. Do not change your dose without medical guidance.