Product image of Keppra (Levetiracetam) supplied by GNH India

Keppra

Active Ingredient:
Levetiracetam
Origin:
EU

Keppra (Levetiracetam)

Levetiracetam, the active ingredient in Keppra, is an anticonvulsant presented as an injection for intravenous use. It treats partial seizures, generalized tonic-clonic seizures and myoclonic seizures in patients with epilepsy and is approved in the European Union.

GNH India supplies Keppra as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company ensures consistent quality, regulatory compliance and reliable logistics for global markets. Keppra is available in multiple vial sizes to meet diverse clinical needs and is stored under controlled temperature conditions.

Manufacturer / TM Owner

Ucb Pharma S.A.

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Indications & Clinical Uses

Levetiracetam is an anticonvulsant used to manage various seizure types in epilepsy.

  • Partial seizures: Reduces the frequency of focal onset seizures.
  • Generalized tonic-clonic seizures: Controls convulsive seizures and decreases recurrence.
  • Myoclonic seizures: Decreases brief shock-like muscle jerks associated with myoclonic epilepsy.

How It Works

  • Levetiracetam binds to the synaptic vesicle protein SV2A, modulating neurotransmitter release and stabilizing neuronal membranes. This interaction reduces excessive neuronal firing and diminishes excitatory synaptic transmission, thereby lowering seizure susceptibility. It does not significantly affect GABA or glutamate receptor binding, allowing a favorable safety profile compared with many traditional antiepileptic drugs.

Side Effects

Levetiracetam may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Dizziness: sensation of lightheadedness or unsteadiness.
  • Fatigue: feeling unusually tired or low energy.
  • Headache: mild to moderate head pain.
  • Irritability: increased mood swings or agitation.
  • Nausea: upset stomach or urge to vomit.
  • Somnolence: drowsiness or sleepiness.

Serious or Rare Side Effects

  • Severe allergic reaction: rash, swelling, or difficulty breathing.
  • Stevens-Johnson syndrome: serious skin disorder with blistering.
  • Mood changes: depression or suicidal thoughts.
  • Hematologic abnormalities: low blood cell counts.
  • Hepatic dysfunction: elevated liver enzymes or liver injury.

Precautions & Warnings

When prescribing levetiracetam, clinicians should consider several safety and handling precautions.

  • Renal function: adjust dose in patients with impaired renal clearance.
  • Pregnancy: category B, use only if benefit outweighs risk.
  • Concomitant CNS depressants: monitor for enhanced sedation.
  • Psychiatric history: observe for mood alterations or aggression.
  • Discontinue gradually: avoid abrupt cessation to reduce seizure recurrence.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levetiracetam may interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Carbamazepine: may reduce levetiracetam plasma levels.
  • Phenytoin: may decrease efficacy of levetiracetam.
  • Phenobarbital: can lower levetiracetam concentrations.

Moderate Interactions (Monitor Closely)

  • Alcohol: may increase central nervous system depression.
  • Other antiepileptics: potential additive sedation.
  • Oral contraceptives: possible reduced effectiveness of hormonal contraception.

Frequently Asked Questions

Keppra (levetiracetam) is prescribed as an anticonvulsant to control seizures in patients with epilepsy. It is indicated for partial seizures, generalized tonic‑clonic seizures, and myoclonic seizures, helping to reduce seizure frequency and improve overall neurological stability. It may be used alone or in combination with other antiepileptic drugs under medical supervision.

Levetiracetam binds selectively to the synaptic vesicle protein SV2A, which modulates neurotransmitter release. By stabilizing synaptic vesicle function, it reduces excessive neuronal firing and diminishes excitatory transmission, thereby lowering the likelihood of seizure generation without directly affecting GABA or glutamate receptors.

The dosage of Keppra is individualized by the prescribing clinician based on the patient’s age, weight, renal function, and seizure type. The prescriber determines the appropriate loading dose and maintenance regimen, which may be adjusted over time to achieve optimal seizure control.

Keppra is classified as pregnancy category B, indicating that animal studies have not shown risk and there are no adequate human studies. It may be used during pregnancy only if the potential benefit justifies the potential risk. Limited data suggest it is excreted in breast milk, so breastfeeding decisions should be made in consultation with a healthcare professional.

To request Keppra, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain handling if needed), and necessary import documentation.

Compared with traditional antiepileptics such as carbamazepine or phenytoin, levetiracetam has a distinct mechanism targeting SV2A and generally fewer drug‑enzyme interactions. This can result in a more predictable pharmacokinetic profile and a lower likelihood of hepatic toxicity, though individual response and tolerability vary among patients.

Keppra injection should be stored at 2‑8 °C (refrigerated). Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution. If the product reaches room temperature, it should be used promptly and not re‑refrigerated.

Keppra is supplied as a sterile solution for intravenous injection. It is administered by a healthcare professional, typically as a slow infusion over several minutes. The exact rate and volume depend on the prescribed dose and patient-specific factors, and the injection site should be monitored for any local reactions.

Serious adverse reactions, though rare, include severe allergic responses such as anaphylaxis, Stevens‑Johnson syndrome, significant mood changes like depression or suicidal thoughts, and hematologic abnormalities such as low blood cell counts. Patients should be monitored closely for any signs of these conditions, and treatment should be discontinued if they occur.

Keppra is contraindicated in patients with known hypersensitivity to levetiracetam or any component of the formulation. Caution is also advised for individuals with severe renal impairment who may require dose adjustment, and for those with a history of psychiatric disorders, as they may be more susceptible to mood‑related side effects.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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