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 intravenous solution for intravenous use. It is employed to control partial seizures, generalized tonic‑clonic seizures, and myoclonic seizures in patients diagnosed with epilepsy.

GNH India supplies Keppra as a licensed, GDP‑compliant international pharmaceutical product, providing the medication to hospitals, pharmacies and clinics worldwide, with a focus on EU‑regulated markets and adhering to stringent quality standards.

Manufacturer / TM Owner

Ucb Pharma S.A.

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Indications & Clinical Uses

Levetiracetam (Keppra) is an anticonvulsant used in the management of epilepsy.

  • Partial seizures: reduces frequency and severity of focal seizures.
  • Generalized tonic‑clonic seizures: helps prevent convulsive episodes.
  • Myoclonic seizures: decreases occurrence of sudden muscle jerks.

How It Works

  • Levetiracetam binds selectively to the synaptic vesicle protein SV2A, a key regulator of neurotransmitter release. This interaction modulates calcium‑dependent exocytosis, stabilizing neuronal firing and reducing hyper‑excitability in the central nervous system. By limiting excessive synaptic transmission, the drug helps prevent the initiation and spread of epileptic activity without significant interaction with traditional receptor pathways.

Side Effects

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

Common Side Effects

  • Dizziness: transient sensation of light‑headedness.
  • Somnolence: increased sleepiness or fatigue.
  • Headache: mild to moderate cranial pain.
  • Nausea: occasional upset stomach.
  • Irritability: mood changes or agitation.

Serious or Rare Side Effects

  • Severe skin reactions: rash, Stevens‑Johnson syndrome, or toxic epidermal necrolysis.
  • Psychiatric events: depression, suicidal thoughts, or aggressive behavior.
  • Hematologic abnormalities: low blood cell counts or anemia.
  • Respiratory depression: difficulty breathing, especially when combined with other CNS depressants.

Precautions & Warnings

When prescribing levetiracetam, clinicians should consider several precautionary measures to ensure safe use.

  • Renal impairment: assess kidney function and adjust therapy as needed.
  • Pregnancy: potential risks are not well defined; discuss benefits and alternatives with the patient.
  • Psychiatric symptoms: monitor for mood changes, depression, or suicidal ideation.
  • Concomitant CNS depressants: use caution as additive sedation may occur.
  • Discontinuation: avoid abrupt cessation; taper under medical supervision.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levetiracetam has a relatively low interaction profile, but certain drug combinations require attention.

Major Interactions (Avoid)

  • Combined use with other antiepileptic drugs that significantly depress central nervous system activity (e.g., phenobarbital) may increase sedation and respiratory risk.
  • Co‑administration with drugs known to cause severe hypersensitivity reactions (e.g., lamotrigine) may heighten the risk of serious skin disorders.

Moderate Interactions (Monitor Closely)

  • Concurrent nephrotoxic agents (e.g., aminoglycosides) may exacerbate renal impairment; monitor kidney function.
  • Alcohol or other CNS depressants: may enhance drowsiness or dizziness.
  • Hormonal contraceptives: levetiracetam may reduce efficacy; consider alternative or additional contraceptive methods.

Frequently Asked Questions

Keppra, containing levetiracetam, is indicated for the treatment of several seizure types in epilepsy, including partial (focal) seizures, generalized tonic‑clonic seizures, and myoclonic seizures. It is prescribed to reduce the frequency and severity of these episodes in patients diagnosed with epilepsy.

Levetiracetam exerts its antiepileptic effect by binding to the synaptic vesicle protein SV2A. This binding modulates the release of neurotransmitters, stabilizing neuronal firing and decreasing hyper‑excitability in the brain, which helps prevent the initiation and spread of seizure activity.

The appropriate dose of Keppra is individualized. A qualified prescriber determines the dosage based on factors such as the patient’s age, weight, renal function, seizure type, and response to therapy. Dosing recommendations are provided in the prescribing information, but the final regimen is set by the treating clinician.

Safety data for levetiracetam during pregnancy and lactation are limited. The potential risks are not fully established, so the decision to use Keppra in pregnant or nursing women should be made after a careful risk‑benefit assessment by the healthcare provider.

To request Keppra, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After the enquiry, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Compared with older antiepileptics such as carbamazepine or valproate, levetiracetam has a simpler pharmacokinetic profile, fewer drug‑enzyme interactions, and does not require routine therapeutic drug monitoring. Its side‑effect spectrum is distinct, with a lower incidence of hepatic toxicity but a higher frequency of behavioral changes in some patients.

Keppra intravenous solution should be stored at 2‑8 °C (refrigerated). Keep the product in its original packaging, protect it from light, and avoid freezing or shaking the vial, as these actions could compromise stability.

Keppra is supplied as an intravenous solution that is administered by slow infusion into a vein. The infusion rate and total daily volume are determined by the prescribing clinician, who may adjust the schedule based on the patient’s clinical response and renal function.

Serious adverse reactions to Keppra include severe skin disorders such as Stevens‑Johnson syndrome or toxic epidermal necrolysis, as well as psychiatric events like depression, suicidal thoughts, or aggressive behavior. Rare hematologic abnormalities and respiratory depression, particularly when combined with other central nervous system depressants, also warrant close monitoring.

Keppra should be avoided in individuals with a known hypersensitivity to levetiracetam or any component of the formulation. Patients with severe renal impairment may require alternative therapy or careful dose adjustment under specialist supervision. As always, the prescribing clinician assesses suitability on a case‑by‑case basis.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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