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LEVENUE ORAL SOLUTION

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LEVENUE ORAL SOLUTION

Levetiracetam 100mg/ml

Alkem Laboratories Ltd

Description

Description

🧠🧪 Levetiracetam 100mg/mL Syrup – Pediatric & Adult Seizure Management


🧾 Overview

Levetiracetam 100mg/mL Syrup is an oral antiepileptic solution used to treat various forms of epilepsy. It is especially valuable for children, elderly, or patients with swallowing difficulties, where tablet forms are not suitable. It provides a flexible dosing option for partial-onset seizures, myoclonic seizures, and generalized tonic-clonic seizures.


🔬 How It Works

Levetiracetam is a broad-spectrum antiepileptic that:

  • Binds to synaptic vesicle protein 2A (SV2A) in the brain

  • Modulates neurotransmitter release

  • Stabilizes abnormal electrical activity

  • Reduces seizure frequency and intensity

Unlike older antiepileptics, it does not affect GABA or glutamate receptors, reducing the risk of sedation and drug interactions.


💊 Dosage & Administration

  • Form: Oral syrup

  • Concentration: 100mg/mL

  • Starting dose (children & adults): Typically 10–20 mg/kg/day in divided doses

  • Titration: Increased gradually based on weight, age, and response

  • Administration: Given with or without food, usually in 2 divided doses per day

  • Measuring device: Always use the provided dosing syringe or cup for accuracy

Example:
A 20kg child may start with 200mg (2mL) twice a day.


😕 Common Side Effects

Levetiracetam is generally well-tolerated, but some patients may experience:

  • Drowsiness or fatigue

  • Dizziness

  • Irritability or mood swings

  • Loss of appetite

  • Headache

  • Mild gastrointestinal symptoms: Nausea, vomiting, diarrhea

These are usually mild and diminish over time or with dose adjustment.


🚨 Serious Side Effects (Seek Medical Help)

Though rare, serious reactions include:

  • Behavioral issues: Depression, agitation, aggression, suicidal thoughts

  • Allergic reaction: Rash, hives, swelling of face/lips, difficulty breathing

  • Coordination problems: Ataxia, unsteady walking

  • Low blood counts: Unusual bruising, bleeding, frequent infections (very rare)

💡 Behavioral changes are more commonly seen in children and adolescents.


🩺 Monitoring & Follow-Up

  • Seizure log: Track frequency, duration, and type of seizures

  • Behavioral assessment: Monitor for mood changes, especially in pediatric patients

  • Kidney function tests: Levetiracetam is eliminated via the kidneys; dosage may need adjustment

  • Growth monitoring: In children using long-term therapy

  • No routine blood level monitoring required unless concerns arise


⚠️ Warnings & Precautions

  • Renal Impairment: Dose adjustment is essential

  • Psychiatric history: Use with caution in patients with depression or aggression

  • Pregnancy & Breastfeeding: Use only if prescribed; potential benefits must outweigh risks

  • Abrupt discontinuation: Avoid stopping suddenly to prevent withdrawal seizures

  • Driving/Operating machinery: Avoid until response to medication is known


Summary

Levetiracetam 100mg/mL Syrup is a safe and effective oral antiepileptic formulation ideal for pediatric and geriatric populations. Its favorable side-effect profile, low interaction potential, and weight-based dosing flexibility make it a first-line choice for managing various seizure types.

Although side effects are typically mild, regular follow-up, behavioral monitoring, and dose adjustments based on kidney function are important for long-term safety and effectiveness.

Note: This information is intended for educational purposes and should not replace professional medical advice. Always consult a healthcare provider for personalized guidance.

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