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What Is Levetiracetam?

Levetiracetam is a prescription antiseizure medicine. Current immediate-release tablets and oral solution treat partial-onset seizures from age 1 month and are used as adjunctive therapy for myoclonic seizures from age 12 and primary generalized tonic-clonic seizures from age 6.

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What Is Levetiracetam?

Levetiracetam is a prescription antiseizure medicine. Current immediate-release tablets and oral solution treat partial-onset seizures from age 1 month and are used as adjunctive therapy for myoclonic seizures from age 12 and primary generalized tonic-clonic seizures from age 6.

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How Does Levetiracetam Work?

The exact mechanism responsible for levetiracetam's antiseizure activity is not established. Levetiracetam binds to synaptic vesicle protein SV2A, a protein involved in neurotransmitter release, and this interaction is associated with its antiseizure effects.

Who Is Treated With Levetiracetam?

Levetiracetam is used for partial-onset seizures in patients age 1 month and older. It is also used as adjunctive therapy for myoclonic seizures in patients age 12 and older with juvenile myoclonic epilepsy and for primary generalized tonic-clonic seizures in patients age 6 and older with idiopathic generalized epilepsy.

How Is Levetiracetam Dosed?

Adults age 16 and older usually start at 500 mg twice daily and can increase by 500 mg twice daily every two weeks to a recommended dose of 1500 mg twice daily. Pediatric dosing is weight-based and varies by age and seizure type. Adult kidney impairment requires dose adjustment according to creatinine clearance.

What Serious Risks Are Linked to Levetiracetam?

Serious concerns include behavioral abnormalities, psychotic symptoms, suicidal thoughts or behavior, somnolence, fatigue, anaphylaxis, angioedema, severe skin reactions, DRESS, coordination problems, and blood-cell abnormalities. Levetiracetam is withdrawn gradually to reduce the risk of increased seizure frequency or status epilepticus.

Frequently Asked Questions About Levetiracetam

What seizure types does levetiracetam treat?

Current immediate-release labeling includes partial-onset, myoclonic, and primary generalized tonic-clonic seizures under age-specific criteria.

What is the usual adult starting dose?

Adults age 16 and older usually start at 500 mg twice daily.

What is the recommended adult dose after titration?

The recommended adult dose is 1500 mg twice daily for the labeled seizure types.

Does kidney impairment change levetiracetam dosing?

Yes. Adult dosing is adjusted according to creatinine clearance.

References

DailyMed - LEVETIRACETAM tablet, film coated. https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=1f4a0acc-d5f5-438d-96a0-897dfebdf6e4. Date Accessed October 12, 2026.

Levetiracetam. LiverTox. https://www.ncbi.nlm.nih.gov/books/NBK548785/. Date Accessed October 12, 2026.

Levetiracetam. MedlinePlus. https://www.medlineplus.gov/druginfo/meds/a699059.html. Date Accessed October 12, 2026.

Levetiracetam. PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/Levetiracetam. Date Accessed October 12, 2026.

Levetiracetam. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK499890/. Date Accessed October 12, 2026.