User:Mr. Ibrahem/Levetiracetam

From Wikipedia, the free encyclopedia

Mr. Ibrahem/Levetiracetam
Clinical data
Pronunciation/lɛvɪtɪˈræsɪtæm/
Trade namesKeppra, Elepsia, other
AHFS/Drugs.comMonograph
MedlinePlusa699059
License data
Pregnancy
category
  • AU: B3
Routes of
administration
By mouth, intravenous
Drug classAnticonvulsant (racetam)
Legal status
Legal status
  • AU: S4 (Prescription only)
  • US: ℞-only
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability~100%
Protein binding<10%
MetabolismEnzymatic hydrolysis of acetamide group
Elimination half-life6–8 hrs
ExcretionUrinary
Identifiers
  • (S)-2-(2-Oxopyrrolidin-1-yl)butanamide
Chemical and physical data
FormulaC8H14N2O2
Molar mass170.212 g·mol−1
3D model (JSmol)
  • O=C1N([C@H](C(=O)N)CC)CCC1
  • InChI=1S/C8H14N2O2/c1-2-6(8(9)12)10-5-3-4-7(10)11/h6H,2-5H2,1H3,(H2,9,12)/t6-/m0/s1 checkY
  • Key:HPHUVLMMVZITSG-LURJTMIESA-N checkY
 ☒NcheckY (what is this?)  (verify)

Levetiracetam, marketed under the trade name Keppra among others, is a medication used to treat epilepsy.[1] It is used for partial onset, myoclonic, or tonic-clonic seizures.[1] It is taken by mouth as an immediate or extended release formulation or by injection into a vein.[1]

Common side effects include sleepiness, dizziness, feeling tired, and aggression.[1] Severe side effects may include psychosis, suicide, and allergic reactions such as Stevens–Johnson syndrome and anaphylaxis.[1] It is unclear if use is safe during pregnancy but appears to be safe for use when breastfeeding.[3] It is the S-enantiomer of etiracetam.[4] How it works is not clear.[1]

Approved for medical use in the United States in 1999,[1] levetiracetam is available as a generic medication.[5] A month's supply in the United Kingdom costs the NHS about £19.31 as of 2019.[5] In the United States, the wholesale cost of this amount is about US$4.50.[6] In 2017, it was the 110th most commonly prescribed medication in the United States, with more than six million prescriptions.[7][7]

References[edit]

  1. ^ a b c d e f g h i "Levetiracetam Monograph for Professionals". Drugs.com. AHFS. Archived from the original on 24 March 2019. Retrieved 14 January 2019.
  2. ^ "WHOCC - ATC/DDD Index". www.whocc.no. Archived from the original on 23 October 2020. Retrieved 6 September 2020.
  3. ^ "Levetiracetam Use During Pregnancy". Drugs.com. Archived from the original on 6 March 2019. Retrieved 5 March 2019.
  4. ^ Cavanna, Andrea E. (2018). Behavioural Neurology of Anti-Epileptic Drugs: A Practical Guide. Oxford University Press. p. 17. ISBN 9780198791577. Archived from the original on 6 March 2019. Retrieved 5 March 2019.
  5. ^ a b British national formulary: BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 319. ISBN 9780857113382.
  6. ^ "NADAC as of 2019-02-27". Centers for Medicare and Medicaid Services. Archived from the original on 6 March 2019. Retrieved 3 March 2019.
  7. ^ a b "The Top 300 of 2020". ClinCalc. Archived from the original on 12 February 2021. Retrieved 11 April 2020. Cite error: The named reference "ref" was defined multiple times with different content (see the help page).