Keppra

Keppra Dosage/Direction for Use

levetiracetam

Manufacturer:

GlaxoSmithKline Indonesia
Full Prescribing Info
Dosage/Direction for Use
Adults and Adolescents >16 Years: Initial Therapeutic Dose: 500 mg twice daily. This dose can be started on the 1st day of treatment. Depending upon the clinical response and tolerance, the daily dose can be increased up to 1500 mg twice daily. Dose changes can be made in 500 mg twice-daily increments or decrements every 2-4 weeks.
Elderly (≥65 Years): Adjustment of the dose is recommended in elderly patients with compromised renal function (see Renal Impairment as follows).
Children: There are insufficient data to recommend the use of levetiracetam in children and adolescents <16 years.
Renal Impairment: The daily dose must be individualised according to renal function. Refer to the table provided and adjust the dose as indicated. To use the dosing table, an estimate of the patient's creatinine clearance (CrCl) in mL/min is needed. (See table.) The CrCl in mL/min may be estimated from serum creatinine (mg/dL) determination using the formula provided. (See equation.)


Click on icon to see table/diagram/image




Click on icon to see table/diagram/image


Hepatic Impairment: No dose adjustment is needed in patients with mild to moderate hepatic impairment. In patients with severe hepatic impairment, the creatinine clearance may underestimate the renal insufficiency. Therefore, a 50% reduction of the daily maintenance dose is recommended when the CrCl is <70 mL/min.
Administration: Keppra tablets must be taken orally, swallowed with a sufficient quantity of liquid and may be taken with or without food.
The daily dose is administered in 2 equally divided doses.
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