Levetiracetam
FULL PRESCRIBING INFORMATION: CONTENTS*
- LEVETIRACETAM DESCRIPTION
- CLINICAL PHARMACOLOGY
- PHARMACOKINETICS
- USE IN SPECIFIC POPULATIONS
- CLINICAL STUDIES
- INDICATIONS & USAGE
- LEVETIRACETAM CONTRAINDICATIONS
- WARNINGS
- PRECAUTIONS
- INFORMATION FOR PATIENTS
- LABORATORY TESTS
- DRUG INTERACTIONS
- CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY
- PREGNANCY
- LABOR & DELIVERY
- NURSING MOTHERS
- PEDIATRIC USE
- GERIATRIC USE
- LEVETIRACETAM ADVERSE REACTIONS
- DRUG ABUSE AND DEPENDENCE
- OVERDOSAGE
- DOSAGE & ADMINISTRATION
- HOW SUPPLIED
- STORAGE AND HANDLING
- SPL MEDGUIDE
- PACKAGE LABEL.PRINCIPAL DISPLAY PANEL SECTION
FULL PRESCRIBING INFORMATION
LEVETIRACETAM DESCRIPTION
CLINICAL PHARMACOLOGY
Mechanism of ActionPHARMACOKINETICS
Overview
Absorption and Distribution
Metabolism
Elimination
Special Populations, Renal ImpairmentDOSAGE AND ADMINISTRATIONAdult Patients with Impaired Renal Function
Pharmacokinetic Interactions
PRECAUTIONSDrug Interactions
USE IN SPECIFIC POPULATIONS
PRECAUTIONSDrug Interactions
PRECAUTIONSDOSAGE AND ADMINISTRATIONAdult Patients with Impaired Renal Function
CLINICAL STUDIES
Effectiveness in Partial Onset Seizures in Adults with Epilepsy
Study 1
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Study 2
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Study 3
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Effectiveness in Partial Onset Seizures In Pediatric Patients with Epilepsy
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INDICATIONS & USAGE
LEVETIRACETAM CONTRAINDICATIONS
WARNINGS
Suicidal Behavior and IdeationNeuropsychiatric Adverse Events
Partial Onset Seizures
Adults
Pediatric Patients
Withdrawal Seizures
PRECAUTIONS
Hematologic AbnormalitiesPartial Onset Seizures
Adults
Pediatric Patients
Hepatic Abnormalities
INFORMATION FOR PATIENTS
LABORATORY TESTS
DRUG INTERACTIONS
Drug-Drug Interactions between Levetiracetam and Other Antiepileptic Drugs (AEDs)
Other Drug Interactions
CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY
CarcinogenesisMutagenesis
Impairment of Fertility
PREGNANCY
Pregnancy Category CPregnancy Registries
LABOR & DELIVERY
NURSING MOTHERS
PEDIATRIC USE
GERIATRIC USE
Use in Patients with Impaired Renal Function
CLINICAL PHARMACOLOGYDOSAGE AND ADMINISTRATIONAdult Patients with Impaired Renal Function
LEVETIRACETAM ADVERSE REACTIONS
Partial Onset Seizures
Time Course of Onset of Adverse Events For Partial Onset Seizures
Discontinuation or Dose Reduction in Well-Controlled Clinical Studies
Partial Onset Seizures
Comparison of Gender, Age and Race
Postmarketing Experience
DRUG ABUSE AND DEPENDENCE
OVERDOSAGE
Signs, Symptoms and Laboratory Findings of Acute Overdosage in HumansTreatment or Management of Overdose
Hemodialysis
DOSAGE & ADMINISTRATION
Adults 16 Years and Older
CLINICAL STUDIES
Pediatric Patients Ages 4 to <16 Years
Adult Patients with Impaired Renal Function
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HOW SUPPLIED
STORAGE AND HANDLING
SPL MEDGUIDE
LEVETIRACETAM TABLETS250 mg, 500 mg and 750 mg tablets
What is the most important information I should know about LEVETIRACETAM TABLETS?
Like other antiepileptic drugs, LEVETIRACETAM TABLETS may cause suicidal thoughts or actions in a very small number of people, about 1 in 500 people taking it.
Call a healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you:
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● thoughts about suicide or dying
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● attempts to commit suicide
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● new or worse depression
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● new or worse anxiety
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● feeling agitated or restless
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● panic attacks
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● trouble sleeping (insomnia)
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● new or worse irritability
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● acting aggressive, being angry, or violent
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● acting on dangerous impulses
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● an extreme increase in activity and talking (mania)
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● other unusual changes in behavior or mood
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● Stopping LEVETIRACETAM TABLETS suddenly can cause serious problems. Stopping a seizure medicine suddenly can cause seizures that will not stop (status epilepticus).
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● Suicidal thoughts or actions can be caused by things other than medicines. If you have suicidal thoughts or actions, your healthcare provider may check for other causes.
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● Pay attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings.
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● Keep all follow-up visits with your healthcare provider as scheduled.
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● Call your healthcare provider between visits as needed, especially if you are worried about symptoms.
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● partial onset seizures in people 4 years of age and older with epilepsy
What should I tell my healthcare provider before starting LEVETIRACETAM TABLETS?
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● have or have had depression, mood problems or suicidal thoughts or behavior
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● have kidney problems
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● are pregnant or planning to become pregnant. It is not known if LEVETIRACETAM TABLETS will harm your unborn baby. You and your healthcare provider will have to decide if you should take LEVETIRACETAM TABLETS while you are pregnant. If you become pregnant while taking LEVETIRACETAM TABLETS, talk to your healthcare provider about registering with the North American Antiepileptic Drug Pregnancy Registry. You can enroll in this registry by calling 1-888-233-2334.
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● are breast feeding. LEVETIRACETAM TABLETS can pass into your milk and may harm your baby. You and your healthcare provider should discuss whether you should take LEVETIRACETAM TABLETS or breast-feed; you should not do both.
How should I take LEVETIRACETAM TABLETS?
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● Your healthcare provider will tell you how much LEVETIRACETAM TABLETS to take and when to take it. LEVETIRACETAM TABLETS is usually taken twice a day. Take LEVETIRACETAM TABLETS at the same times each day.
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● Your healthcare provider may change your dose. Do not change your dose without talking to your healthcare provider.
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● Take LEVETIRACETAM TABLETS with or without food.
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● Swallow the tablets whole. Do not chew or crush tablets.
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● If you miss a dose of LEVETIRACETAM TABLETS, take it as soon as you remember. If it is almost time for your next dose, just skip the missed dose. Take the next dose at your regular time.Do not take two doses at the same time.
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● If you take too much LEVETIRACETAM TABLETS, call your local Poison Control Center or go to the nearest emergency room right away.
What are the possible side effects of LEVETIRACETAM TABLETS?
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● mood and behavior changes such as aggression, agitation, anger, anxiety, apathy, mood swings, depression, hostility, and irritability. A few people may get psychotic symptoms such as hallucinations (seeing or hearing things that are really not there), delusions (false or strange thoughts or beliefs) and unusual behavior.
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● extreme sleepiness, tiredness, and weakness
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● problems with muscle coordination (problems walking and moving)
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● sleepiness
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● weakness
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● dizziness
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● infection
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● accidental injury
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● irritability
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● hostility
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
You may also report side effects to Lupin Pharmaceuticals, Inc. at 1-800-399-2561.
How should I store LEVETIRACETAM TABLETS?
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● Store LEVETIRACETAM TABLETS at room temperature away from heat and light.
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● Keep LEVETIRACETAM TABLETS and all medicines out of the reach of children.
What are the ingredients of LEVETIRACETAM TABLETS?
PACKAGE LABEL.PRINCIPAL DISPLAY PANEL SECTION
LevetiracetamLevetiracetam TABLET
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PLEASE, BE CAREFUL!
Be sure to consult your doctor before taking any medication!