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Levit IV

Levit IV

levetiracetam

Manufacturer:

Aspiro Pharma

Distributor:

InnoGen Pharmaceuticals
Concise Prescribing Info
Contents
Levetiracetam
Indications/Uses
Adjunctive therapy, as alternative when oral administration of levetiracetam is temporarily not feasible, in treatment of partial onset seizures in adults & childn ≥1 mth w/ epilepsy; myoclonic seizures in adults & adolescents ≥12 yr w/ juvenile myoclonic epilepsy; primary generalized tonic-clonic seizures in adults & childn ≥6 yr w/ idiopathic generalized epilepsy.
Dosage/Direction for Use
Partial onset seizure Adult ≥16 yr Initially 500 mg bid, may be increased by 500 mg bid every 2 wk to 1,500 mg bid. Ped patient 4 yr-<16 yr Initially 10 mg/kg bid, increased by 10 mg/kg bid every 2 wk to 30 mg/kg bid, 6 mth-<4 yr Initially 10 mg/kg bid, increased by 10 mg/kg bid every 2 wk to 25 mg/kg bid, 1 mth-<6 mth Initially 7 mg/kg bid, increased by 7 mg/kg bid every 2 wk to 21 mg/kg bid. Myoclonic seizure Adult & ped patient ≥12 yr w/ juvenile myoclonic epilepsy Initially 500 mg bid, increased by 500 mg bid every 2 wk to 1,500 mg bid. Primary generalized tonic-clonic seizure Adult ≥16 yr Initially 500 mg bid, increased by 500 mg bid every 2 wk to 1,500 mg bid. Ped patient 6 yr-<16 yr Initially 10 mg/kg bid, increased by 10 mg/kg bid every 2 wk to 30 mg/kg bid. Dose adjustment Adult w/ mild renal impairment (CrCl 50-80 mL/min/1.73 m2) 500-1,000 mg every 12 hr, moderate (CrCl 30-50 mL/min/1.73 m2) 250-750 mg every 12 hr, severe (CrCl <30 mL/min/1.73 m2) 250-500 mg every 12 hr, ESRD patient using dialysis 500-1,000 mg every 24 hr. Supplemental dose of 250-500 mg is recommended following dialysis.
Contraindications
Special Precautions
Discontinue use if patient develops signs or symptoms of anaphylaxis or angioedema or serious dermatological reactions eg, SJS/TEN. Risk of hematologic abnormalities including decreased RBC, Hb, & hematocrit, & increased eosinophil count. Gradually w/draw treatment when discontinuing. Monitor patients for psychiatric signs & symptoms. May cause somnolence, fatigue & coordination difficulties which may affect ability to drive or operate machinery. Patients w/ renal impairment. Physiological changes during pregnancy may gradually decrease plasma levels throughout pregnancy (more pronounced during 3rd trimester). Potential for serious adverse reactions in nursing infants; discontinue nursing during treatment or discontinue the drug. Monitor patients 1 mth-<4 yr of age for increases in diastolic BP. Elderly ≥65 yr.
Adverse Reactions
Adult: Somnolence, asthenia, infection, & dizziness. Ped patient: Fatigue, aggression, nasal congestion, decreased appetite, & irritability.
Drug Interactions
Doubled Cmax,ss & decreased renal clearance of the metabolite w/ probenecid.
MIMS Class
Anticonvulsants
ATC Classification
N03AX14 - levetiracetam ; Belongs to the class of other antiepileptics.
Presentation/Packing
Form
Levit IV soln for inj 100 mg/mL
Packing/Price
5 mL x 1's
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