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It is crucial to be aware of the safety information and potential risks associated with taking Levetiracetam (Keppra). The following points outline key warnings and precautions, and it is advised to consult with your healthcare provider if you have any concerns:

• Mood and Behavior Changes: Levetiracetam (Keppra) may lead to alterations in mood, thoughts, or behavior, such as irritability, aggression, anxiety, or paranoia. Some individuals may also experience depression or become withdrawn. If you observe any such changes, especially in children or individuals with a history of mental health disorders (e.g., depression, schizophrenia, or bipolar disorder), contact your healthcare provider.

• Suicidal Thoughts or Behavior: There is an increased risk of suicidal thoughts or self-harm, which can manifest as early as one week after starting the medication. Seek medical assistance immediately if you or someone around you exhibits such behavior or experiences anxiety, panic attacks, insomnia, anger, or restlessness. The risk is heightened when taking other anti-seizure drugs.

• Cognitive and Motor Impairment: The medication can impair concentration, speech, and coordination, and may cause dizziness and drowsiness, affecting cognitive and motor functions. These effects are more likely at higher doses, with immediate-release forms, or when combined with medications that cause sleepiness or dizziness (e.g., benzodiazepines, muscle relaxants).

• Allergic Reactions: Severe allergic reactions, including facial swelling and anaphylaxis, are possible. Serious skin conditions, such as Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN), may also occur. Immediate medical attention is necessary if any symptoms of an allergic reaction arise.

• Withdrawal Seizures: Do not discontinue Levetiracetam (Keppra) abruptly, as this can lead to withdrawal seizures. If cessation is necessary, your provider will guide you on gradually reducing the dosage to prevent seizures.

• Low Blood Cell Counts: Levetiracetam (Keppra) can rarely lower blood cell counts, increasing the risk for anemia, infection, and bleeding. Regular complete blood count (CBC) tests may be recommended. Contact your provider if you experience symptoms such as fever, fatigue, unusual bruising, or bleeding.

• Blood Pressure in Young Children: The medication may elevate blood pressure in children under 4 years old. Regular monitoring at the provider's office and at home is advised. Notify the provider if your child's blood pressure is elevated.

• Seizure Management During Pregnancy: Levetiracetam (Keppra) levels may decrease during pregnancy, particularly in the third trimester, which can reduce the medication's effectiveness in controlling seizures. Pregnant individuals should have frequent follow-ups for seizure management, and dosage adjustments may be necessary.

These warnings are important for ensuring safe use of Levetiracetam (Keppra). Always discuss any questions or concerns with your healthcare provider to ensure optimal care and safety.

When taking this medication, some common side effects may occur, especially during the first few weeks as your body adjusts. These include drowsiness, dizziness, weakness, sleepiness, headache, and tiredness. In children, symptoms like common cold, vomiting, aggression, stuffy nose, lowered appetite, and irritability might also be experienced. Usually, these effects are mild and tend to subside over time. However, if these symptoms persist or worsen, it's important to consult your healthcare provider.

In rare situations, more serious side effects may occur. These can include loss of coordination, significant mood or mental changes such as irritability, aggression, anxiety, or unusual thoughts like depression or suicidal tendencies. Additionally, watch for signs of anemia, like persistent tiredness or pale skin, and any unusual bruising or bleeding. If you notice any sudden changes in mood or behavior, seek medical advice promptly.

Be cautious of allergic reactions, which are rare but serious. Symptoms such as fever, swollen lymph nodes, a rash, severe dizziness, trouble breathing, or swelling, especially of the face, tongue, or throat, require immediate medical attention. While rashes can be common, they might also indicate a severe reaction, so notify your doctor if you develop one. Always stay vigilant and report any new or worsening symptoms to your healthcare provider.