HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Alternative Medication In Place Of Keppra

default
Posted on Mon, 7 Nov 2016
Question: Hi, I was taking trileptal for 10 years before I started to become allergic to it. I am now on Keppra bid instead. It is not working well and I need to consider another change. I have an appointment in a week but I always check things first before a discussion. Is there a drug out now for partial seizures which I have, that may work better than keppra and be closer in function to trileptal that worked well, XXXXXXX XXXX
doctor
Answered by Dr. Olsi Taka (2 hours later)
Brief Answer:
Read below

Detailed Answer:
I read your question carefully and I understand your concern.

The dosage of Keppra you are under is the smallest possible one. So I would say that it can't be said to have failed without trying an increase of the dosage. The dosage can go up to 3000 mg/day.

If increasing Keppra doesn't work the antiepileptic drug which I would try which has a similar mechanism of action to trileptal, blocking sodium channels, is Lamotrigine. It is an excellent drug in terms of efficacy and side effects profile. There are also carbamazepine and eslicarbazepine which are even more similar to Trileptal (oxcarbazepine) but there might be the risk of them causing allergic reactions as well.

I hope to have been of help.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Neurologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Suggest Alternative Medication In Place Of Keppra

Brief Answer: Read below Detailed Answer: I read your question carefully and I understand your concern. The dosage of Keppra you are under is the smallest possible one. So I would say that it can't be said to have failed without trying an increase of the dosage. The dosage can go up to 3000 mg/day. If increasing Keppra doesn't work the antiepileptic drug which I would try which has a similar mechanism of action to trileptal, blocking sodium channels, is Lamotrigine. It is an excellent drug in terms of efficacy and side effects profile. There are also carbamazepine and eslicarbazepine which are even more similar to Trileptal (oxcarbazepine) but there might be the risk of them causing allergic reactions as well. I hope to have been of help.