Keppra XR® extended-release tablets are indicated as adjunctive therapy in
the treatment of partial onset seizures in patients 16 years of age and older with epilepsy.
Antiepileptic drugs (AEDs) increase the risk of suicidal thoughts or behavior in patients
taking these drugs for any indication. Patients treated with any AED for any indication should
be monitored for the emergence or worsening of depression, suicidal thoughts or behavior,
and/or any unusual changes in mood or behavior. Keppra XR® causes somnolence,
dizziness, and behavioral abnormalities. The most common adverse reactions observed with
Keppra XR® in combination with other AEDs were somnolence and irritability.
The adverse reactions that may be seen in patients receiving Keppra XR® are expected to be
similar to those seen in patients receiving immediate-release Keppra® (levetiracetam) tablets.
Keppra® immediate-release tablets cause somnolence and fatigue, coordination difficulties,
and behavioral abnormalities (e.g., psychotic symptoms, suicidal ideation, and other
abnormalities), as well as hematological abnormalities. In adults experiencing partial onset
seizures, the most common adverse reactions observed with Keppra® in combination with
other AEDs were somnolence, asthenia, infection, and dizziness.
Keppra XR® should be gradually withdrawn to minimize the potential of increased seizure
frequency.
Dosing must be individualized according to the patient’s renal function status. In patients
with end stage renal disease on dialysis, it is recommended that immediate-release Keppra®
be used instead of Keppra XR®. Please see Keppra.com for the Keppra® immediate-release
tablets full prescribing information.
Please see Keppra XR® Medication Guide and Full Prescribing
Information.
1. Data on file. UCB, Inc.