Therapy/Class:
Therapy: Anticonvulsant or Anti-Epileptic Agent
Class: Pyrrolidine Class
Mechanism of Action:
It shows Anti-Epileptic by binding to a unique synaptic vesicle protein 2A (SV2A). SV2A protein is a part of secretory vesicle membranes that mediates calcium-dependent vesicular neurotransmitter release. The binding of levetiracetam to SV2A appears to decrease the rate of vesicle release.
Indications:
- Myoclonic seizures
- Partial onset of seizures
- Primary generalized tonic-clonic seizures in patients 6 years of age and older with idiopathic generalized epilepsy
- Status Epilepticus & Seizure Prophylaxis In Subarachnoid Haemorrhage
- Seizures in Palliative Care
Dosage & Administration:
Partial Onset Seizures
- 1 Month to < 6 Months: 7 mg/kg twice daily; increase by 7 mg/kg twice daily every 2 weeks to recommended dose of 21 mg/kg twice daily
- 6 Months to < 4 Years: 10 mg/kg twice daily; increase by 10 mg/kg twice daily every 2 weeks to recommended dose of 25 mg/kg twice daily
- 4 Years to < 16 Years: 10 mg/kg twice daily; increase by 10 mg/kg twice daily every 2 weeks to recommended dose of 30 mg/kg twice daily
Myoclonic Seizures in Paediatric Patients 12 Years and Older
- 500 mg twice daily; increase by 500 mg twice daily every 2 weeks to recommended dose of 1500 mg twice daily
Primary Generalized Tonic-Clonic Seizures
- 6 Years to < 16 Years: 10 mg/kg twice daily, increase in increments of 10 mg/kg twice daily every 2 weeks to recommended dose of 30 mg/kg twice daily
HOW SUPPLIED: GARDITAM SYRUP is available as Oral Solution in 100ml Pack.
References:
- StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-
- Wheless JW. Levetiracetam in the treatment of childhood epilepsy. Neuropsychiatr Dis Treat. 2007 Aug;3(4):409-21. PMID: 19300570; PMCID: PMC2655081.
- Pang, Qiming MD; Li, Bangtao MM; Zhang, Suli MB; Li, Jiaoyang MB; Gu, Shuo MD∗. Efficacy of levetiracetam in the treatment of pediatric epilepsy: A protocol for systematic review and meta-analysis. Medicine 101(8):p e28882, February 25, 2022. | DOI: 10.1097/MD.0000000000028882
- Weijenberg, A., Brouwer, O.F. & Callenbach, P.M.C. Levetiracetam Monotherapy in Children with Epilepsy: A Systematic Review. CNS Drugs 29, 371–382 (2015). https://doi.org/10.1007/s40263-015-0248-9