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Levera to Briv Switch
For past 5 years, I was on Levera 500 mg twice a day. But due to side effects like low concentration, emotional numbness, low mood, lack of motivation etc, my neurologist has switch medicine to Brivaracetam 50 mg in the day and 100 mg in the night. I have been on Briv since a week now.
How long does it take to experience benefits of switching from keppra to Briviact?
Answers (28)
In Another 3-4 week you will get rid of side effects of Levicetram.
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Brivaracetam starts working relatively quickly because it reaches effective blood levels soon after starting treatment. However, improvement in seizure control and tolerability can vary from person to person. Since you have been taking it for only one week, it may be too early to judge the full benefit of the switch.
Next Steps
Continue brivaracetam exactly as prescribed by your neurologist and maintain regular dosing without missing doses. Keep a record of seizures, mood, concentration, sleep and any new side effects, and discuss these during follow-up. Your neurologist can adjust the dose or treatment if required.
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Levetiracetam a generally considered as the first line of anti epileptic drug. If you are having symptoms and shifted to brivaracetam. Levetiracetam is associated with behavioural changes and the other drug which is brivaracetam more selective and have near to negligible behavioural changes as compared to levetiracetam.
You should continue this, and usually start seeing changes more, evidently after 2-3 weeks
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Share your proper history and consult on procto app as soon as possible.
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Please share details of your symptoms, why was levera started initially?
Then I can guide you further.
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Consult
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If a patient on levetiracetam has:
✅ No breakthrough seizures
✅ Good seizure control for the intended duration
✅ No significant adverse effects, especially behavioral/psychiatric effects
✅ Good adherence
✅ No clinically important drug interactions
✅ Renal function/dose are appropriate
then there is generally no need to switch levetiracetam to brivaracetam simply because brivaracetam has higher SV2A affinity.
Practical approach
LEV working well + tolerated well → Continue LEV.
Consider switching to brivaracetam mainly when there is a reason, such as:
behavioral adverse effects with LEV
inadequate seizure control despite appropriate LEV therapy
tolerability problems
a specific clinical reason to prefer BRV.
Higher SV2A affinity ≠ automatically better clinical efficacy.
So in a stable, seizure-free patient who is tolerating levetiracetam well, changing an effective ASM can itself introduce unnecessary risk of adverse effects or loss of seizure control.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Hi
Switching from Keppra (levetiracetam) to Briviact (brivaracetam) often provides rapid physiological transition, but noticing improvements in mood or seizure control can take anywhere from a few days to a couple of weeks.
You are already on right dosage of medication. Continue the same. Wait for reversal of your symptoms. If persistent even after couple of weeks,look for other causes for your symptoms
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???
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.
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You should consult because these medications should be taken under observation
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No ideas
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Brivaracetam is a reasonable switch for Keppra-related mood/concentration side effects. Improvement may occur within 1–4 weeks. Continue as prescribed and follow up with your neurologist
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Will it differs as per brand. Why don't you CONSULT ASAP and I can explain you the difference
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Do consult and complete assessment
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Both medicines are closely related , since u have been on briva since a week ,its early to judge the improvement, but yeah some side effects may improve
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Brivaracetam is closely related to levetiracetam, and the medicine reaches effective levels quickly, but seizure control and improvement in side effects may take a few weeks. The switch and dose should be guided by your neurologist; do not stop or alter either medicine yourself.
Next Steps
Continue the prescribed Brivaracetam at the same times and track seizures, sleep and mood symptoms over the next few weeks. Seek urgent care for a prolonged seizure, repeated seizures without recovery, or severe mood changes. For a medication review, book a Practo consult or visit Synergy Multispeciality Hospital, Miraj.
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Dr. Praful Mahamuni
General Practitioner
20 yrs exp
Nagpur
Hello,
Take Balanced diet which is mentioned below,
1/3 of food plate should contain bread ( or 4 roti ), pasta, potato and rice.
1/3 of food plate should contain fruits and vegetables.
1/9 of food plate should contain fish, meat, egg, beans and other non dairy sources of protein.
1/9 of food plate should contain milk and dairy foods.
1/9 of food plate should contain food and drink high in fat and/ or sugar.
plus a glass of milk daily.
For prescription contact me at WhatsApp at +91959508739nine or consult by practo.
In future if consultations are required than contact me at WhatsApp at +91959508739nine or consult by practo.
Thanks.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Parav Tantia
General Physician
5 yrs exp
Raipur
Both are safe and
And the benefit of drug is no seizures activity
Try finding other reasons of your weakness
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Reesha Varshney
General Physician
1 yrs exp
Hathras
Within 2-3 days or a week
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.