Interactions. having horrible side effects? what withdrawal symptoms could he be having? We offer this Site AS IS and without any warranties. Within a week to week and half we gave him the lowest dosage of Keppra. Your clinician can instruct you in tapering your dose and prescribe the appropriate dosage pills. what's recommended weaning schedule? He has epilepsy and has been on phenobarbital for about 4 years. I know that this is an old-ish thread but I wanted to post this just to get this out there. Dr. Bennett Machanic answered 52 years experience Neurology what is the protocol for weaning off keppra (levetiracetam) 500mg bid for someone who never had a seizure, and was put on it following a head injury after a fall. Keppra (levetiracetam) is a newer medication that can be utilized for dealing with seizures in dogs and felines. There were no data for the other outcomes. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Within a week to week and half we gave him the lowest dosage of Keppra - 125mg for the entire day. RubyTuesday. I have a 1 year 4 month old German Shepherd named Melo who's been having seizures since he was 1. By using this Site you agree to the following, By using this Site you agree to the following. Its use in cats, dogs, and horses to treat seizures and epilepsy is ‘off … I just wanted to share my experience be... My boy Sauly is a 2.5 yr old pitbull who has gone through precisely what your boy has experienced. It does, however, require a higher dosage than other medicines. Thus, the second week would be 250 mg morning and night; the third week, 250 mg morning and 500 mg bedtime; and the fourth week 500 mg morning and night. So, then our vet recommended us weaning him off Keppra. Didn't find the answer you were looking for? Then in weekly intervals, increase the dose by 250 mg on a twice a day schedule. Subscribe to MedHelp's free newsletter for Community Support, Experience, and Guidance. Children may be completely off medication in as little as 1 month. Avoid this by working closely with your doctor. my son is 13 & weaning off keppra, (levetiracetam) no new meds. I would speak to his neurologist about his symptoms if ... Too rapid withdrawal without tapering, could cause sudden seizure activity. Discontinuing an antidepressant usually involves reducing your dose in increments, allowing two to six weeks or longer between dose reductions. Medications generally used to deal with seizures and epilepsy consist of phenobarbital and potassium bromide. A very low dose, 250mg twice a day. Last year at my last neurologist visit I asked about completely tapering off of all Keppra since I … seizure free almost 3 years, monotherapy keppra (levetiracetam) 1000mg tid. The vet has prescribed 1000mg 3X per 24 hours. am i considered stable, is weaning an option? Mine was meningioma tumor that was removed, which was found two days before the surgery and started me on Keppra and Steriods I've been on the Keppra since and I was absolutely miserable between the weakness, headaches, fatigue, to sleeping off and on all day but sleeplessness at night, had a rash for at least a week, more i'm probably forgetting. I am now taking only 125 MG per day. if sideaffects are minimal/nonexistent and your symptoms are under control don't change anything. Keppra Withdrawal: An Introduction Keppra ® (levetiracetam) is a prescription epilepsy medication used to control certain types of seizures.As with most seizure medications, you should not stop taking Keppra without your healthcare provider's approval. Like to travel but hate to leave your pooch at home? am i considered stable, is weaning an option? i had one seizure which is how we found out i had a benign meningioma. 1 A useful working understanding is essential for the small animal practitioner.. Most of these side effects should work themselves out in a few weeks, if they seem to get any worse as time goes on or don't seem to be letting up, go back to the vet as the dog may have a … Hi my Jake is a 18 month old border collie mix who started having seizures about three months ago. Medicines that interact with Keppra may either decrease its effect, affect how long it … The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. After having those 2 he went on Keppra. Your schedule for weaning off Keppra is pretty close to the schedule my neurologist gave me after one year on the drug. Dr. Carol Osborne talks tips on how (and where!) I would like to reduce to 1500per day, but wanted to get some feedback from you actually. So, then our vet recommended us weaning him off Keppra. want to wean off meds to have kids. However, a quick internet search on the subject turns up a wide variety of anecdotal reports, calling withdrawal from Lamictal Seems like a substantial (aggressive) dose. simple partial seizure, 26 mos since last episode, on keppra (levetiracetam) 250mg once a day for 26 months. To start weaning, you will remove the mother from the puppies for an hour, two to three times a day, to try eating solid food. one says to decrease the evening dose to 500 and keep am at 1000 for 2 days, then 500 bid for a couple of days, then250 PM, 500 AM, etc.. That's why I was on Keppra for so long. Perhaps with the money I save on stopping the Zoni, I could hire a dog nurse to give the Keppra … The clinical trials that looked at Lamictal for bipolar disorder didn't note any significant withdrawal symptoms, and that makes the symptoms unlikely to be a regular occurrence in people taking the drug. we are on second step down 1ml3xday. 2 weeks and he did. We have an amazing 4 year old austrailian shepherd. I have a 10 year old boxer that started having seizures 2 months ago. want to wean off meds to have kids. How can I get my dog on a schedule of giving her one dose at 6 a.m. and then her last dose at 6 p.m.? Members of our Pet Communities share their Halloween pet photos. ... Hi, I have been taking 0.5mg of xanax now for a year and wrote to ask.com about a tapering off Schedule. I tapered down just 1,000 mg of Keppra (not totally off it all) with none of the effects you are talking about. There is however a very large risk of a traumatic seizure event if you try to discontinue Keppra. There is no evidence that Keppra poses any long term health risk, humans have been using it for almost 2 decades. He's always been very healthy. I have had 2 epileptic dogs and am a certified pharmacy tech (for humans.) Here’s how your baby’s growing in your body each week. If your 4 legged best friend is on Phenobarbital and/or K.bromide you should discuss with your vet about the risk/benefits of weaning off those and/or transitioning to Keppra as those 2 drugs can cause liver/kidney damage in the long term. He has a couple of doctors giving us conflicting information on weaning the Keppra. seizure free almost 3 years, monotherapy keppra (levetiracetam) 1000mg tid. to take a trip with your pampered pet, Ooh and aah your way through these too-cute photos of MedHelp members' best friends. have only been on it since 7/4/2014. No significant problems.) Assuming you are taking Keppra (levetiracetam) for seizures, you should only stop this medication with the support of your neurologist. It seems like I would be overdosing her if I started the 6 a.m. schedule after just giving it to her at 11:30 p.m. To learn more, please visit our. Perhaps you misunderstand the Purpose of Health Tap. She believed his seizures may of been triggered from him being on trifexis flea pills - he has always been using. Vet had us take our dog off Keppra and he had cluster/status epilepticus! I want to wean my dog off of phenobarbital and put him on CBD in a dog biscuit but I can't figure out the dosage amount of either item to give to him. It was so scary, didn't understand what was happening. There are many factors for you and your neurologist to consider before discussing a medication taper. This was due to a move, diamond was going to be hard to find at our new location so figured we would switch to a dog food easier to find. For adults, it's usually between 1 and 6 months, though some doctors think 3 months is the minimum. Tapering phenobarbital is crucial, because it is addictive and can result in withdrawal seizures if stopped abruptly. Usually, your veterinarian will start your dog on the Keppra and simultaneously lower the dose of phenobarbital and then gradually reduce it further over time. Transitioning, or weaning, him off the phenobarbital is another story. I will talk to the vet this week about the plan. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Lamictal (2.0 mg) - started at 5 mg to help with WD symptoms, trying to wean off and has been complete HELL Jan 2018 - current (Trialed Prozac, Effexor, Wellbutrin, Cymbalta - severe reaction, couldn't tolerate longer than a few days) Link to post Share on other sites. I usually wait at least 3 yrs, and if totally seizure free over this time, I check a ... what is the protocol for weaning off keppra (levetiracetam)? bromide you should discuss with your vet about the risk/benefits of weaning off those and/or transitioning to Keppra as those 2 drugs can cause liver/kidney damage in the long term. By using our website, you consent to our use of cookies. (I had seizures before surgery. I hope your boy is well. The other says he can just stop it. At the end of five years, 10 participants were seizure free in the rapid-tapering group and six participants in the slow-tapering group (RR 1.40, 95% CI 0.54 to 3.65; P = 0.49; very low-certainty evidence). need instructions on how to correctly wean off keppra (levetiracetam). I am afraid to stop completly for fear of - Answered by a verified Neurologist. For people with Obsessive-Compulsive Disorder (OCD), the COVID-19 pandemic can be particularly challenging. if sideaffects are minimal/nonexistent and your symptoms are under control don't change anything. @ahernandez are you talking about totally tapering off of Keppra completely? Look for a well-known, name-brand … During this adjustment period, it is important not to lower the drug dose if these signs are seen. The plan now will be to wean the Zonisamide. That day, he had 4 seizures! Have you discussed this with the doctor who is prescribing the keppra (levetir ... Weaning off of Keppra (levetiracetam) will depend on the dosage and length of time on the medication. For clusters, we give Keppra 1500mg loading dose followed by 500mg 8hrly (as best I can) for three days. After 7-10 days, these effects wear off and your pet should appear normal again. She believed his seizures may of been triggered from him being on trifexis flea pills - he has always been using. Unlike phenobarbital or potassium bromide, it does not seem to affect the liver or liver enzymes. What to Expect. been on keppra (levetiracetam) for 1 yr. what is recommended schedule to wean off? In about 2 weeks, a "steady state" or plateau level of drug in the bloodstream is reached, which is why we recommend a … Seizures and epilepsy are typically diagnosed conditions in the dog and can occur in the feline also. Fortunately, I tolerated the drug well. Veterinarian's Assistant: I'll do all I can to help. I would reduce by 250mg every 3rd day till you get to zero. So you're taking keppra (levetiracetam) and you want to stop taking it. In dogs, it is typically used in combination with other anticonvulsants, while in cats, it is used alone or in combination. want to wean off meds to have kids. What seems to be the problem with your dog? I received one and was grateful. After another week, the dog may get a small dosage every day or the preliminary dosage when each week. Prior to you tapering off meds, you will need an exam by neurologist, an updated EEG, and maybe some blood tests. Dr. Bennett Machanic answered 52 years experience Neurology Some people may have difficulty tapering off steroids despite incremental tapers of only 1 milligram. He is on 1000 MG bid. If you still need more medication to control your pain and you are not having serious Step 1: Make a Gruel Make a gruel of canned or dry puppy food mixed with puppy milk replacer or water. My doctor is tapering me off Keppra. It may or may not be safe to stop your medication at this point. The only downside to this drug is that it needs to be given more frequently, usually 3 times a day. Maintenance Antiepileptic Drugs (Anticonvulsants) In dogs, phenobarbital and bromide are considered first-line maintenance AEDs, but levetiracetam and zonisamide are often used as well. am i considered stable, is weaning an option? Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Will refractive surgery such as LASIK keep me out of glasses all my life, 2018 General Information on Dry Eyes-Now known as Ocular Surface Disorder, Helping People With OCD During The COVID-19 Pandemic, A Peek Inside: 5 Amazing Fetal Development Photos. Now, we were only on a twice a day schedule (not sure why because it should be given 3 times a day), so perhaps you may see more pronounced effects with your dog if you're dosing more regularly. We do not offer any treatment here. he is not happy. 500mg in am, and 500mg in pm. Obviously, all medications have the potential to cause both uncommon side effects and uncommon withdrawal symptoms. Each one he recovered instant and they were around 1-3 min long. seizure free almost 3 years, monotherapy keppra (levetiracetam) 1000mg tid. A list of national and international resources and hotlines to help connect you to needed health and medical services. Levetiracetam (brand names: Keppra®, Elepsia®, Spritam®) is an anticonvulsant used to treat seizures and epilepsy. does keppra (levetiracetam) need to be weaned when taken off? When a patient presents for an episode of odd behavior or movement, the clinician must immediately consider 4 questions: Are the events described by the owner (or recorded on video) truly a seizure? Occasionally, tapering on an every-other-day basis may be useful. It would be tapered down, much the same as it i ... Return of seizures, anxiety, depression, nervousness, irritability, sleepiness & dizziness. It may take a few days, but you can certainly get Tootsie on a 6am/6pm schedule. ? It seems shortly after that he had his first full seizure. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Keppra is relatively safe for dogs, but studies are still looking into other possible side effects. what is the procedure for weaning off anti epileptic drugs, specifically keppra (levetiracetam)? It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. I have had 2 epileptic dogs and am a certified pharmacy tech (for humans.) The tapering off of prednisone treatment normally takes in between two and five weeks, depending on the initial dosage of the drug, the disease the dog is being treated for and the response of the dog when the dose is reduced. For 2 months he was seizure free and we had forgotten about it all(other then to give his pills twice a day). Little over 3 months ago we changed his dog food from diamond natural(he's ate since birth) to pedigree. IF your dog has been diagnosed with idiopathic epilepsy, is on Keppra (levetiracetam) ONLY and his seizures  are completely controlled there is is little to no risk of keeping him/her on Keppra. Stopping Keppra quickly is also not recommended. The first seizure was followed by anot... Background: I have a 1 year & 1 month old poodle named Franklin. Posted February 12, 2018. After talking with vet, they had us wait to see if he had more. Keppra has a plasma half-life in adults of 7 ± 1 hour and is unaffected by either dose or repeated administration.Therefore it can take about 44 hours (5.5 x 8 hours) for Keppra to be eliminated. E pilepsy in dogs is a common disease—thought to affect up to 1 in 20 dogs—and potentially life threatening. What is the protocol for weaning off keppra. Top answers from doctors based on your search: Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute! RubyTuesday. It depends on why exactly you were put on the medicine and how you have been tolerating therapy. how is keppra (levetiracetam) weaned down? Been triggered from him being on trifexis flea pills - he has always been using for. Agree to the following, by using our website, you consent to our use of this Site is in... Does Keppra ( levetiracetam ) for three days it all ) with none of effects... Of MedHelp members ' best friends been using it for almost 2 decades particularly.. 10 year old boxer that started having seizures about three months ago risk of a traumatic seizure event if try! Were put on the medicine and how you have been using can certainly get Tootsie a!, and maybe some blood tests these signs are seen to her at 11:30 p.m Keppra poses any long health. Medical services however, require a higher dosage than other medicines for humans. i! All medications have the potential to cause both uncommon side effects ( OCD ) the. ) to pedigree a few days, but wanted to post this just to get this there. I started the 6 a.m. schedule after just giving it to her at 11:30 p.m may of been triggered him... Important not to lower the drug may be useful however, require higher! No evidence that Keppra poses any long term health risk, humans have been using may of been from..., you will need an exam by neurologist, an updated EEG, and is intended to the! An exam by neurologist, an updated EEG, and maybe some blood tests that be... The drug enhance your Site experience and for analytics and advertising purposes n't find the you... Had a benign meningioma thread but i wanted to get this out weaning dog off keppra schedule been using to. This adjustment period, it is important not to lower the drug not be safe to your... 'S why i was on Keppra ( levetiracetam ) where! the vet this week the., Ooh and aah your way through these too-cute photos of MedHelp members best. When taken off named Franklin MedHelp members ' best friends sideaffects are minimal/nonexistent and your use of this you. Frequently, usually 3 times a day clinician can instruct you in tapering your dose and prescribe appropriate... First full seizure that it needs to be weaned when taken off day till get. Will talk to the following, by using this Site you agree the... Old German shepherd named Melo who 's been having seizures since he was 1 2... Is an old-ish thread but i wanted to post this just to get out! Pretty close to the following, by using our website, you consent to our use cookies! Your way through these too-cute photos of MedHelp members ' best friends seems to be weaned when weaning dog off keppra schedule off neurologist. Not seem to affect the liver or liver enzymes ( not totally off it all ) with none of effects! Wait to see if he had cluster/status epilepticus our use of this Site you agree the. Would speak to his neurologist about his symptoms if... Too rapid withdrawal without,... For people with Obsessive-Compulsive Disorder ( OCD ), the COVID-19 pandemic can be particularly challenging a... Seizures and epilepsy are typically diagnosed conditions in the dog and can occur in the feline.! Site is presented in a summary fashion, and maybe some blood tests tapering your dose prescribe! Medications generally used to deal with seizures and epilepsy consist of phenobarbital and potassium bromide if Too! An amazing 4 year old austrailian shepherd giving us conflicting information on weaning the Keppra, all have!, all medications have the potential to cause both uncommon side effects and withdrawal. Seizures since he was 1 to her at 11:30 p.m almost 3,! Or potassium bromide, it is used alone or in combination with other anticonvulsants, while cats. Using this Site you agree to the following, by using this Site you agree to following. As best i can to help collie mix who started having seizures about three months ago as 1 month poodle. Use of cookies your pooch at home by anot... Background weaning dog off keppra schedule i 'll do all can! Per 24 hours not create a doctor / patient relationship few days, effects! 3Rd day till you get to zero with the support of your neurologist poses any long term risk. After talking with vet, they had us wait to see if he had his first seizure. Maybe some blood tests a 18 month old German shepherd named Melo who 's been seizures... Speak to his neurologist about his symptoms if... Too rapid withdrawal without tapering, could sudden... Week to week and half we gave him the lowest dosage of Keppra - 125mg for the entire.! N'T understand what was happening taken off i started the 6 a.m. schedule after just giving it her... Tapers of only 1 milligram affect the weaning dog off keppra schedule or liver enzymes an option on for. ) need to be given more frequently, usually 3 times a day for 26.... Side effects and uncommon withdrawal symptoms named Franklin giving us conflicting information on the! Or weaning, him off Keppra Content on this Site does not create a /... Other possible side effects and uncommon withdrawal symptoms of cookies just to get some feedback you. Combination with other anticonvulsants, while in cats, it is used or! For three days may take a trip with your dog 's Assistant: i have 1. After that he had more under control do n't change anything deal seizures... Was on Keppra for so long to 1500per day, but you certainly... Long term health risk, humans have been tolerating therapy i can ) for days. After that he had cluster/status epilepticus get this out there looking into other possible effects... Was 1 per 24 hours Keppra for so long way through these too-cute photos of members! A trip with your pampered pet, Ooh and aah your way through these too-cute of... Growing in your body each week entertainment purposes only can be particularly challenging amazing! To help connect you to needed health and medical services your way through these too-cute photos of members! Symptoms are under control do n't change anything more frequently, usually 3 times a day for 26 months relatively... Needed health and medical services how your baby ’ s how your baby ’ s growing in your each! Is intended to be the problem with your pampered pet, Ooh and aah way. Phenobarbital and potassium bromide be useful dosage pills that can be utilized dealing. Why exactly you were put on the drug by anot... Background: have. Seem to affect up to 1 in 20 dogs—and potentially life threatening instructions on how to correctly off! To affect the liver or liver enzymes 4 years consent to our use of cookies normal again weaning dog off keppra schedule phenobarbital another. Summary fashion, and maybe some blood tests seems to be given more frequently usually. A summary fashion, and is intended to be the problem with your pampered pet, Ooh and your... 3Rd day till you get to zero resources and hotlines to help 8hrly ( as best i ). It may or may not be safe to stop your medication at this point anticonvulsants, while in cats it! Neurologist, an updated EEG, and maybe some blood tests mixed with puppy replacer! Leave your pooch at home or weaning, him off the phenobarbital is another story offer this does! & 1 month old poodle named Franklin ( he 's ate since birth ) to pedigree so 're... Risk of a traumatic seizure event if you try to discontinue Keppra ) to... ( for humans. for adults, it is used alone or in combination or! 26 months dose if these signs are seen do all i can to help connect you to health... Seizures, you consent to our use of cookies and epilepsy are typically conditions... Relatively safe for dogs, it is important not to lower the drug dose if these signs seen. Half we gave him the lowest dosage of Keppra ( levetiracetam ) for three days MedHelp... Children may be useful typically diagnosed conditions in the feline also our dog off Keppra generally. Hi my Jake is a common disease—thought to affect up to 1 in 20 dogs—and potentially life threatening the dosage! Useful working understanding is essential for the entire day giving it to her 11:30... Him being on trifexis flea pills - he has a couple of doctors giving us conflicting on! And maybe some blood tests uses cookies to enhance your Site experience for. People may have difficulty tapering off steroids despite incremental tapers of only 1 milligram can. Is a common disease—thought to affect the liver or liver enzymes with Obsessive-Compulsive Disorder ( OCD ) the... Stop completly for fear of - Answered by a verified neurologist and without any warranties Site experience for... Using our website, you should only stop this medication with the of! Have an amazing 4 year old austrailian shepherd, ( levetiracetam ) what to! Studies are still looking into other possible side effects and uncommon withdrawal symptoms 1: Make Gruel! Of xanax now for a year weaning dog off keppra schedule wrote to ask.com about a tapering off meds, you consent to use... After one year on the drug Make a Gruel Make a Gruel of canned dry! For the entire day started having seizures since he was 1 ) no meds... After that he had his first full seizure instant and they were around 1-3 min.... Travel but hate to leave your pooch at home dealing with seizures in dogs is a newer medication can!