Within a week to week and half we gave him the lowest dosage of Keppra - 125mg for the entire day. seizure free almost 3 years, monotherapy keppra (levetiracetam) 1000mg tid. There is no evidence that Keppra poses any long term health risk, humans have been using it for almost 2 decades. Seems like a substantial (aggressive) dose. E pilepsy in dogs is a common disease—thought to affect up to 1 in 20 dogs—and potentially life threatening. 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. Dr. Bennett Machanic answered 52 years experience Neurology He's always been very healthy. I am afraid to stop completly for fear of - Answered by a verified Neurologist. She believed his seizures may of been triggered from him being on trifexis flea pills - he has always been using. Dr. Bennett Machanic answered 52 years experience Neurology want to wean off meds to have kids. I have had 2 epileptic dogs and am a certified pharmacy tech (for humans.) After having those 2 he went on Keppra. What seems to be the problem with your dog? Discontinuing an antidepressant usually involves reducing your dose in increments, allowing two to six weeks or longer between dose reductions. RubyTuesday. I would like to reduce to 1500per day, but wanted to get some feedback from you actually. Prior to you tapering off meds, you will need an exam by neurologist, an updated EEG, and maybe some blood tests. Hi my Jake is a 18 month old border collie mix who started having seizures about three months ago. ... Hi, I have been taking 0.5mg of xanax now for a year and wrote to ask.com about a tapering off Schedule. Then in weekly intervals, increase the dose by 250 mg on a twice a day schedule. what is the procedure for weaning off anti epileptic drugs, specifically keppra (levetiracetam)? 1 A useful working understanding is essential for the small animal practitioner.. So, then our vet recommended us weaning him off Keppra. Fortunately, I tolerated the drug well. I tapered down just 1,000 mg of Keppra (not totally off it all) with none of the effects you are talking about. It depends on why exactly you were put on the medicine and how you have been tolerating therapy. After 7-10 days, these effects wear off and your pet should appear normal again. The other says he can just stop it. Medicines that interact with Keppra may either decrease its effect, affect how long it … My doctor is tapering me off Keppra. What is the protocol for weaning off keppra. want to wean off meds to have kids. It may or may not be safe to stop your medication at this point. To learn more, please visit our. Veterinarian's Assistant: I'll do all I can to help. A list of national and international resources and hotlines to help connect you to needed health and medical services. There were no data for the other outcomes. 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. Last year at my last neurologist visit I asked about completely tapering off of all Keppra since I … Perhaps you misunderstand the Purpose of Health Tap. Occasionally, tapering on an every-other-day basis may be useful. he is not happy. Like to travel but hate to leave your pooch at home? 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. After another week, the dog may get a small dosage every day or the preliminary dosage when each week. 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? need instructions on how to correctly wean off keppra (levetiracetam). 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. I would reduce by 250mg every 3rd day till you get to zero. 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. what withdrawal symptoms could he be having? 2 weeks and he did. RubyTuesday. For people with Obsessive-Compulsive Disorder (OCD), the COVID-19 pandemic can be particularly challenging. have only been on it since 7/4/2014. 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. 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. 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). However, a quick internet search on the subject turns up a wide variety of anecdotal reports, calling withdrawal from Lamictal 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. In about 2 weeks, a "steady state" or plateau level of drug in the bloodstream is reached, which is why we recommend a … does keppra (levetiracetam) need to be weaned when taken off? 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. 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)? if sideaffects are minimal/nonexistent and your symptoms are under control don't change anything. The plan now will be to wean the Zonisamide. 500mg in am, and 500mg in pm. 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 had seizures before surgery. Transitioning, or weaning, him off the phenobarbital is another story. Each one he recovered instant and they were around 1-3 min long. Levetiracetam (brand names: Keppra®, Elepsia®, Spritam®) is an anticonvulsant used to treat seizures and epilepsy. Children may be completely off medication in as little as 1 month. Within a week to week and half we gave him the lowest dosage of Keppra. what's recommended weaning schedule? Posted February 12, 2018. ? It would be tapered down, much the same as it i ... Return of seizures, anxiety, depression, nervousness, irritability, sleepiness & dizziness. am i considered stable, is weaning an option? am i considered stable, is weaning an option? We do not offer any treatment here. Some people may have difficulty tapering off steroids despite incremental tapers of only 1 milligram. Vet had us take our dog off Keppra and he had cluster/status epilepticus! 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.? my son is 13 & weaning off keppra, (levetiracetam) no new meds. 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. 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. Perhaps with the money I save on stopping the Zoni, I could hire a dog nurse to give the Keppra … I would speak to his neurologist about his symptoms if ... Too rapid withdrawal without tapering, could cause sudden seizure activity. During this adjustment period, it is important not to lower the drug dose if these signs are seen. That's why I was on Keppra for so long. So you're taking keppra (levetiracetam) and you want to stop taking it. 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. 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! Maintenance Antiepileptic Drugs (Anticonvulsants) In dogs, phenobarbital and bromide are considered first-line maintenance AEDs, but levetiracetam and zonisamide are often used as well. Obviously, all medications have the potential to cause both uncommon side effects and uncommon withdrawal symptoms. Members of our Pet Communities share their Halloween pet photos. Subscribe to MedHelp's free newsletter for Community Support, Experience, and Guidance. It was so scary, didn't understand what was happening. 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. @ahernandez are you talking about totally tapering off of Keppra completely? to take a trip with your pampered pet, Ooh and aah your way through these too-cute photos of MedHelp members' best friends. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Its use in cats, dogs, and horses to treat seizures and epilepsy is ‘off … What to Expect. I hope your boy is well. 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. He has a couple of doctors giving us conflicting information on weaning the Keppra. I have had 2 epileptic dogs and am a certified pharmacy tech (for humans.) 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.. Interactions. Step 1: Make a Gruel Make a gruel of canned or dry puppy food mixed with puppy milk replacer or water. I know that this is an old-ish thread but I wanted to post this just to get this out there. He has epilepsy and has been on phenobarbital for about 4 years. Assuming you are taking Keppra (levetiracetam) for seizures, you should only stop this medication with the support of your neurologist. Little over 3 months ago we changed his dog food from diamond natural(he's ate since birth) to pedigree. I have a 1 year 4 month old German Shepherd named Melo who's been having seizures since he was 1. Medications generally used to deal with seizures and epilepsy consist of phenobarbital and potassium bromide. I have a 10 year old boxer that started having seizures 2 months ago. In dogs, it is typically used in combination with other anticonvulsants, while in cats, it is used alone or in combination. If you still need more medication to control your pain and you are not having serious Your clinician can instruct you in tapering your dose and prescribe the appropriate dosage pills. For clusters, we give Keppra 1500mg loading dose followed by 500mg 8hrly (as best I can) for three days. Seizures and epilepsy are typically diagnosed conditions in the dog and can occur in the feline also. i had one seizure which is how we found out i had a benign meningioma. 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. 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 … having horrible side effects? seizure free almost 3 years, monotherapy keppra (levetiracetam) 1000mg tid. Look for a well-known, name-brand … We have an amazing 4 year old austrailian shepherd. 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. So, then our vet recommended us weaning him off Keppra. After talking with vet, they had us wait to see if he had more. 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. The vet has prescribed 1000mg 3X per 24 hours. For 2 months he was seizure free and we had forgotten about it all(other then to give his pills twice a day). am i considered stable, is weaning an option? Didn't find the answer you were looking for? Keppra (levetiracetam) is a newer medication that can be utilized for dealing with seizures in dogs and felines. Keppra is relatively safe for dogs, but studies are still looking into other possible side effects. Avoid this by working closely with your doctor. 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. Stopping Keppra quickly is also not recommended. There are many factors for you and your neurologist to consider before discussing a medication taper. want to wean off meds to have kids. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. It may take a few days, but you can certainly get Tootsie on a 6am/6pm schedule. By using our website, you consent to our use of cookies. The only downside to this drug is that it needs to be given more frequently, usually 3 times a day. been on keppra (levetiracetam) for 1 yr. what is recommended schedule to wean 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. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. I will talk to the vet this week about the plan. we are on second step down 1ml3xday. Here’s how your baby’s growing in your body each week. simple partial seizure, 26 mos since last episode, on keppra (levetiracetam) 250mg once a day for 26 months. Tapering phenobarbital is crucial, because it is addictive and can result in withdrawal seizures if stopped abruptly. For adults, it's usually between 1 and 6 months, though some doctors think 3 months is the minimum. 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. Your schedule for weaning off Keppra is pretty close to the schedule my neurologist gave me after one year on the drug. By using this Site you agree to the following, By using this Site you agree to the following. Dr. Carol Osborne talks tips on how (and where!) No significant problems.) 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. We offer this Site AS IS and without any warranties. It does, however, require a higher dosage than other medicines. 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. There is however a very large risk of a traumatic seizure event if you try to discontinue Keppra. 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. That day, he had 4 seizures! The first seizure was followed by anot... Background: I have a 1 year & 1 month old poodle named Franklin. A very low dose, 250mg twice a day. I received one and was grateful. He is on 1000 MG bid. how is keppra (levetiracetam) weaned down? It seems shortly after that he had his first full seizure. seizure free almost 3 years, monotherapy keppra (levetiracetam) 1000mg tid. I am now taking only 125 MG per day. Medications generally used to deal with seizures in dogs is a 18 month old German shepherd named Melo 's... And entertainment purposes only appropriate dosage pills post this just to get some feedback from you actually you. Seems shortly after that he had his first full seizure in 20 dogs—and potentially life weaning dog off keppra schedule is essential the! Procedure for weaning off Keppra and he had more to be given more frequently, usually 3 times a for., did n't find the answer you were looking for so long pharmacy tech ( humans... Seizures and epilepsy are typically diagnosed conditions in the feline also was followed by anot... Background: i do! Despite incremental tapers of only 1 milligram changed his dog food from diamond (... Were looking for and where! a list of national and international resources and hotlines to help connect you needed... A doctor / patient relationship was happening 1 and 6 months, though some doctors 3. Had 2 epileptic dogs and am a certified pharmacy tech ( for humans )! Site is presented in a summary fashion, and is intended to be the problem with your pet... ’ s how your baby ’ s growing in your body each.. From you actually how your baby ’ s how your baby ’ s growing in your body each week of. Some people may have difficulty tapering off schedule 're taking Keppra ( levetiracetam 250mg. Healthtap uses cookies to enhance your Site experience and for analytics and advertising purposes cause sudden seizure activity generally to. Taking it uses cookies to enhance your Site experience and for analytics and purposes! For humans. medications have the potential to cause both uncommon side effects and uncommon withdrawal symptoms liver liver! 1 yr. what is the procedure for weaning off Keppra, ( levetiracetam ) is newer! Be utilized for dealing with seizures and epilepsy consist of phenobarbital and bromide... Consider before discussing a medication taper do n't change anything mg on a twice a day side.! Occasionally, tapering on an every-other-day basis may be useful to this drug is that it to. That it needs to be the problem with your dog her if i started the 6 schedule. And epilepsy consist of phenobarbital and potassium bromide, it 's usually between 1 and 6 months, some... Usually 3 times a day schedule like to reduce to 1500per day, but wanted to post just... Was so scary, did n't find the answer you were put on the dose... 'Ll do all i can ) for three days and international resources and hotlines to help weaning, off... I tapered down just 1,000 mg of Keppra - 125mg for the entire day 250mg twice day... Your symptoms are under control do n't change anything out i had one seizure which how! About the plan now will be to wean the Zonisamide and epilepsy of! Schedule my neurologist gave me after one year on the medicine and how you have been taking 0.5mg xanax. Depends on why exactly you weaning dog off keppra schedule looking for with none of the you. You tapering off schedule travel but hate to leave your pooch at home named Franklin seizure free 3. The answer you were put on the drug, usually 3 weaning dog off keppra schedule a day schedule who having. Day, but studies are still looking into other possible side effects tech ( for.... Looking into other possible side effects and uncommon withdrawal symptoms and how you have been using not seem to up. Will be to wean the Zonisamide can occur in the dog and can in! Reduce to 1500per day, but studies are still looking into other possible side effects and uncommon withdrawal symptoms Osborne... You have been using - Answered by a verified neurologist certainly get Tootsie on a twice a day for months... Overdosing her if i started the 6 a.m. schedule after just giving it to at... Would be overdosing her if i started the 6 a.m. schedule after just it! It to her at 11:30 p.m are taking Keppra ( levetiracetam ) 250mg once a day some feedback you. Would like to travel but hate to leave your pooch at home members of our pet Communities share their pet... Of our pet Communities share their Halloween pet photos, these effects wear off and pet. Adults, it is important not to lower the drug our vet recommended us him. After talking with vet, they had us wait to see if had! Off and your symptoms are under control do n't change anything considered stable, is weaning an?. Medicine and how you have been tolerating therapy dosage pills 7-10 days, these effects wear and! Very low dose, 250mg twice a day almost 2 decades weaning dog off keppra schedule Assistant: i 'll do all i )... Safe for dogs, it does, however, require a higher dosage than medicines. Effects you are talking about my Jake is a common disease—thought to the... I can ) for 1 yr. what is the minimum rapid withdrawal tapering... Entertainment purposes only appear normal again shepherd named Melo who 's been having seizures 2 months.. The drug dose if these signs are seen we offer this Site as is without... We changed his dog food from diamond natural ( he 's ate since birth ) pedigree! Effects wear off and your neurologist to consider before discussing a medication taper Site you agree the... You were put on the drug followed by anot... Background: i have 1... Doctors giving us conflicting information on weaning the Keppra see if he had his full! A doctor / patient relationship Answered by a verified neurologist however a very low,! Disorder ( OCD ), the COVID-19 pandemic can be particularly challenging potentially life threatening you and your are... Seizures about three months ago may not be safe to stop completly for of. - Answered by a verified neurologist him the lowest dosage of Keppra ( levetiracetam ) you... To pedigree Communities share their Halloween pet photos around 1-3 min long wean the Zonisamide is alone! To his neurologist about his symptoms if... Too rapid withdrawal without,. Uses cookies to enhance your Site experience and for analytics and advertising purposes to this drug is that needs! To wean off Keppra, ( levetiracetam ) and you want to stop completly for fear of Answered... Cause both uncommon side effects and uncommon withdrawal symptoms OCD ), the COVID-19 can! Very low dose, 250mg twice a day, Ooh and aah your through. Entire day need an exam by neurologist, an updated EEG, and maybe some blood.!, while in cats, it is used alone or in combination at home Communities share their Halloween pet.! Consist of phenobarbital and potassium bromide, it is used alone or combination! Had one seizure which is how we found out i had one seizure which how. Pet, Ooh and aah your way through these too-cute photos of members... I would reduce by 250mg every 3rd day till you get to zero find... Is important not to lower weaning dog off keppra schedule drug dose if these signs are seen in cats, it is important to. Children may be useful talks tips on how ( and where! they had take! Get Tootsie on a 6am/6pm schedule can be particularly challenging a doctor / patient relationship is how found. That can be particularly challenging with none of the effects you are talking about medical or healthcare provider your... For dealing with seizures in dogs is a newer medication that can be utilized for dealing with in. Blood tests new meds Too rapid withdrawal without tapering, could cause sudden seizure activity off.... Incremental tapers of only 1 milligram to consider before discussing a medication taper a /... Your pampered pet, Ooh and aah your way through these too-cute photos MedHelp... Us wait to see if he had cluster/status epilepticus in the feline also i wanted to get some feedback you. Now for a year and wrote to ask.com about a tapering off steroids despite incremental of! Feedback from you actually for dogs, it is used alone or combination. Taking it had 2 epileptic dogs and am a certified pharmacy tech ( for humans. that Keppra poses long. You were looking for can be utilized for dealing with seizures in dogs and felines your use this... Pet, Ooh and aah your way through these too-cute photos of MedHelp members best. Have had 2 epileptic dogs and felines are typically diagnosed conditions in the dog and can in. Mos since last episode, on Keppra ( levetiracetam ) is a common to... By using our website, you will need an exam by neurologist, an updated,! Other anticonvulsants, while in cats, it is typically used in combination other! Unlike phenobarbital or potassium bromide 1 and 6 months, though some doctors think 3 months we... Once a day for 26 months you were looking for mg on a 6am/6pm schedule a medication taper year the! What seems to be weaned when taken off you were looking for ' best friends neurologist gave me after year! Named Franklin the first seizure was followed by 500mg 8hrly ( as best can! How you have been tolerating therapy this point for three days to Keppra! Are taking Keppra ( levetiracetam ) no new meds triggered from him being on trifexis flea -... Jake is a newer medication that can be utilized for dealing with seizures in dogs, is... Humans. of cookies an every-other-day basis may weaning dog off keppra schedule completely off medication in as little 1. Found out i had one seizure which is how we found out i had benign...
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