AUTHOR=Wright Chanin C., Downing Jana , Mungall Diana , Khan Owais , Williams Amanda , Fonkem Ekokobe , Garrett Darin , Aceves Jose , KIRMANI BATOOL F. TITLE=Clinical Pharmacology and Pharmacokinetics of Levetiracetam JOURNAL=Frontiers in Neurology VOLUME=4 YEAR=2013 URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2013.00192 DOI=10.3389/fneur.2013.00192 ISSN=1664-2295 ABSTRACT=

Status epilepticus and acute repetitive seizures still pose a management challenge despite the recent advances in the field of epilepsy. Parenteral formulations of old anticonvulsants are still a cornerstone in acute seizure management and are approved by the FDA. Intravenous levetiracetam (IV LEV), a second generation anticonvulsant, is approved by the FDA as an adjunctive treatment in patients 16 years or older when oral administration is not available. Data have shown that it has a unique mechanism of action, linear pharmacokinetics and no known drug interactions with other anticonvulsants. In this paper, we will review the current literature about the pharmacology and pharmacokinetics of IV LEV and the safety profile of this new anticonvulsant in acute seizure management of both adults and children.