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