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