Levetira 500 mg (Tablet)

Unit Price: ৳ 30.00 (2 x 10: ৳ 600.00)
Strip Price: ৳ 300.00

Medicine Details

Indications

  • Monotherapy for partial-onset seizures in adults and adolescents
  • Adjunctive therapy for various types of seizures in adults, adolescents, children, and infants

Description

Mechanism of action is unknown, but Levetira inhibits burst firing without affecting normal neuronal excitability.

Dosage

  • Recommended starting dose for adults and adolescents
  • Dose adjustments for pediatric population
  • Monotherapy and add-on therapy recommendations

Administration

Must be taken orally, swallowed with sufficient liquid, and can be taken with or without food. Daily dose is administered in two equally divided doses.

Interaction

  • No influence on existing antiepileptic medicinal products
  • Inhibition of renal clearance by probenecid
  • Decrease in methotrexate clearance when administered concomitantly
  • Reports of decreased efficacy when administered with osmotic laxative
  • No alteration in absorption by food, but reduced rate of absorption
  • No available data on interaction with alcohol

Contraindications

Hypersensitivity to active substance or other pyrrolidone derivatives or to any of the excipients

Side Effects

  • Most common adverse reactions in adult and pediatric patients

Pregnancy & Lactation

Not recommended during pregnancy or breastfeeding, excreted in human breast milk, no impact on fertility detected in animal studies

Precautions & Warnings

  • Dose adjustment in patients with renal impairment
  • Rare cases of decreased blood cell counts
  • Reported association with suicide attempts and behaviour
  • Not adapted for use in infants and children under 6 years, impact on growth and puberty unknown
  • Adjustment of dose in elderly patients with compromised renal function

Use in Special Populations

  • Adjustment of the dose in elderly patients with compromised renal function
  • Dose must be individualized according to renal function in patients with renal impairment
  • No dose adjustment needed in patients with mild to moderate hepatic impairment, but reduction in daily maintenance dose recommended for severe hepatic impairment

Overdose Effects

  • Symptoms observed with Levetira overdoses
  • No specific antidote available
  • Treatment will be symptomatic and may include haemodialysis

Therapeutic Class

Adjunct anti-epileptic drugs

Storage Conditions

Store at a cool temperature (not exceeding 25°C) and dry place, protected from light

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