Levetiracetam Glenmark 250 mg film-coated tablets

• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

1. What Levetiracetam is and what it is used for
2. What you need to know before you take Levetiracetam
3. How to take Levetiracetam
4. Possible side effects
5. How to store Levetiracetam
6. Contents of the pack and other information

• if you are allergic to levetiracetam, pyrrolidone derivatives or any of the other ingredients of this medicine (listed in section 6).

Talk to your doctor before taking Levetiracetam.

• If you suffer from kidney problems, follow your doctor's instructions. He/she may decide if your dose should be adjusted.
• If you notice any slowdown in the growth or unexpected puberty development of your child, please contact your doctor.
• A small number of people being treated with anti-epileptics such as Levetiracetam have had thoughts of harming or killing themselves. If you have any symptoms of depression and/or suicidal ideation, please contact your doctor.

Tell your doctor or pharmacist if any of the following side effects gets serious or last longer than a few days:

• Abnormal thoughts, feeling irritable or reacting more aggressively than usually, or if you or your family and friends notice important changes in mood or behaviour.
• Aggravation of epilepsy
  Your seizures may rarely become worse or happen more often, mainly during the first month after the start of the treatment or increase of the dose. If you experience any of these new symptoms while taking Levetiracetam, see a doctor as soon as possible.

• Levetiracetam is not indicated in children and adolescents below 16 years on its own (monotherapy).

Tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines.

Do not take macrogol (a drug used as laxative) for one hour before and one hour after taking levetiracetam as this may results in a loss of its effect.

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine. Levetiracetam can be used during pregnancy, only if after careful assessment it is considered necessary by your doctor.

You should not stop your treatment without discussing this with your doctor.

A risk of birth defects for your unborn child cannot be completely excluded.

Breast-feeding is not recommended during treatment.

Levetiracetam may impair your ability to drive or operate any tools or machinery, as it may make you feel sleepy. This is more likely at the beginning of treatment or after an increase in the dose. You should not drive or use machines until it is established that your ability to perform such activities is not affected.

This medicine contains less than 1 mmol sodium (23 mg) per film-coated tablet, that is to say essentially ҅ sodium-free ҆.

Sunset Yellow FCF (E110) colouring agent may cause allergic reactions.

The other strengths of Levetiracetam tablets do not contain this ingredient.

Dose in adults and adolescents (from 16 years of age):

General dose: between 1000 mg and 3000 mg each day.

When you will first start taking Levetiracetam, you doctor will prescribe you a lower dose during 2 weeks before giving you the lowest general dose.

250 mg:

Example: if your daily dose is 1000 mg, your reduced starting dose is 2 tablets of 250 mg in the morning and 2 tablets of 250 mg in the evening.

500 mg:

Example: if your daily dose is 1000 mg, your reduced starting dose is 2 tablets of 250mg in the morning and 2 tablets of 250 mg in the evening.

750 mg:

Example: if your daily dose is 3000 mg, your reduced starting dose is 2 tablets of 750 mg in the morning and 2 tablets of 750 mg in the evening.

1000 mg:

Example: if your daily dose is 2000 mg, your reduced starting dose is 1 tablet of 1000 mg in the morning and 1 tablet of 1000 mg in the evening.

Dose in adults and adolescents (12 to 17 years) weighing 50 kg or more:

General dose: between 1000 mg and 3000 mg each day.

250 mg:

Example: if your daily dose is 1000 mg, you must take 2 tablets of 250 mg in the morning and 2 tablets of 250 mg in the evening.

500 mg:

Example: if your daily dose is 1000 mg, you might take 1 tablet of 500 mg in the morning and 1 tablet of 500 mg in the evening.

750 mg:

Example: if your daily dose is 1500 mg, you might take 1 tablet in the morning and 1 tablet in the evening.

1000 mg:

Example: if your daily dose is 2000 mg, you might take 1 tablet in the morning and 1 tablet in the evening.

Dose in infants (1 month to 23 months), children (2 to 11 years) and adolescents (12 to 17 years) weighing less than 50 kg:

Your doctor will prescribe the most appropriate pharmaceutical form of levetiracetam according to the age, weight and dose.

Levetiracetam 100 mg/ml oral solution is a formulation more appropriate to infants and children under the age of 6 years and to children and adolescent (from 6 to 17 years) weighing less than 50kg and when tablets don’t allow accurate dosage.

Method of administration:

Swallow Levetiracetam tablets with a sufficient quantity of liquid (e.g. a glass of water). You may take Levetiracetam with or without food. After oral administration the bitter taste of levetiracetam may be experienced.

250 mg:

The score line is only there to help you break the tablet if you have difficulty swallowing it whole.

500 mg:

The tablet can be divided into equal doses.

750 mg:

The score line is only there to help you break the tablet if you have difficulty swallowing it whole.

1000 mg:

The tablet can be divided into equal doses.

Duration of treatment:

• Levetiracetam is used as a chronic treatment. You should continue Levetiracetam treatment for as long as your doctor has told you.
• Do not stop your treatment without your doctor's advice as this could increase your seizures.

The possible side effects of an overdose of Levetiracetam are sleepiness, agitation, aggression, decrease of alertness, inhibition of breathing and coma.

Contact your doctor if you took more tablets than you should. Your doctor will establish the best possible treatment of overdose.

Contact your doctor if you have missed one or more doses.

Do not take a double dose to make up for a forgotten tablet.

If stopping treatment, Levetiracetam should be discontinued gradually to avoid an increase of seizures. Should your doctor decide to stop your Levetiracetam treatment, he/she will instruct you about the gradual withdrawal of Levetiracetam.

• weakness, feel light-headed or dizzy or have difficulty breathing, as these may be signs of a serious allergic (anaphylactic) reaction
• swelling of the face, lips, tongue and throat (Quincke’s oedema)
• flu-like symptoms and a rash on the face followed by an extended rash with a high temperature, increased levels of liver enzymes seen in blood tests and an increase in a type of white blood cell (eosinophilia) and enlarged lymph nodes (Drug Reaction with Eosinophilia and Systemic Symptoms [DRESS])
• symptoms such as low urine volume, tiredness, nausea, vomiting, confusion and swelling in the legs, ankles or feet, as this may be a sign of sudden decrease of kidney function
• a skin rash which may form blisters and look like small targets (central dark spots surrounded by a paler area, with a dark ring around the edge) (erythema multiforme)
• a widespread rash with blisters and peeling skin, particularly around the mouth, nose, eyes and genitals (Stevens-Johnson syndrome)
• a more severe form of rash causing skin peeling in more than 30% of the body surface (toxic epidermal necrolysis)
• signs of serious mental changes or if someone around you notices signs of confusion, somnolence (sleepiness), amnesia (loss of memory), memory impairment (forgetfulness), abnormal behaviour or other neurological signs including involuntary or uncontrolled movements. These could be symptoms of an encephalopathy.

The most frequently reported side effects are nasopharyngitis, somnolence (sleepiness), headache, fatigue and dizziness. At the beginning of the treatment or at dose increase side effects like sleepiness, tiredness and dizziness may be more common. These effects should however decrease over time.

Very common: may affect more than 1 in 10 people

• nasopharyngitis
• somnolence (sleepiness), headache.

If you get any side effects talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

The active substance is levetiracetam.

Each film-coated tablet contains 250 mg of levetiracetam.

Each film-coated tablet contains 500 mg of levetiracetam.

Each film-coated tablet contains 750 mg of levetiracetam.

Each film-coated tablet contains 1000 mg of levetiracetam.

The other ingredients are:

Tablet core:

Maize starch, Croscarmellose sodium, Povidone (K 30), Silica colloidal anhydrous, Talc and Magnesium Stearate.

Tablet coating:

Polyvinyl alcohol, Titanium dioxide (E171), Macrogol 3350, Talc and colourants*.

The colourants are:

250 mg: Indigo carmine (E132).

500 mg: Iron oxide yellow (E172)

750 mg: Sunset yellow FCF (E110), Iron oxide red (E172).

1000 mg: no additional colourant.

Levetiracetam 250 mg film-coated tablets are blue coloured, oblong shaped, scored on one side film-coated tablets debossed with “H” on one side and “87” on other side.

Levetiracetam 500 mg film-coated tablets are yellow coloured, oblong shaped, scored on one side, film-coated tablets debossed with “H” on one side and “88” on the other.

Levetiracetam 750 mg film-coated tablets are orange coloured, oblong shaped, scored on one side, film-coated tablets debossed with “H” on one side and “90” on the other side.

Levetiracetam 1000 mg film-coated tablets are white coloured, oblong shaped, scored on one side, film-coated tablets debossed with “H” on one side and “91” on the other side.

Levetiracetam is supplied in the following pack sizes:

Levetiracetam 250 mg are available in blister packs containing 10, 20, 30, 50, 60, 80, 100, 120 or 200 film-coated tablets.

Levetiracetam 500 mg are available in blister packs containing 10, 20, 30, 50, 60, 80, 100, 120 or 200 film-coated tablets.

Levetiracetam 750 mg are available in blister packs containing 10, 20, 30, 50, 60, 80, 100, 120 or 200 film-coated tablets.

Levetiracetam 1000 mg are available in blister packs containing 10, 20, 30, 50, 60, 80, 100, 120 or 200 film-coated tablets.

Not all pack sizes may be marketed.

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