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Keppra/Levetiracetam in neonates

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Does anyone have experience in using Keppra/Levetiracetam in neonatal seizures ?

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we have used it as third line after phenobarbitone and phenytoin . And it gives good control

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i have not seen any. It could be due to the fact that we have used them for less than a week and stopped. I remember reading about the RCT being conducted.

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We have used levetiracetam in certain cases as well - but not as first line treatment. Our neurologists are very enthousiastic about it. In two cases I remember we did not see any improvement of symptoms though. There are a couple of ongoing trials I believe:

2 are registered on clinicaltrials.org from the US (UCSD and Cincinnati) and I remember that there is also a European multicentre-trial with levetiracetam as first line agent that is ongoing.

So more data is coming.

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