Side Effects of Keppra and Alcohol Use

Keppra (levetiracetam) is a medication that is commonly used to treat epilepsy. Patients who take Keppra should be aware of the potential risks associated with consuming alcohol while on this medication.

Published On

December 10, 2023

Dove Recovery's Team

Side Effects of Keppra and Alcohol Use

What is Keppra?

Keppra is an anticonvulsant medication that is used to treat several types of seizures in patients with epilepsy, a neurological disorder characterized by abnormal brain activity. Specifically, Keppra is used to treat:

Focal seizures: These seizures occur in one part of the brain and can cause symptoms such as muscle contractions, tingling sensations, and changes in vision or hearing.
Generalized tonic-clonic seizures: These seizures involve the entire brain and can cause loss of consciousness, convulsions, and other symptoms.
Myoclonic seizures: These seizures cause sudden jerking movements in the arms and legs.
Absence seizures: These seizures cause brief periods of unconsciousness and staring episodes.

Keppra works by reducing abnormal brain activity and preventing seizures from occurring. It is available in two forms: tablets and oral solution. The dosage of the medication may vary depending on several factors, including the patient's age, weight, and medical history. In general, Keppra is taken twice a day, and it's important to follow the dosage instructions provided by a healthcare professional to ensure the safe and effective use of the medication.

Side Effects of Keppra

Like any medication, Keppra can cause side effects. Some of the most common side effects of Keppra include:

Drowsiness: Patients may feel tired or sleepy after taking Keppra, especially at the beginning of treatment or when the dosage is increased.
Dizziness: Patients may experience lightheadedness, vertigo, or balance problems while taking Keppra.
Headache: Patients may develop headaches as a side effect of Keppra.
Nausea and vomiting: Patients may feel sick to their stomach or vomit after taking Keppra.
Irritability and mood changes: Some patients may experience changes in their mood, behavior, or personality while taking Keppra. They may become more irritable, aggressive, anxious, or depressed.
Coordination problems: Some patients may have difficulty with coordination or fine motor skills while taking Keppra.

In rare cases, Keppra can cause more serious side effects that require medical attention. These include:

Allergic reactions: Some patients may develop an allergic reaction to Keppra that can cause symptoms such as rash, hives, itching, swelling of the face or throat, difficulty breathing, or wheezing.
Suicidal thoughts or behaviors: Rarely, patients taking Keppra may experience suicidal thoughts or behaviors. It's important to seek immediate medical attention if you notice any signs of depression or suicidal ideation in yourself or a loved one who is taking Keppra.
Decreased blood cell counts: In some cases, Keppra can cause a decrease in the number of certain types of blood cells (white blood cells, red blood cells, and platelets). This can lead to anemia (low red blood cell count), infections (low white blood cell count), or bleeding problems (low platelet count).

If you experience any side effects while taking Keppra, it's important to talk to your doctor or healthcare provider. They can help you manage the side effects and adjust your dosage if needed. In some cases, they may recommend switching to a different medication or adding another medication to your treatment plan.

Understanding the Risks of Alcohol and Keppra

Alcohol is a central nervous system depressant that can increase the risk of seizures in individuals with epilepsy. When consumed in excess, alcohol can also interfere with the effectiveness of anticonvulsant medications like Keppra, potentially leading to more frequent or severe seizures.

While it is generally not recommended to consume alcohol while taking Keppra, occasional social drinking may be acceptable for some patients. However, it's important to note that alcohol use can still pose several risks for individuals with epilepsy, including:

Increased likelihood of seizures: Alcohol can lower the threshold for seizures, making it more likely for a person with epilepsy to experience a seizure after drinking.
Interference with medication: Alcohol can interfere with the effectiveness of anticonvulsant medications like Keppra, potentially leading to more frequent or severe seizures.
Side effects: Both alcohol and Keppra can cause drowsiness, dizziness, and impaired coordination. Combining the two substances can intensify these effects and increase the risk of accidents or injuries.

Therefore, patients should consult with their doctor to determine if it is safe for them to consume alcohol while on Keppra. In general, it's recommended that patients with epilepsy avoid or limit their alcohol intake to reduce the risk of seizures and other complications.

Potential Side Effects of Combining Keppra and Alcohol

Combining Keppra and alcohol can increase the risk of side effects, including dizziness, drowsiness, and difficulty concentrating. These side effects can be particularly dangerous when they affect activities that require mental alertness, such as driving or operating heavy machinery. Therefore, patients who experience these symptoms should avoid these activities while taking Keppra and drinking alcohol.

In addition to these common side effects, combining Keppra and alcohol can also cause more serious side effects, including:

Mood changes: Both Keppra and alcohol can affect mood, and combining the two substances can increase the risk of mood changes such as increased anxiety or depression.
Seizures: While Keppra is used to prevent seizures, combining it with alcohol can increase the risk of seizures in some patients.
Liver damage: Excessive alcohol consumption can damage the liver, which can affect the way Keppra is metabolized in the body.

Patients who experience any unusual symptoms while taking Keppra and drinking alcohol should contact their doctor right away. In general, it's recommended that patients with epilepsy avoid or limit their alcohol intake to reduce the risk of seizures and other complications.

Tips for Patients Taking Keppra

Patients who take Keppra should take the following precautions:

Take Keppra as directed by your doctor: It's important to take Keppra exactly as prescribed by your doctor. Do not change your dose or stop taking the medication without consulting with your doctor first.
Keep track of your seizures: Keeping a record of your seizures can help you and your doctor determine if Keppra is working effectively for you. Be sure to note the date, time, duration, and any triggers or other factors that may have contributed to the seizure.
Avoid other substances that can interfere with Keppra: In addition to alcohol, certain medications, supplements, and foods can interfere with the effectiveness of Keppra. Be sure to consult with your doctor before taking any new medications or supplements while on Keppra.
Wear a medical alert bracelet: Wearing a medical alert bracelet can help emergency responders provide appropriate care in the event of a seizure. The bracelet should indicate that you have epilepsy and are taking Keppra.
Follow a healthy lifestyle: Maintaining a healthy lifestyle can help reduce the risk of seizures and other complications associated with epilepsy. This includes getting enough sleep, exercising regularly, eating a balanced diet, and managing stress.

By following these tips, patients can help ensure the safe and effective use of Keppra and minimize the risk of complications.

Keppra for Alcohol Withdrawal Symptoms & Detox

When a person stops drinking alcohol after prolonged and heavy use, they may experience withdrawal symptoms that can range from mild to severe. These symptoms can include tremors, anxiety, seizures, and hallucinations. In some cases, anticonvulsant medications like Keppra may be used to manage these symptoms during alcohol detox.

Keppra has been shown to be effective in reducing the severity and frequency of seizures during alcohol withdrawal. It works by suppressing abnormal brain activity that can trigger seizures. However, it's important to note that Keppra should only be used under the guidance of a healthcare professional and as part of a comprehensive treatment plan for alcohol addiction.

Patients undergoing alcohol detox with the help of Keppra should be closely monitored by their doctor for any signs of adverse reactions or complications. They should also follow their doctor's instructions regarding dosage and duration of treatment. In addition to medication-assisted treatment, patients may benefit from counseling, support groups, and other therapies that address the underlying causes of their addiction.

Overall, while Keppra can be an effective tool in managing withdrawal symptoms during alcohol detox, it is just one component of a larger treatment plan for alcohol addiction. Patients should work closely with their healthcare team to develop a comprehensive approach that meets their individual needs and goals for recovery.

Alternative Treatments for Epilepsy

While Keppra is a commonly prescribed medication for epilepsy, there are other alternative treatments that patients may consider in conjunction with or instead of Keppra. These alternative treatments include:

Dietary therapy: Some studies have shown that following a ketogenic diet, which is high in fat and low in carbohydrates, can help reduce the frequency and severity of seizures in some patients with epilepsy. This type of diet may work by altering the way the brain uses energy, making it less likely to experience abnormal activity that triggers seizures.
Biofeedback: Biofeedback is a technique that uses electronic sensors to monitor and provide feedback on body functions such as heart rate and muscle tension. By learning how to control these functions, some patients with epilepsy may be able to reduce the frequency and intensity of their seizures.
Acupuncture: Acupuncture involves inserting thin needles into specific points on the body to stimulate healing and balance. Some studies have suggested that acupuncture may help reduce seizures in some patients with epilepsy by regulating the flow of energy through the body.
Herbal remedies: Certain herbs such as passionflower, valerian root, and skullcap have been traditionally used to treat epilepsy. While more research is needed to determine their effectiveness, some people find that these remedies can help reduce anxiety and promote relaxation, which may in turn reduce seizure activity.

It's important for patients considering alternative treatments for epilepsy to discuss these options with their healthcare provider before starting any new treatment regimen. While some alternative therapies may be helpful for certain individuals, others may not be effective or could even be harmful if used incorrectly.

Recommended Amount of Alcohol Intake for Patients Taking Keppra

While it is generally not recommended to consume alcohol while taking Keppra, occasional social drinking may be acceptable for some patients. However, the amount of alcohol intake that is considered safe can vary depending on several factors, including age, weight, and overall health.

In general, it's recommended that patients with epilepsy limit their alcohol intake to one drink per day for women and two drinks per day for men. One drink is defined as 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of liquor.

It's important to note that even moderate alcohol consumption can still pose risks for individuals with epilepsy who are taking Keppra. Patients should consult with their doctor to determine if it is safe for them to consume any amount of alcohol while on Keppra and to discuss any potential risks or complications associated with alcohol use.

Patients who choose to consume alcohol while taking Keppra should do so in moderation and monitor themselves closely for any unusual symptoms or side effects. They should also avoid activities that require mental alertness such as driving or operating heavy machinery while drinking alcohol and taking Keppra.

The Importance of Consulting with a Healthcare Professional Before Consuming Alcohol While on Keppra

Patients taking Keppra should consult with their doctor or healthcare provider before consuming alcohol to determine if it is safe for them to do so. Depending on the patient's age, medical history, and other factors, drinking alcohol while on Keppra can pose significant risks and may even interfere with the effectiveness of the medication.

For example, older adults may be more susceptible to the sedative effects of both Keppra and alcohol, increasing their risk of falls and other accidents. Patients with liver disease or a history of alcohol abuse may also be at increased risk of liver damage or other complications when combining Keppra and alcohol.

In addition to these concerns, patients should also be aware that consuming alcohol can affect how Keppra is absorbed and metabolized in the body. This can lead to unpredictable changes in blood levels of the medication, potentially reducing its effectiveness in preventing seizures.

Therefore, it's important for patients to discuss their alcohol use with their doctor or healthcare provider before starting treatment with Keppra. They can help assess the patient's individual risk factors and provide guidance on safe drinking practices or recommend alternative treatments if necessary.

By being open and honest about their alcohol use and working closely with their healthcare team, patients can help ensure that they are receiving the best possible care while taking Keppra.

Conclusion

In conclusion, patients who take Keppra should be cautious when consuming alcohol. While occasional social drinking may be acceptable for some patients, excessive alcohol consumption can interfere with the effectiveness of Keppra and increase the risk of seizures.

Patients who experience side effects or changes in mood or behavior should contact their doctor right away. It is important for patients to discuss any concerns about Keppra and alcohol with their doctor to ensure their safety and well-being.