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KEPPRA (levetiracetam) Rx only 250 mg, 500 mg, 750 mg ... - UCB

KEPPRA (levetiracetam) Rx only 250 mg, 500 mg, 750 mg ... - UCB

KEPPRA (levetiracetam) Rx only 250 mg, 500 mg, 750 mg ... - UCB

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Treatment should be initiated with a daily dose of 1000 <strong>mg</strong>/day, given as twice-daily dosing<br />

(<strong>500</strong> <strong>mg</strong> BID). Additional dosing increments may be given (1000 <strong>mg</strong>/day additional every 2<br />

weeks) to a maximum recommended daily dose of 3000 <strong>mg</strong>. Doses greater than 3000 <strong>mg</strong>/day<br />

have been used in open-label studies for periods of 6 months and longer. There is no<br />

evidence that doses greater than 3000 <strong>mg</strong>/day confer additional benefit.<br />

Pediatric Patients Ages 4 To 40 kg<br />

20 <strong>mg</strong>/kg/day<br />

(BID dosing)<br />

<strong>500</strong> <strong>mg</strong>/day<br />

(1 x <strong>250</strong> <strong>mg</strong><br />

tablet BID)<br />

1000 <strong>mg</strong>/day<br />

(1 x <strong>500</strong> <strong>mg</strong><br />

tablet BID)<br />

Daily Dose<br />

40 <strong>mg</strong>/kg/day<br />

(BID dosing)<br />

1000 <strong>mg</strong>/day<br />

(1 x <strong>500</strong> <strong>mg</strong><br />

tablet BID)<br />

2000 <strong>mg</strong>/day<br />

(2 x <strong>500</strong> <strong>mg</strong><br />

tablets BID)<br />

Page 30 of 36<br />

60 <strong>mg</strong>/kg/day<br />

(BID dosing)<br />

1<strong>500</strong> <strong>mg</strong>/day<br />

(1 x <strong>750</strong> <strong>mg</strong><br />

tablet BID)<br />

3000 <strong>mg</strong>/day<br />

(2 x <strong>750</strong> <strong>mg</strong><br />

tablets BID)<br />

The following calculation should be used to determine the appropriate daily dose of oral<br />

solution for pediatric patients based on a daily dose of 20 <strong>mg</strong>/kg/day, 40 <strong>mg</strong>/kg/day or 60<br />

<strong>mg</strong>/kg/day:<br />

Daily dose (<strong>mg</strong>/kg/day) x patient weight (kg)<br />

Total daily dose (mL/day) = ----------------------------------------------------------------------<br />

100 <strong>mg</strong>/mL<br />

A household teaspoon or tablespoon is not an adequate measuring device. It is recommended<br />

that a calibrated measuring device be obtained and used. Healthcare providers should<br />

recommend a device that can measure and deliver the prescribed dose accurately, and provide<br />

instructions for measuring the dosage.

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