FDA-filed SPL labeling · retrieved through openFDA

Levetiracetam

Levetiracetam is an antiepileptic (anti-seizure) medicine used to treat partial-onset seizures, myoclonic seizures in juvenile myoclonic epilepsy, and primary generalized tonic-clonic seizures across multiple oral and intravenous formulations.

Brand names Elepsia XRKeppraKeppra XRSpritamElepsia +4 more
Drug class Decreased Central Nervous System Disorganized Electrical Activity
Rx Forms 4 Routes Oral · Intravenous · Iontophoresis
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026
🧬 Where this information comes from Click to expand

The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 141 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →

At a glance
Linked label effectiveJul 1, 2025
Clinical labels in scope 141
AvailabilityRx
Earliest approval/marketing year 1999
FDA-listed product records 856
Boxed warningNone found in compared labels
How we combine label and product data →
No current FDA shortage listed · checked Sep 23, 2026 🚨Class I recall on record
Other forms & routes:
Levetiracetam at a glance The quick version — the full detail is in the Patient Information Guide below.
💊
HelloPharmacist Editorial Team Bottom Line
Levetiracetam is a widely used antiepileptic medicine that controls several types of seizures, available in oral and intravenous forms for patients ranging from infants to adults depending on the specific product. It is generally well tolerated, but mood and behavioral changes are real concerns to watch for and discuss with your doctor. Never stop it suddenly, keep up with follow-up appointments, and let your healthcare team know right away if you notice changes in mood, skin reactions, or coordination.

📖 Levetiracetam: Patient Information Guide

A plain-language walkthrough of Levetiracetam — what it treats, how it works, how it’s taken, side effects, warnings and interactions. Tap any section to expand it.

🎯What it's used for

Levetiracetam is an antiepileptic drug approved to treat several types of seizures. Approved uses depend on the specific product, formulation, age, and weight of the patient.

  • Partial-onset seizures: Keppra oral, Roweepra tablets, Levetiracetam oral solution, and Levetiracetam injection treat partial-onset seizures in patients 1 month and older. Spritam and levetiracetam tablets for oral suspension treat partial-onset seizures in patients 4 years and older weighing more than 20 kg. Elepsia XR, Keppra XR, and Levetiracetam ER extended-release tablets treat partial-onset seizures as add-on therapy in patients 12 years and older.
  • Myoclonic seizures in juvenile myoclonic epilepsy: Keppra oral, Roweepra, Spritam, Levetiracetam oral and injectable forms are approved as add-on therapy for myoclonic seizures in patients 12 years and older. Levetiracetam in Sodium Chloride injection is approved for adults (16 years and older) when oral dosing is not feasible.
  • Primary generalized tonic-clonic seizures: Keppra oral, Roweepra, Spritam, Levetiracetam oral and injectable forms are approved as add-on therapy for primary generalized tonic-clonic seizures in patients 6 years and older with idiopathic generalized epilepsy. Levetiracetam in Sodium Chloride injection is approved for this use in adults (16 years and older) when oral dosing is temporarily not feasible.
  • Injectable levetiracetam products are for intravenous use only, as a temporary substitute when oral therapy is not possible.
⚙️How it works

The exact way levetiracetam prevents seizures is not fully known. Research shows it binds to a specific protein on nerve cells in the brain called SV2A (synaptic vesicle protein 2A). This protein is believed to help regulate how chemical signals are released between nerve cells. By attaching to SV2A, levetiracetam is thought to reduce the excessive, disorganized electrical firing in the brain that causes seizures. Studies show that the stronger a related compound binds to SV2A, the better it works against seizures — supporting the idea that this interaction is central to how the drug works.

💊How it's taken

How levetiracetam is taken depends on the specific product and the patient's age and weight. Immediate-release oral forms (tablets and solution) are generally taken twice daily. Extended-release tablets — including Elepsia XR, Keppra XR, and Levetiracetam ER — are taken once daily and must be swallowed whole; do not chew, crush, or break them. Spritam tablets are placed on the tongue with a sip of liquid and allowed to disintegrate before swallowing — they should never be swallowed intact. The injectable form is given by intravenous infusion in a clinical setting, only when oral dosing is temporarily not possible.

  • Oral solution should be measured with a calibrated device, not a household spoon.
  • Doses may be gradually increased over time — follow your prescriber's schedule.
  • Never stop levetiracetam abruptly; always taper under your doctor's guidance to avoid withdrawal seizures.
  • If you have kidney problems, your dose may need to be adjusted — your prescriber will determine the right amount for you.
🤒Side effects — in detail

The most common side effects with levetiracetam include:

  • Drowsiness or sleepiness
  • Weakness or fatigue
  • Dizziness
  • Headache
  • Irritability, mood changes, or aggression (especially in children)
  • Decreased appetite
  • Nasal congestion or runny nose
  • Infection

More serious reactions — including severe allergic reactions (anaphylaxis, angioedema), major skin reactions, psychotic symptoms, and suicidal thoughts — require immediate medical attention. Contact your doctor or go to an emergency room if you notice any of these.

⚠️Warnings & precautions
  • Mood and behavior changes: Levetiracetam can cause irritability, aggression, anxiety, depression, and — rarely — psychotic symptoms like hallucinations. Children may be especially affected. Monitor closely and report any concerning changes to your doctor.
  • Suicidal thoughts: Antiepileptic drugs including levetiracetam have been associated with increased risk of suicidal thinking and behavior. Seek help immediately if you or someone you care for experiences these thoughts.
  • Serious skin and allergic reactions: Rare but potentially life-threatening reactions — including anaphylaxis (severe whole-body allergic reaction), angioedema (swelling of the face or throat), serious rashes, and DRESS (a multi-organ hypersensitivity reaction) — have been reported. Stop the medication and get emergency care if these occur.
  • Drowsiness and coordination problems: Levetiracetam can impair your ability to drive or operate machinery, especially early in treatment. Wait until you know how it affects you before doing these activities.
  • Do not stop suddenly: Stopping levetiracetam abruptly can cause withdrawal seizures. Always taper the dose under a doctor's supervision.
  • Pregnancy: Blood levels of levetiracetam can drop during pregnancy, particularly in the third trimester, and the dose may need monitoring and adjustment.
🔀What it interacts with

Levetiracetam has a low risk of major drug interactions, but there are a few things to be aware of:

  • Other antiepileptic drugs (carbamazepine, phenobarbital, phenytoin, primidone, etc.): Enzyme-inducing antiepileptics may modestly increase how quickly your body clears levetiracetam, but this generally does not require a dose adjustment.
  • Valproate, lamotrigine, gabapentin, topiramate: Levetiracetam does not significantly affect blood levels of these drugs, and they do not meaningfully affect levetiracetam levels.
  • Probenecid (used for gout): Can raise blood levels of levetiracetam's main metabolite (breakdown product), though the clinical significance is uncertain.
  • Warfarin (blood thinner), digoxin (heart medication), and oral contraceptives: Levetiracetam does not significantly affect how these drugs work or their blood levels.

This is not a complete list of interactions. Always talk with your doctor or pharmacist before starting, stopping, or changing any medication.

📋Before taking it
  • Do not take levetiracetam if you have ever had a serious allergic reaction (anaphylaxis or angioedema) to it.
  • Tell your doctor if you have kidney disease — the dose may need to be reduced, and patients on dialysis may need supplemental doses.
  • Older adults are more likely to have reduced kidney function and should be monitored carefully during treatment.
  • Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Levetiracetam levels can fall during pregnancy, especially in the third trimester, and dose adjustment may be needed. Levetiracetam passes into breast milk; weigh the risks and benefits with your doctor.
  • Tell your doctor about any personal or family history of depression, anxiety, or other mental health conditions.
  • Spritam and levetiracetam tablets for oral suspension are not recommended for children weighing 20 kg or less — the oral solution is preferred for smaller children.
  • Elepsia XR is not recommended for patients with moderate or severe kidney impairment.
  • Do not drive or use heavy machinery until you know how levetiracetam affects your alertness and coordination.
🚑If you take too much

Taking too much levetiracetam can cause severe drowsiness, agitation, aggression, decreased level of consciousness, slowed breathing, and in serious cases, coma. There is no specific antidote. If you suspect an overdose, contact a Poison Control Center immediately or go to an emergency room. Hemodialysis (kidney dialysis) can remove a significant portion of levetiracetam from the body and may be considered in serious overdose situations.

📡Pharmacodynamics — effects in the body

Studies of levetiracetam injection at various doses showed no meaningful effect on the QTc interval — a measure of the heart's electrical rhythm — meaning it does not appear to cause dangerous heart rhythm changes at therapeutic doses. This was confirmed in a controlled study of healthy subjects.

🔬Pharmacokinetics — how your body processes it

Levetiracetam is rapidly and almost completely absorbed when taken by mouth. Equivalent doses of the oral and intravenous forms produce the same blood levels, meaning they are bioequivalent when the IV form is given as a 15-minute infusion. The drug is not significantly bound to proteins in the blood, which reduces the likelihood of interactions that work through protein displacement. Its behavior in the body is predictable and consistent, with low variability between patients and over time.

📦How to store it

Store at 20° to 25°C (68° to 77°F); excursions permitted to 15° to 30°C (59° to 86°F) .

📄 Written from Levetiracetam’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Every point is grounded in that labeling — nothing is invented. How we use AI →

105

Supplements & herbs that interact with Levetiracetam

105 supplements and herbal products have documented interactions with Levetiracetam in the licensed clinical database we use. Most are manageable — but your pharmacist should know about everything you take, including vitamins and herbals.

Severity mix
  • Major · 7
  • Moderate · 82
  • Minor · 16
Every supplement checked against Levetiracetam — ranked by severity The full interaction hub: 7 major · 82 moderate · 16 minor · every one linked to its full report. Check Levetiracetam against your exact supplements

Educational information from a licensed clinical database (Natural Medicines) — see our data sources & update cadence. Not medical advice: an interaction being documented does not mean it will happen to you; do not start or stop medications or supplements without professional guidance.

1

Nutrient depletion considerations

Levetiracetam has been associated with lower levels of 1 nutrient in the clinical literature. This does not mean a deficiency will occur — it means these may be worth discussing with your pharmacist or healthcare provider, especially with long-term use.

See the full Levetiracetam nutrient depletion report

Educational information from a licensed clinical database (Natural Medicines) — not medical advice. Do not start or stop medications or supplements without professional guidance.

🩺 Pharmacist Counseling Corner

Quick, plain-English answers to the questions patients ask most about Levetiracetam — the kind of thing our pharmacy team would talk through with you at the counter.

What is levetiracetam actually used for?
Levetiracetam is an anti-seizure medicine. Depending on the product and your age, it can be used to treat partial-onset seizures (seizures starting in one part of the brain), myoclonic seizures (sudden muscle jerks) linked to juvenile myoclonic epilepsy, and primary generalized tonic-clonic seizures — what most people call grand mal seizures. It's usually added on to other seizure medications rather than used alone for the myoclonic and tonic-clonic types.
Will levetiracetam make me feel tired or foggy?
It can, especially when you first start taking it. Drowsiness, fatigue, and dizziness are among the most common side effects and tend to be most noticeable in the first few weeks. Most people find these improve as their body adjusts. Until you know how it affects you, be careful about driving or operating machinery — and let your doctor know if the tiredness is interfering with your daily life.
I've heard this medication can affect your mood. Should I be worried?
It's something worth knowing about. Some people — and children in particular — experience irritability, mood swings, or aggression while taking levetiracetam. Rarely, it can cause more serious effects like depression or psychotic symptoms. This doesn't happen to everyone, but it's important to pay attention. If you or a family member notices significant changes in mood or behavior, contact your doctor. They may adjust the dose or consider other options.
Can I just stop taking it if I feel fine and haven't had a seizure in a while?
Please don't stop levetiracetam suddenly without talking to your doctor first. Stopping abruptly can trigger withdrawal seizures, even if you've been seizure-free. If your doctor decides it's time to stop the medication, they'll have you taper the dose down gradually to do it safely.
Is levetiracetam safe to take during pregnancy?
This is an important question to discuss with your doctor before or as soon as you find out you're pregnant. Based on decades of real-world data and pregnancy registries, levetiracetam hasn't been linked to a clear increase in major birth defects in humans — but animal studies do show some risks at higher doses. Another key issue is that your blood levels of the drug can drop significantly during pregnancy, especially in the third trimester, so your dose may need to be monitored and adjusted to keep your seizures controlled.
Does levetiracetam interact with my other medications?
Levetiracetam has a relatively low risk of drug interactions. Studies have shown it doesn't meaningfully change the blood levels of many common medicines, including phenytoin, valproate, warfarin, digoxin, oral contraceptives, and several other antiepileptic drugs. That said, always tell your doctor and pharmacist about everything you take — including over-the-counter medicines and supplements — so they can watch for anything unexpected.
Is Levetiracetam available over the counter?
Levetiracetam is dispensed by prescription according to its FDA labeling, so it isn't sold over the counter. Your prescriber and pharmacist will determine if it's appropriate for you.
When was Levetiracetam first available?
Levetiracetam has been available in the United States since at least 1999, based on FDA approval history (Drugs@FDA) and product marketing records.
Who makes Levetiracetam?
Levetiracetam is supplied by 160 manufacturers listed in the FDA NDC Directory, including Remedyrepack Inc., Bryant Ranch Prepack, A-S Medication Solutions.

💬 Answers drafted from Levetiracetam’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Grounded in that labeling — nothing is made up. How we use AI →

🧰 Keep exploring

💊 How Levetiracetam comes

Levetiracetam is available in 4 forms. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.

Tablet

By mouth
Brands Keppra Roweepra Spritam
How this form is used
What it may be used for
  • Keppra tablets treat partial-onset seizures in patients 1 month of age and older, and as add-on therapy for myoclonic seizures (age 12+) and primary generalized tonic-clonic seizures (age 6+)
  • Roweepra treats partial-onset seizures in patients 1 month and older, and as add-on therapy for myoclonic seizures (age 12+) and primary generalized tonic-clonic seizures (age 6+)
  • Spritam treats partial-onset seizures in patients 4 years and older weighing more than 20 kg, and as add-on therapy for myoclonic seizures (age 12+) and primary generalized tonic-clonic seizures (age 6+)
  • Levetiracetam tablets treat partial-onset seizures in patients 4 years and older, and as add-on therapy for myoclonic seizures (age 12+) and primary generalized tonic-clonic seizures (age 6+)
Important instructions
  • Spritam is designed to disintegrate in the mouth — place on the tongue with a sip of liquid and swallow only after it breaks apart; do not swallow Spritam tablets whole
  • Spritam tablets may also be dispersed in a small amount of liquid in a cup before swallowing the entire contents immediately
  • Spritam can be given through a nasogastric or gastrostomy feeding tube
  • For pediatric patients weighing 20 kg or less, the oral solution is recommended instead of tablets
Available strengths 4 strengths
500 FDA-listed product records

Injection

By injection · Into a vein · Iontophoresis
Brands Keppra Levetiracetam in Sodium Chloride
How this form is used
What it may be used for
  • Keppra injection treats partial-onset seizures in patients 1 month and older, and as add-on therapy for myoclonic seizures (age 12+) and primary generalized tonic-clonic seizures (age 6+) — for intravenous use only when oral dosing is temporarily not possible
  • Levetiracetam injection treats partial-onset seizures in patients 1 month and older, and as add-on therapy for myoclonic seizures (age 12+) and primary generalized tonic-clonic seizures (age 6+) — for intravenous use only when oral dosing is temporarily not possible
  • Levetiracetam in Sodium Chloride injection is approved for adults (16 years and older) for partial-onset seizures, myoclonic seizures in juvenile myoclonic epilepsy, and primary generalized tonic-clonic seizures — when oral dosing is temporarily not feasible
Important instructions
  • All injectable forms are for intravenous use only — not for other routes of injection
  • Levetiracetam in Sodium Chloride injection should not be diluted before use and is administered intravenously over 15 minutes
  • When switching between oral levetiracetam and the injection, the total daily dose and frequency should remain the same
Available strengths 8 strengths
Show 2 more strengths Show fewer strengths
133 FDA-listed product records

Oral solution

By mouth
Brands Keppra
How this form is used
What it may be used for
  • Keppra oral solution treats partial-onset seizures in patients 1 month and older, and as add-on therapy for myoclonic seizures (age 12+) and primary generalized tonic-clonic seizures (age 6+)
  • Levetiracetam oral solution treats partial-onset seizures in patients 1 month and older, and as add-on therapy for myoclonic seizures (age 12+) and primary generalized tonic-clonic seizures (age 6+)
Important instructions
  • The oral solution is recommended for pediatric patients weighing 20 kg or less
  • Always use a calibrated measuring device to measure the oral solution — do not use a regular household teaspoon or tablespoon
  • For children, dosing is based on body weight — follow your prescriber's instructions exactly
Available strengths 4 strengths
99 FDA-listed product records

Extended-release tablet

By mouth
Brands Elepsia XR Elepsia Xr 1000 Mg Elepsia Xr 1500 Mg Keppra
How this form is used
What it may be used for
  • Elepsia XR is approved as add-on therapy for partial-onset seizures in patients 12 years and older
  • Keppra XR is approved for partial-onset seizures in patients 12 years and older
  • Levetiracetam ER is approved for partial-onset seizures in patients 12 years and older
Important instructions
  • Elepsia XR, Keppra XR, and Levetiracetam ER extended-release tablets are taken once daily
  • Swallow extended-release tablets whole — do not chew, break, or crush them
  • Elepsia XR is not recommended for patients with moderate or severe kidney impairment; the dose is limited in patients with mild kidney impairment
  • Keppra XR and Levetiracetam ER doses must be individualized based on kidney function — follow your prescriber's guidance
Available strengths 4 strengths
89 FDA-listed product records

📊 Levetiracetam across the U.S. market

How Levetiracetam appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.

4
Dose forms
160
Manufacturers
14
Brand names
856
FDA-listed product records
1999
First marketed

FDA-listed product records by dose form (tablet variants merged) — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

Also listed with the FDA, not a patient dose form: Powder (35) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.

Remedyrepack Inc.10%
Bryant Ranch Prepack7%
A-S Medication Solutions5%
UCB, Inc.4%
BluePoint Laboratories4%
Aurobindo Pharma Limited4%
Other makers67%

Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

📈 How widely Levetiracetam is used

A general measure of how commonly Levetiracetam is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.

Think of this as a proxy for how widely Levetiracetam is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.

3,055,070
Medicaid prescriptions filled (Q1–Q4 2025)
$110.8M gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

How commonly is Levetiracetam prescribed? Of the 1,596 medications we measure, Levetiracetam ranks #72 by Medicaid prescriptions — more than 95% of them.

Where Levetiracetam ranks among the drugs we measure · Q1–Q4 2025 · neighbors ±5

Utilization by Levetiracetam product

Pick a product to see its own Medicaid numbers. Each chip is one clinical product — a specific strength & dosage form as defined by RxNorm — with brand-name and generic versions combined.

The 500 mg oral tablet is the most-dispensed Levetiracetam product — about 30% of these Medicaid prescriptions.

levetiracetam 500 MG Oral Tablet Most dispensed

918,215 Medicaid prescriptions (Q1–Q4 2025) 30% of Levetiracetam prescriptions shown $21.9M gross reimbursement (before rebates) ≈ $24 per prescription (gross)

Summed across the 27 of 194 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 311289

levetiracetam 100 MG/ML Oral Solution

808,463 Medicaid prescriptions (Q1–Q4 2025) 26% of Levetiracetam prescriptions shown $29.2M gross reimbursement (before rebates) ≈ $36 per prescription (gross)

Summed across the 12 of 121 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 403884

levetiracetam 1000 MG Oral Tablet

571,074 Medicaid prescriptions (Q1–Q4 2025) 19% of Levetiracetam prescriptions shown $24.5M gross reimbursement (before rebates) ≈ $43 per prescription (gross)

Summed across the 16 of 99 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 387003

levetiracetam 750 MG Oral Tablet

460,966 Medicaid prescriptions (Q1–Q4 2025) 15% of Levetiracetam prescriptions shown $14.8M gross reimbursement (before rebates) ≈ $32 per prescription (gross)

Summed across the 23 of 96 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 311290

levetiracetam 250 MG Oral Tablet

117,815 Medicaid prescriptions (Q1–Q4 2025) 4% of Levetiracetam prescriptions shown $2.8M gross reimbursement (before rebates) ≈ $23 per prescription (gross)

Summed across the 22 of 113 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 311288

24 HR levetiracetam 500 MG Extended Release Oral Tablet

89,562 Medicaid prescriptions (Q1–Q4 2025) 3% of Levetiracetam prescriptions shown $9.3M gross reimbursement (before rebates) ≈ $104 per prescription (gross)

Summed across the 7 of 50 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 807832

24 HR levetiracetam 750 MG Extended Release Oral Tablet

65,742 Medicaid prescriptions (Q1–Q4 2025) 2% of Levetiracetam prescriptions shown $6.7M gross reimbursement (before rebates) ≈ $102 per prescription (gross)

Summed across the 8 of 36 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 846378

5 ML levetiracetam 100 MG/ML Injection

16,644 Medicaid prescriptions (Q1–Q4 2025) <1% of Levetiracetam prescriptions shown $694,270 gross reimbursement (before rebates) ≈ $42 per prescription (gross)

Summed across the 19 of 50 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 647121

100 ML levetiracetam 10 MG/ML Injection

4,698 Medicaid prescriptions (Q1–Q4 2025) <1% of Levetiracetam prescriptions shown $155,683 gross reimbursement (before rebates) ≈ $33 per prescription (gross)

Summed across the 9 of 30 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1193358

100 ML levetiracetam 15 MG/ML Injection

833 Medicaid prescriptions (Q1–Q4 2025) <1% of Levetiracetam prescriptions shown $45,357 gross reimbursement (before rebates) ≈ $54 per prescription (gross)

Summed across the 8 of 28 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1193360

100 ML levetiracetam 5 MG/ML Injection

456 Medicaid prescriptions (Q1–Q4 2025) <1% of Levetiracetam prescriptions shown $22,001 gross reimbursement (before rebates) ≈ $48 per prescription (gross)

Summed across the 7 of 30 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1193362

levetiracetam 500 MG Tablet for Oral Suspension

368 Medicaid prescriptions (Q1–Q4 2025) <1% of Levetiracetam prescriptions shown $327,762 gross reimbursement (before rebates) ≈ $891 per prescription (gross)

Summed across the 1 of 5 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1736048

levetiracetam 1000 MG Tablet for Oral Suspension

129 Medicaid prescriptions (Q1–Q4 2025) <1% of Levetiracetam prescriptions shown $114,373 gross reimbursement (before rebates) ≈ $887 per prescription (gross)

Summed across the 1 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1736037

levetiracetam 250 MG Tablet for Oral Suspension

61 Medicaid prescriptions (Q1–Q4 2025) <1% of Levetiracetam prescriptions shown $82,423 gross reimbursement (before rebates) ≈ $1,351 per prescription (gross)

Summed across the 1 of 6 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1736045

levetiracetam 750 MG Tablet for Oral Suspension

44 Medicaid prescriptions (Q1–Q4 2025) <1% of Levetiracetam prescriptions shown $36,218 gross reimbursement (before rebates) ≈ $823 per prescription (gross)

Summed across the 1 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1736051

Shares are of the Medicaid prescriptions shown here. Product grouping follows RxNorm (the National Library of Medicine’s drug terminology), so “one product” means one strength & dosage form regardless of manufacturer. Dollar figures are gross Medicaid reimbursement before mandatory rebates — rebates (often large, especially for brand-name drugs) are confidential, so actual net cost to Medicaid is lower than shown.

Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Levetiracetam, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 162 of 862 listed Levetiracetam NDCs with Medicaid activity.

🔍 Compare Levetiracetam products

A representative set of FDA-listed product records for Levetiracetam — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)

Showing 200 of 856 products — FDA National Drug Code Directory. See every product, package size and price: browse all 856 Levetiracetam NDCs →

RxNorm Concept Web — From Ingredient to Every Form and Strength

This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.

Ingredient (IN) Levetiracetam RxCUI 114477 5 dose forms · 18 strengths
  1. Dose form (SCDF) Oral Solution RxCUI 406121 In current FDA listings
    Clinical drug / strength (SCD) 100 MG/ML RxCUI 403884
  2. Dose form (SCDF) Oral Tablet RxCUI 374617 In current FDA listings
    Clinical drug / strength (SCD) 250 MG RxCUI 311288 500 MG RxCUI 311289 750 MG RxCUI 311290 1000 MG RxCUI 387003
  3. Dose form (SCDF) Tablet for Oral Suspension RxCUI 1869554 In current FDA listings
    Clinical drug / strength (SCD) 250 MG RxCUI 1736045 500 MG RxCUI 1736048 750 MG RxCUI 1736051 1000 MG RxCUI 1736037

Look up RxCUI 114477 in the RxCUI Atlas →

RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.

🏷️ Sold under these brand names

Elepsia XR Keppra Keppra XR Spritam Elepsia Roweepra Levetiracetam in Sodium Chloride Elepsia Xr 1000 Mg Elepsia Xr 1500 Mg

🏭 Manufacturers & labelers

Remedyrepack Inc. 53 Bryant Ranch Prepack 36 A-S Medication Solutions 28 UCB, Inc. 24 BluePoint Laboratories 22 Aurobindo Pharma Limited 20 Lupin Pharmaceuticals, Inc. 19 Solco Healthcare US, LLC 18 American Health Packaging 15 Amneal Pharmaceuticals LLC 15 WG Critical Care, LLC 15 NCS HealthCare of KY, LLC dba Vangard Labs 14 Torrent Pharmaceuticals Limited 14 Cardinal Health 107, LLC 13 Major Pharmaceuticals 13 Ascend Laboratories, LLC 12 OWP Pharmaceuticals, Inc. 12 Aprecia Pharmaceuticals, LLC 12 Rising Pharma Holdings, Inc. 12 Novadoz Pharmaceuticals LLC 12 XLCare Pharmaceuticals Inc. 12 ScieGen Pharmaceuticals, Inc. 12 NorthStar Rx LLC 11 Direct Rx 11

…and 16 more on the FDA NDC directory.

RxNorm drug class

Levetiracetam belongs to the Other antiepileptics class.

Drug family (ATC) Other antiepileptics

Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.

🔬 Where this comes from

Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.

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FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective Jul 1, 2025
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Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Levetiracetam.
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Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
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Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Levetiracetam after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
141
NDC products indexed
856
Distinct labelers/manufacturers represented
160
Linked representative label
Prasco Laboratories
Linked label effective
Jul 1, 2025
Composite sections available
23
Linked SPL Set ID
dd175fa3-1d7a-4542-affd-988ac5bba1db
Linked SPL Document ID
265f6517-11c1-4af8-9871-ef7fdde464e6
Open the linked representative label on DailyMed ↗

How we combine label and product data

HelloPharmacist combines public FDA and NLM records; we don’t author the underlying clinical facts. We identified 141 FDA-filed SPL label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. The representative label is the starting point for the displayed reference monograph; the 12 largest stored in-scope SPL records, which may include that representative, are compared section by section, and the longest available version of each section is retained. Forms, routes, brands, labelers, product-listed strengths, and product-record counts are aggregated separately from ingredient-matched FDA NDC Directory records; package records listed above are associated with the linked SPL; and the normalized concept hierarchy comes from NLM RxNorm.

For canonical ingredient pages, bounded product-attributed indication and administration excerpts may be added to the AI evidence, and the generator is instructed to preserve available product, brand, route, and form qualifiers instead of treating one label as universal. Where a section is identified as AI-written, its plain-language text is generated from bounded label evidence. New draft drug pages remain in the admin review queue before first publication. Prasco Laboratories is the representative DailyMed label linked for verification and dates; it is not the sole source used for the page.

This is general education, not medical advice — always consult your doctor or pharmacist about your medications and any medical condition. For the exact wording of the linked representative label, view that label on DailyMed; some displayed composite sections may come from other in-scope SPL labels. Learn how we use AI and our data sources & update cadence.