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Spritam (levetiracetam) is a medication with several important safety considerations. Patients and healthcare providers should be aware of the following potential risks and precautions when using this drug:

• Mood and Behavioral Changes: This medication may alter your mood, thoughts, or behavior, causing irritability, aggression, anxiety, paranoia, or depression. Those with a history of mental health disorders, such as depression, schizophrenia, or bipolar disorder, should be particularly cautious. Report any unusual mood changes to your healthcare provider.

• Risk of Suicidal Thoughts: Antiepileptic drugs like Spritam can increase the risk of suicidal thoughts or behaviors. This risk may emerge within a week of starting the medication. If you or someone around you notices signs of worsening depression or suicidal thoughts, contact your healthcare provider immediately. In emergencies, call 911.

• Drowsiness and Coordination Issues: Users may experience sleepiness, fatigue, and concentration or coordination difficulties, especially during the first month of treatment. These effects could be exacerbated if you are taking other medications that cause drowsiness or dizziness.

• Serious Allergic Reactions: Severe allergic reactions, including drug reactions with eosinophilia and systemic symptoms (DRESS), anaphylaxis, and serious skin reactions like Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN), can occur. Seek immediate medical attention if you experience severe swelling or skin reactions.

• Withdrawal Seizures: Abruptly stopping Spritam can result in withdrawal seizures or status epilepticus, a medical emergency. Always consult your healthcare provider before discontinuing the medication, as they will typically taper your dose gradually to prevent complications.

• Low Blood Cell Counts: Although rare, Spritam can cause a reduction in blood cell counts, leading to symptoms like unusual weakness, persistent infections, or abnormal bleeding. Contact your healthcare provider if you experience these symptoms. Regular blood tests may be necessary to monitor your blood cell levels.

• Increased Blood Pressure in Young Children: In children under 4 years of age, Spritam may cause elevated blood pressure. This effect has not been observed in older children or adults. Close monitoring is advised for this age group.

Consult your healthcare provider for personalized advice and report any concerning symptoms as soon as they arise.

When taking this medication, you may experience some common side effects that are generally mild and tend to improve as your body adapts. These include drowsiness, dizziness, weakness, headache, sleepiness, and tiredness. It's not unusual to feel some dizziness or experience common cold symptoms such as a stuffy nose or sore throat. Occasionally, you might also encounter a reduction in appetite, stomach pain, or a mild rash. If these symptoms persist or worsen, it’s important to contact your healthcare provider.

In some cases, you might notice mood changes like irritability, aggression, or anxiety. These are important to monitor, especially if they seem intense or persistent. A small number of individuals taking this medication could experience more significant mental health issues, such as depression or suicidal thoughts. Should you or those around you observe any sudden changes in mood or behavior, seeking immediate medical advice is crucial.

While serious side effects are rare, they demand urgent medical attention. These include signs of severe allergic reactions like fever, swollen lymph nodes, rash, severe dizziness, or trouble breathing. Additionally, symptoms such as loss of coordination, memory issues, vertigo, numbness or tingling in extremities, and double vision are considered serious. Recognizing these symptoms early and responding with swift medical consultation can ensure your safety and well-being while using this medication.