What class of drug is keppra

Levetiracetam

Brand name: Keppra

Description

Anticonvulsant
It is used as monotherapy for focal epilepsy with and without generalized seizures
Brands: Keppra XR, Spritam, Roweepra, And Keppra
Availability: Prescription needed
Pregnancy: Consult a doctor
Alcohol: Joint intake of the drug with alcohol is prohibited
Side Effects: Irritability, Shakiness And Unsteady Walk, Redness Or Swelling In The Ear
Interactions: Trazodone, Baclofen
For informational purposes only. Consult your local medical authority for advice.

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How should I take Keppra?

Take Levetiracetam exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results.

Levetiracetam is usually taken twice per day. Take the medicine at the same time each day. You may take Levetiracetam with or without food.

Measure liquid medicine with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Do not crush, chew, or break a controlled release, delayed-release, or extended-release tablet. Swallow it whole. Breaking the pill may cause too much of the drug to be released at one time.
Use Levetiracetam regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Do not stop using Levetiracetam without first talking to your doctor, even if you feel fine. You may have increased seizures if you stop using Keppra suddenly. You may need to use less and less before you stop the medication completely.

Seizures are often treated with a combination of different drugs. Use all medications as directed by your doctor. Read the medication guide or patient instructions provided with each medication. Do not change your doses or medication schedule without your doctor's advice. .

Wear a medical alert tag or carry an ID card stating that you take Levetiracetam. Any medical care provider who treats you should know that you take seizure medication.

To be sure Levetiracetam is not causing harmful effects, your kidney function may need to be tested. Visit your doctor regularly.

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Coming off keppra

The staff coming off keppra themselves are also really traumatised and have to have debriefs, sometimes with our psychologist. We now find ourselves in a situation where children coming off keppra and young people who have an eating disorder team would only be able to visit a couple of times a week and occasionally there would be agency mental health nurses. This is slightly down compared to 2021 when admissions rose to 3,461 across these trusts.

They are coming off keppra invariably burly, middle-aged men. I have heard harrowing stories of staff having to close entire wards to other patients because of the hospital consultants were not trained in mental health, as they told me. The staff themselves are also really traumatised and have to have debriefs, sometimes coming off keppra with our psychologist.

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PARTNERS

ADRIAN DE VERE GREEN

PARTNER

Adrian is a Co-Founder of Accreto Solutions. He works with advisory firms to find high level strategic solutions for their growth plans, including acquisitions and senior team moves…

His client base spans management, strategic and specialist consultancies, financial advisors and operational turnaround specialists.

Prior to forming Accreto Solutions, Adrian was a founding partner of Riverhouse Solutions. He has spent more than 20 years working with clients who have been pioneers in both developed and emerging markets. This experience has ingrained in him a creative and proactive approach to helping clients grow their businesses and explains his tenacious style.

He still maintains a professional interest in emerging markets. Building on an extensive professional network in many emerging and frontier markets, Adrian has advised banks, funds and advisory firms on how best to position themselves within these often complex and developing markets.
 He holds a BA in Business Studies from Brunel University and speaks fluent French and Spanish.

DOMINIC DUFFY

PARTNER

As a Co-Founder of Accreto Solutions, Dominic works closely with advisory firms looking to strengthen existing businesses as well as with new entrants to the market…

These firms operate across management and strategic consultancy, financial advisory and asset management. Increasingly, this includes issues and opportunities around ESG.

After 20 years of advising clients on senior hires and key team builds, Dominic takes a strategic, business solution-driven approach to search. This approach is essential in partnering with Accreto Solutions’ clients on business acquisitions and on building effective platforms from scratch.

Dominic’s prior search career was spent primarily focusing on investment banks’ pan-European markets platforms across all asset classes, where he was involved in multiple team build-outs on behalf of global banks. He holds a BSc from the London School of Economics in Political Science.

CASE STUDY

ACQUISITION TARGETS AND TEAM IDENTIFICATION

THE BRIEF

To assist a major financial institution in adding additional advisory services to its European-centric M&A business. Areas considered were M&A, debt restructuring, debt advisory and equity advisory. Whilst an acquisition was preferred, we were also asked to look at potential team hires without onerous non-compete clauses in their contracts.

THE CHALLENGE

Extensive research and due diligence were required to advise our client on which advisory services would provide the best ROE. Since some advisory services are highly cyclical, we also wanted to ensure our client wasn’t overpaying for an impressive ROE that was performing at its peak or underpaying for modest returns that could shortly take off. Furthermore, it was necessary to ensure a good cultural fit and the long-term benefit from the acquisition for both parties. As this project took place over the 2016 European referendum, we also had to analyse the positive and negative impacts this might have.

THE SOLUTION

We conducted a thorough mapping of the potential acquisition opportunities where we felt there was sufficient upside to warrant an acquisition.  We also looked at teams whose contracts were domiciled in jurisdictions where non-compete clauses were not relevant. We shortlisted five institutions, covering three different advisory services. These were extensively referenced in a confidential manner leading the client to reduce this list to two.

CASE STUDY

US STRATEGIC ACQUISITION

THE BRIEF

A US client wanted to expand their strategic consultancy offering to include dedicated coverage of the UK and Continental Europe.

THE CHALLENGE

Strategic consultancies come in many forms.  Although the brief was to identify businesses of an appropriate size that had the experience and knowledge-base to operate with Global 1000 companies, our challenge was finding consultancies whose culture could match the entrepreneurial and creative demands of our client.  We also needed to ensure that the target consultancies’ expertise wasn’t restricted to one or two sectors and that the advice they offered related to major strategic changes or challenges.  They would also have to be able to operate within a very team-orientated culture where service divisions are actively encouraged to leverage their combined knowledge and experience.

As our US-based client had limited availability for meetings with target companies, we had to ensure that every target on the shortlist both fitted the brief and was motivated to engage.

THE SOLUTION

Through extensive conversations with target companies and cross-referring our information, we identified a very select shortlist.  This enabled the client to focus quickly on the most suitable targets, leading to successful completion of the acquisition within 6 months of the initial engagement.