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A MyEpilepsyTeam Member asked a question 💭
El Dorado Hills, CA

Was just switched today to Briviact 50
Mg twice a day from
keppra xr 500mg alternating with 1000 mg
Concerned about side effects will take it at 8 pm and 8 am
Anybody else switch like this ?

June 12
 · 
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A MyEpilepsyTeam Member

I was taken off of Topmax

June 15
A MyEpilepsyTeam Member

I have been taking Brivaracetam 100mg for about two months now I am also taking Lamotrigine 25mg two tablets in the morning and also 150mg one tablet in morning and two tablets at night

June 15
MyEpilepsyTeam

Switching from Keppra XR to Briviact is something others on MyEpilepsyTeam have experienced, so you're definitely not alone in this transition! Sticking to a consistent schedule like 8am and 8pm is a great approach — keeping a regular routine is really important for seizure control.

Briviact (brivaracetam) works similarly to Show Full Answer

Switching from Keppra XR to Briviact is something others on MyEpilepsyTeam have experienced, so you're definitely not alone in this transition! Sticking to a consistent schedule like 8am and 8pm is a great approach — keeping a regular routine is really important for seizure control.

Briviact (brivaracetam) works similarly to Keppra but is actually designed to be more targeted, which for many people means fewer side effects. That said, everyone responds differently to medications.

Common side effects to watch for with Briviact include:

- Dizziness or drowsiness
- Fatigue
- Nausea
- Mood or behavior changes

A few important cautions:

- Avoid alcohol while taking Briviact, as it can increase side effects
- Don't skip doses — even one missed dose can raise your seizure risk
- If you accidentally take a double dose, contact your doctor right away

It's worth keeping a simple journal of how you feel in the first few weeks to share with your neurologist. If anything feels off or concerning, reach out to them promptly rather than waiting for your next scheduled appointment.

June 12

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A MyEpilepsyTeam Member asked a question 💭
Kansas City, MO