Is it possible to experience dizziness from Levetiracetam, after 4 years without side-effects?

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Experiencing dizziness or sleepiness with Levetiracetam after such a long period is unusual. These side effects are usually more noticeable during the initial phase of treatment. But, in some patients, especially on long-term use, Levetiracetam may lead to mood changes such as depression, mania, or psychosis, which can manifest as feelings of lethargy, weakness, and tiredness.

To gain a clearer understanding of your situation, could you provide the following information:

1. Have you recently skipped the medication for a few days and then restarted? Your attached prescription (attachment removed to protect the patient's identity) indicates that you had stopped medications several times before.
2. Has the dose of Levetiracetam been increased recently?
3. Are you taking any other medications in addition to Levetiracetam?
4. How would you describe your mood in your day-to-day activities recently?
5. Are you getting enough good-quality sleep at night, or has this been disrupted in any way?

Kindly revert with the information.

Thank you.

Hi,

Welcome back to cliniq.com.

It is challenging to pinpoint the exact cause of your recent dizziness, and whether it is directly linked to Levetiracetam or caused by other factors. It might be a good idea to schedule an in-person consultation with a neurologist for an evaluation of your dizziness. I suggest you consider requesting a serum Levetiracetam level test to assess the concentration of the medication in your bloodstream.

Hope this information helps you.

Thank you.

Hello,

Welcome back to icliniq.com.

The attached liver function tests (LFT) and kidney function tests (KFT) reports (attachment removed to protect the patient's identity) are within the normal range. Could you please provide a detailed description of the "dizzy" feeling? What specific symptoms do you experience during these episodes, and how long do they typically last? Also, how frequently do these episodes occur? Have you ever experienced sensations like anxiety, a fast heartbeat, or a choking sensation during these episodes?

Thank you.

Hi,

Welcome back to icliniq.com.

Based on the description, it is challenging to arrive at a definitive conclusion. The absence of symptoms while working makes it less likely to be a side effect of Levetiracetam. It could potentially be related to anxiety or other factors, but I suggest further evaluation by a medical professional to better understand the cause of these symptoms.

Thank you.

Hello Your blood test reports showing (1) elevated cholesterol & LDL cholesterol (2) LowT3 & T4 with slightly upper border TSH Rest are with in normal range. These results do not conclude any reason for dizziness. Though for these, you need to consult Medicine doctor. And avoid oily & fried foods. Start some exercise program daily.

It seems unlikely that medicine is causing it. If you feel that medicine might be causing it, you can plan for "Serum Levetiracetam Level" to check if medicine concentration in your blood is in therapeutic range or high or low. One possibility can be it being psychogenic or mood / anxiety related.