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Brivaracetam

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Molecule Summary

Uses
Partial onset seizures
Therapy
Anti-Epileptic
Side Effects
Sleepiness, dizziness, fatigue, nausea, vomiting
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Molecule Description

Brivaracetam is an anti-convulsant medication. This medication is used to treat seizures in individuals with epilepsy, a neurological disorder that can lead to abnormal brain activity, loss of consciousness, and altered sensations. Brivaracetam works by stabilizing the abnormal transmission of signals in the brain. It is advised not to drive immediately after taking this medicine, as it may cause symptoms such as sleepiness, dizziness, and lack of coordination. You should inform your physician if you have liver or kidney problems. Additionally, it's important to discuss your pregnancy status or if you are breastfeeding. Please be aware that abruptly stopping this medication can lead to serious complications, including an increased frequency of seizures.

Uses

For the treatment of seizures in an individual with epilepsy.

Contraindications

When should one not use Brivaracetam

If you are allergic to Brivaracetam or any of the ingredients of this medicine.

Side effects

Common side effects of this drug are:

  • Sleepiness
  • Dizziness
  • Fatigue
  • Nausea
  • Vomiting

Precautions and Warnings

Pregnancy

Pregnancy

It is not recommended to be used during pregnancy due to limited information available on its safety and its effect on the unborn baby. Take this medicine only if it is prescribed by your doctor. It is also mandatory to inform your doctor if you are planning a pregnancy while on treatment with this medicine.

Breast Feeding

Breast Feeding

It is not recommended to take Brivaracetam if breastfeeding, as the effects of Brivaracetam on the new-born child are not known. However, if you are taking this medicine on your physician's advice during breastfeeding you should keep a close watch on the breastfed baby if any adverse effects appear and inform your doctor immediately and you should ask about the best way to feed your baby during the treatment.

Driving

Driving

You may experience sleepiness, tiredness, dizziness and lack of coordination, especially during the initiation of treatment. So it is advised not to drive or operate heavy machinery until you know how this medicine affects you.

Alcohol

Alcohol

It is suggested not to consume alcohol along with Brivaracetam, as it may cause adverse effects.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You are getting thoughts of suicide or self-harm and behavioural changes.
  • You have a liver or kidney problem because in such health conditions dose adjustment is required.
  • You experience dizziness or drowsiness after taking this medicine.
  • You feel behavioural changes including psychotic symptoms, irritation, depression, anxiety or aggression. In such conditions, you may need close monitoring during the treatment.
  • You experience breathing problems and swelling of the skin. It may be required to discontinue the treatment immediately and also advised not to restart the medicine if such adverse reactions occur.
  • This medicine should be stopped gradually to avoid associated side effects. Abrupt withdrawal of this medicine may lead to increased frequency of fits or seizures and status epilepticus (a seizure that lasts for a longer duration than the usual seizure episodes).
  • It is advised to avoid driving or operating heavy machinery until you are confident enough about the effects of this medicine.

Mode of Action

How Does It Work?

  • Seizures generally occur due to abnormal nerve activity in the brain resulting in uncontrolled movements, loss of consciousness and abnormal feelings.
  • Brivaracetam acts on the brain and inhibits the spread of abnormal electrical activity. It works by binding itself to synaptic vesicle protein 2A (SV2A), a specific receptor in the brain and helps in stabilizing the neuronal disturbance in the brain which can cause seizures.

Interactions

Interactions with other medicines

  • Tell your doctor about all the medicines, supplements or herbals you are currently taking to avoid any possible interactions.
  • Brivaracetam can affect the action of other medicines and other medicines may also affect the action of Brivaracetam if taken together or at the same time.
  • Especially if you are taking rifampicin - a medicine which is used to treat bacterial infections and St John's wort (also known as Hypericum perforatum) - a herbal medicine used to treat mood disorders and anxiety as well as other conditions.

Dosage

Overdose

Symptoms of overdose may include giddiness, fatigue, nausea, anxiety, double vision, slow heart rate and balance disorder. If you think you have taken too much of this medicine and experience any of such signs contact your doctor immediately or visit the nearest hospital.

Missed a Dose

It would be best if you take the doses at the appropriate time for the desired effect. If you have missed any dose of this medicine take it as soon as you remember. However, if it's time for your next dose, then skip the missed dose and continue with your regular dose schedule. Do not take a double dose of this medicine to compensate for the missed one.

Frequently Asked Questions (FAQs)

Brivaracetam is used to treat partial-onset seizures in people with epilepsy. These are seizures where abnormal electrical activity involves only one part of the brain. Your doctor will decide whether this medicine is suitable for you.

Do not stop taking Brivaracetam abruptly without the advice of your doctor. A sudden withdrawal of this medicine can cause serious problems and also may lead to an increase in the frequency of seizure or fits or attacks. Tell your doctor if you experience any unusual behaviour or thoughts of harming or killing yourself while taking this medicine.

Do not cut, crush or chew this medicine unless your doctor or pharmacist has told you to. Take it exactly as prescribed by your doctor.

It is strictly advised not to drive until you know how this medicine affects you, as it may cause dizziness, tiredness, drowsiness and lack of coordination.

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