Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Levetiracetam (Keppra) and divalproex (Depakote) are both antiepileptic medications used to treat seizures, but they have some key differences. Levetiracetam is available in both immediate-release and extended-release forms and is taken either once or twice daily, depending on the formulation. It is also used as an add-on treatment for myoclonic and generalized tonic-clonic seizures. Divalproex, on the other hand, comes in delayed-release and extended-release tablets, as well as sprinkle capsules, and is taken once or twice daily. Besides treating seizures, divalproex is also used for bipolar disorder and migraine prevention. Levetiracetam does not interact with food or other medications, while divalproex has many interactions, including with phenytoin and aspirin. Levetiracetam is considered safer during pregnancy compared to divalproex, which can cause serious birth defects, but levetiracetam still requires careful monitoring if used during pregnancy. Both medications can cause sleepiness and mood changes, but divalproex requires regular blood tests to monitor liver health and ammonia levels.
Levetiracetam (Keppra)
Divalproex (Depakote)
Levetiracetam (Keppra)
Divalproex (Depakote)
Summary of Keppra vs. Depakote
Summary for Antiepileptic
Prescription only
Immediate-release levetiracetam is a seizure medication for adults and children. It's known as the brand names Keppra and Roweepra, and it also has a generic version. This medication comes as a tablet and liquid that's taken twice each day. The dosage depends on your age, weight, and the type of seizure you have. Levetiracetam (Keppra) doesn't have any known interactions with food or medications. Common side effects include weakness, sleepiness, and headache.
Summary for Antiepileptic
Prescription only
Divalproex (Depakote) is a prescription medication that's used alone or in combination with other medications to treat certain types of seizures. It can also be used to prevent migraines and treat bipolar disorder. Divalproex (Depakote) comes in delayed-release (DR) and extended-release (ER) tablets, as well as sprinkle capsules. You take it by mouth, typically once or twice daily, depending on the formulation. Divalproex (Depakote) can cause changes in weight, both in weight loss and weight gain. Don't suddenly stop taking this medication since it can raise your risk of withdrawal symptoms, including seizures.
•Requires regular blood work and lab tests to make sure your liver is healthy
Common Side Effects of Keppra vs. Depakote
Common Side Effects for
Side effects were reported by people with focal aware seizures taking levetiracetam (Keppra) with other seizure medications. Side effects might differ for other seizure types.
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Adults: