Key takeaways
Nayzilam (midazolam) and Keppra (levetiracetam) are both used to treat seizures, but they have some key differences. Nayzilam (midazolam) is a benzodiazepine nasal spray used for quick relief during seizure attacks in people 12 years and older. It works by slowing down brain activity and is only available as a brand-name medication. On the other hand, Keppra (levetiracetam) is an antiepileptic medication available in both brand and generic forms. It comes in various oral formulations, including immediate-release and extended-release tablets, and is used for long-term seizure control. Keppra (levetiracetam) is taken daily and can be used by children as young as one month old. While Nayzilam (midazolam) is used as needed for seizure attacks, Keppra (levetiracetam) is taken regularly to prevent seizures. Additionally, Nayzilam (midazolam) requires special training to know when and how to use it properly, whereas Keppra (levetiracetam) does not have these instructions for use but can cause mood changes and behavioral issues, especially in children.
