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Propranolol vs. Keppra

Propranolol is a non-selective beta blocker. It helps with a range of medical conditions, including high blood pressure, tremors, and migraine prevention. Sometimes, providers prescribe propranolol off-label to ease performance anxiety. You take this medication by mouth, typically 1 to 4 times daily, depending on if you're taking the immediate-release (IR) or extended-release (ER) medication. Keep in mind the IR and ER versions don't treat the same medical conditions. Some of the more common side effects of propranolol include dizziness, tiredness, or weakness.

• High blood pressure
• Chronic chest pain
• Migraine
• Hypertrophic subaortic stenosis
• Atrial fibrillation (A.Fib)
• Heart protection after a heart attack
• Tremors
• Pheochromocytoma (a rare tumor of the adrenal gland)

• Dizziness
• Tiredness
• Feeling weak

• Worsening of chest pain or heart attack
• Higher risk or worsening of heart failure
• Hidden symptoms of low blood sugar
• Hidden symptoms of overactive thyroid
• Trouble breathing (bronchospastic disease)
• Serious skin reactions
• Greater risk during surgery

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.

• Focal aware (partial-onset) seizures in people ages 1 month and older
• Add-on treatment for myoclonic seizures from juvenile myoclonic epilepsy in people ages 12 years and older
• Add-on treatment for generalized tonic-clonic seizures in people ages 6 years and older

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.
Adults:

• Weakness (15%)
• Sleepiness (15%)
• Headache (14%)
• Infection (13%)
• Dizziness (9%)

Children:

• Headache (19%)
• Common cold symptoms (15%)
• Vomiting (15%)
• Sleepiness (13%)
• Tiredness (11%)
• Being aggressive (10%)
• Cough (9%)
• Stuffy nose (9%)
• Upper stomach pain (9%)
• Lower appetite (8%)

• Abnormal mood, thoughts, or behavior
• Suicidal thoughts or behavior
• Difficulty with speech, movement, and concentration
• Serious allergic reactions and skin reactions
• Withdrawal seizures
• Low blood cell counts
• Higher blood pressure in young children
• Seizure control during pregnancy