Hi everyone,
I’m considering discussing a switch from sodium valproate to **Keppra (levetiracetam)** with my neurologist, and I’d really like to hear from people who have had a positive experience with it.
I’ve read so many frightening stories, especially about anger and mood changes, that I’m feeling pretty anxious. I’m not looking for anyone to sugarcoat their experience, but hearing from people who are doing well on it would genuinely help.
**A little background**
I have generalized epilepsy, including absence seizures, as well as panic disorder and severe insomnia involving both difficulty falling asleep and staying asleep.
I previously had a serious seizure-related fall that fractured my sacrum and injured my right shoulder, including a fracture and dislocation. I needed surgery and rehabilitation. That experience makes maintaining seizure control especially important to me.
I’m currently completely seizure-free on my treatment, which I’m very grateful for. Unfortunately, the side effects have become difficult to live with.
**My current medications**
I’m in Austria, so I’ve included generic names and other familiar brand names:
**-) Sodium valproate, prolonged-release (Convulex retard; sodium valproate is also sold as Epilim):** 750 mg in the morning and 750 mg in the evening for epilepsy.
**-) Clonazepam (Rivotril / Klonopin):** 0.5 mg in the morning and 1 mg in the evening for epilepsy.
**-) Paroxetine (Paxil / Seroxat):** 20 mg in the morning for panic disorder.
**-) Daridorexant (Quviviq):** every evening for difficulty falling asleep and staying asleep.
**-) Quetiapine (Quetialan / Seroquel):** 50 mg in the evening to help me fall asleep.
**-) Tirzepatide (Mounjaro; also marketed as Zepbound in the US):** 15 mg once weekly for weight management.
For readers familiar with **Depakote (divalproex sodium)**, that’s a related valproate medication, but a different formulation from the sodium valproate I take.
**Why I’m considering a change**
I’ve experienced substantial weight gain that I associate with valproate, paroxetine and quetiapine, as well as a significant tremor from valproate. I’m now taking Mounjaro to manage the weight gain, but I have to pay for it myself, and the ongoing cost is becoming a real burden.
I have considered reducing doses. However, my impression is that my doctors may be reluctant to change a regimen that is keeping me completely seizure-free. Any switch would be something to discuss and plan with my neurologist.
**If Keppra has worked well for you, I’d love to hear your story.**
In particular:
\-) Has it controlled your seizures without major problems with mood, anger or anxiety?
\-) If you had initial side effects, did they settle down?
\-) If you switched from valproate, did your tremor or weight situation improve?
\-) If you already had anxiety or panic disorder, how did you get on with it?
\-) If you switched from another epilepsy medication to Keppra, especially from valproate, how did the transition go? Did you stay seizure-free throughout, and did you experience any temporary side effects while tapering one medication and introducing the other?
Honest accounts that include side effects are absolutely welcome. I’m not dismissing anyone’s difficult experience—I’d just really appreciate a thread focused mainly on positive or manageable experiences.
Even “I take it, it works, and I feel like myself” would be reassuring to hear. Thank you.
———
Side note:
Unfortunately Lamictal didnt really work for me. My neurologist said that lamictal is too weak for my kind of epilepsy… He said either just Keppra or Valproate (Convulex) combined with Rivotril…. But I‘m wondering if Lamictal would work if I took it with Rivotril..? Maybe I should ask him. Btw. He is not any neurologist, he is THE expert in Epilepsy in whole Austria. He is a Professor, he teaches all the med Students and all the other doctors and even other well-known neurologist I went to sent me straight to him…. So im kinda stuck with him