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levetiracetam Side Effects

Also known as: Keppra

Analysis of 127,698 adverse event reports submitted to the FDA from 2002 to 2025.

Total Reports

127,698

Death-Related

11,586

9.1% of reports

Hospitalizations

47,411

37.1% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

SEIZURE
15,308
DRUG INEFFECTIVE
11,807
OFF LABEL USE
8,947
FATIGUE
5,403
CONVULSION
4,083
EPILEPSY
3,996
SOMNOLENCE
3,978
FALL
3,656
HEADACHE
3,609
MATERNAL EXPOSURE DURING PREGNANCY
3,535
DIZZINESS
3,469
NAUSEA
3,465
DRUG INTERACTION
3,366
DIARRHOEA
3,137
DEATH
3,126
VOMITING
3,113
CONDITION AGGRAVATED
3,070
PYREXIA
2,931
FOETAL EXPOSURE DURING PREGNANCY
2,917
GENERALISED TONIC-CLONIC SEIZURE
2,813

Who Reports Side Effects

Gender Distribution

Female 60,646 (55%)
Male 50,022 (45%)
Unknown 375

Age Distribution

0-17 15,752 (19%)
18-44 24,199 (29%)
45-64 22,279 (27%)
65-74 10,782 (13%)
75+ 9,420 (11%)

Reporting Trend by Year

2002 2025

Reactions in Death Reports

Top reactions reported in 11,586 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 3,119
OFF LABEL USE 962
DRUG INEFFECTIVE 712
TOXICITY TO VARIOUS AGENTS 637
SEIZURE 635
PNEUMONIA 618
COMPLETED SUICIDE 581
CARDIAC ARREST 492
SEPSIS 477
DISEASE PROGRESSION 426
RESPIRATORY FAILURE 393
STATUS EPILEPTICUS 348
PYREXIA 347
MULTIPLE ORGAN DYSFUNCTION SYNDROME 342
GENERAL PHYSICAL HEALTH DETERIORATION 336
MALIGNANT NEOPLASM PROGRESSION 315
DIARRHOEA 312
CARDIO-RESPIRATORY ARREST 303
THROMBOCYTOPENIA 293
FATIGUE 292

Reactions in Hospitalization Reports

Top reactions in 47,411 reports where hospitalization was an outcome.

Reaction Reports
SEIZURE 5,820
DRUG INEFFECTIVE 3,823
OFF LABEL USE 3,317
FALL 2,315
PYREXIA 2,071
PNEUMONIA 1,983
FATIGUE 1,822
CONVULSION 1,730
VOMITING 1,721
SOMNOLENCE 1,655
DRUG INTERACTION 1,642
STATUS EPILEPTICUS 1,609
CONFUSIONAL STATE 1,564
EPILEPSY 1,491
DIARRHOEA 1,476
HEADACHE 1,458
NAUSEA 1,453
ASTHENIA 1,338
DIZZINESS 1,284
CONDITION AGGRAVATED 1,264

Nearby — Related Medications

Compare levetiracetam vs brivaracetam →

What the FAERS Data Reveals About levetiracetam Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 127,698 voluntary reports linked to levetiracetam and its brand equivalents (Keppra), spanning 2002 through 2025. Of those, 11,586 (9.1%) listed death as an outcome and 47,411 (37.1%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 55% were female and 45% male; age distribution skews toward 18-44, with 24,199 reports in that bracket. The single most reported reaction is seizure with 15,308 submissions, followed by drug ineffective and off label use.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.