Levetiracetam is an ethyl analogue of the nootropic agent piracetam. R
esults from rodent studies indicate that the drug may offer protection
against absence, generalised and partial seizures. Levetiracetam exhi
bits linear pharmacokinetics and has a wide therapeutic index. Its pot
ential to interact with other anticonvulsants appears to be low. Initi
al findings from a total of 29 patients with treatment-refractory epil
epsy suggest that levetiracetam may be beneficial in patients with par
tial seizures. These results require confirmation. Somnolence and asth
enia were the most common adverse events reported in patients receivin
g levetiracetam 1000 to 4000 mg/day; these appeared to be dose-related
.