Levetiracetam — status loading

Pregnancy & gynaecology-specific. Every dose row is source-referenced; verify against institutional protocols.

Levetiracetam — status loadingEMERGENCY KITEmergency Drugs

Regimens checked: 2026-10-17. Each indication has its own preparation, limits and safety checks.

Levetiracetam — status loading: indication-specific regimens
Indication	Dose	Route	Frequency	Duration / preparation	Maximum	Monitoring / cautions
Ongoing convulsive status after adequate first-line benzodiazepine treatment; non-eclamptic cause or seizures refractory to eclampsia care NHS Greater Glasgow and Clydechecked	60 mg/kg, maximum 4500 mg	IV infusion	One loading dose with urgent reassessment	Emergency loading; ongoing maintenance is a separate neurology prescription · 100 mg/mL concentrate: prescribed mg ÷100 =mL to withdraw. Dilute the dose in at least 100 mL compatible sodium chloride 0.9% and infuse over 15 min (Keppra product preparation); the 60 mg/kg, maximum 4500 mg status load is off-label GGC emergency guidance.	4500 mg per loading dose	Monitor Respiratory/circulatory monitoring, clinical seizure termination and EEG if consciousness fails to recover; renal function for subsequent maintenance Contraindications / cautions Known levetiracetam allergy; persistent status needs anaesthesia/ICU and evaluation of cause

Pregnancy safety

Emergency loading followed by a separate maintenance plan and pregnancy counselling.

Lactation

Acute maternal stabilisation takes priority; review ongoing treatment and infant exposure with the linked source and specialist team.