VETIRA 250 Tablet 10’s

INTRODUCTION

VETIRA 250 TABLET contains Levetiracetam which belongs to the group of medicines called Anticonvulsants. It is used to treat epilepsy (seizures). Epilepsy is a disorder in the central nervous system in which the brain activity becomes abnormal, causing seizures (fits) or unusual sensations, behaviours and sometimes loss of consciousness.

VETIRA 250 TABLET is also used in combination with other antiepileptic medicines to treat partial onset seizures with or without generalisation (abnormal activity involving one side of the brain), myoclonic seizures (short, shock-like jerks of a muscle or involving group of muscles), juvenile myoclonic epilepsy (myoclonic seizures in adolescents from 12 years of age), primary generalised tonic-clonic seizures (major fits which includes loss of consciousness), and idiopathic generalised epilepsy (type of epilepsy which is thought to have a genetic cause).

Along with the treatment with VETIRA 250 TABLET, your doctor may suggest you make some lifestyle changes such as healthy eating and sleeping habits, managing stress, and exercising or meditating regularly. Prior to starting the treatment with VETIRA 250 TABLET, your doctor might ask you to take some diagnostic tests.

Before taking VETIRA 250 TABLET inform your doctor if you have liver, kidney or heart diseases. VETIRA 250 TABLET should be used with caution in pregnant women and not recommended for use in breast-feeding women.

VETIRA 250 TABLET is not recommended for use in children and adolescents below 16 years of age, however it can be used in combination with other medicines. Consult with your doctor before taking. Some of the serious side effects of VETIRA 250 TABLET includes thoughts of self-harming, contact your doctor immediately if you notice symptoms of depression or suicidal thoughts.

The most common side effects of taking VETIRA 250 TABLET are inflammation of nose and throat, sleepiness, dizziness, lethargy, anorexia, depression, anxiety, vertigo, cough, nausea. Contact your doctor if you experience these above side effects or worsen.

USES OF VETIRA 250 TABLET
Treats epilepsy (seizures)
HOW VETIRA 250 TABLET WORKS

VETIRA 250 TABLET acts on the brain and modify the release of certain nerve chemicals. Brain cells communicate with each other using electrical signals and chemicals. When there is any disturbance in this communication, seizure (fits) happens. Levetiracetam combines with a protein (SV2A) present in central nervous system and inhibits the release of abnormal nerve chemicals (neurotransmitters). This does not affect the normal brain communication.

DIRECTIONS FOR USE

Take VETIRA 250 TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine.

Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

SIDE EFFECTS OF VETIRA 250 TABLET
COMMON
Inflammation of nose and throat (nasopharyngitis)
Somnolence (excessive sleepiness)
Headache
Loss of appetite
Depression, aggression, anxiety
Insomnia, nervousness, irritability
Convulsion, balance disorder
Dizziness
Lethargy, tiredness
Tremor (involuntary trembling)
Vertigo (sensation of rotation or spinning)
Cough
Abdominal pain
Diarrhoea, indigestion
Vomiting, nausea
Rash
UNCOMMON
Decreased number of blood platelets (easy bruising, more bleeding, bleeding from gums or nose)
Decreased number of white blood cells (chills, fever, body ache, headache)
Weight decrease or increase
Panic attack, emotional instability, mood swings
Loss of memory, forgetfulness, abnormal or impaired coordination
Paraesthesia (tingling)
Disturbance in attention (loss of concentration)
Double vision, vision blurred
Hair loss, eczema
Muscle weakness, muscle pain
RARE
Infection
Decreased blood sodium concentration
Delirium
Seizures may become worse or happen frequently
Uncontrollable muscle spasms affecting the head, body and limbs
Difficulty in controlling movements, hyperactivity
Change of the heart rhythm (Electrocardiogram)
Pancreatitis
Liver failure, hepatitis (abdominal pain, dark urine, itching, light coloured stools, jaundice, swelling of the abdomen)
Rhabdomyolysis (breakdown of muscle tissue)
Limp or difficulty in walking
Fever, unstable blood pressure and heart rate, muscle stiffness, low level of consciousness, confusion (signs of a disorder called neuroleptic malignant syndrome)

Stop taking VETIRA 250 TABLET and inform your doctor immediately if you experience any of the following side effects:

Signs of anaphylactic reaction (weakness, light-headedness, dizziness or have difficulty breathing)
Signs of Quincke’s oedema (swelling of the face, lips, tongue and throat)
Signs of Drug Reaction with Eosinophilia and Systemic Symptoms (flu-like symptoms, rash on the face followed by an extended rash with a high temperature, enlarged lymph nodes)
Signs of sudden decrease of kidney function (low urine volume, tiredness, nausea, vomiting, confusion and swelling in the legs, ankles or feet)
Signs of erythema multiforme (skin rash which may form blisters and look like small targets like central dark spots surrounded by a paler area, with a dark ring around the edge)
Signs of Stevens-Johnson syndrome (widespread rash particularly around the mouth, nose, eyes and genitals, with blisters and peeling skin)
Signs of toxic epidermal necrolysis (severe form of rash causing skin peeling in more than 30% of the body surface)
Signs of serious mental changes that can be symptoms of encephalopathy (confusion, sleepiness, loss of memory, forgetfulness, abnormal behaviour, involuntary or uncontrolled movements)
Abnormal thoughts, feeling irritable or reacting more aggressively
Aggravation (worsening) of epilepsy
HOW TO MANAGE SIDE EFFECTS

Nausea or Vomiting:

Take VETIRA 250 TABLET medicine with, or just after meals. Stick to simple meals. Avoid eating rich or spicy food. Ask for your doctor’s advice if nausea doesn’t improve.

Diarrhoea:

Drink a lot of fluids, such as water, fruit juice, to keep yourself hydrated. Do not consume any medicine by yourself without consulting your doctor. Ask for your doctor’s advice if diarrhea persists for a long time.

Stomach pain:

Try to rest and relax. Eat and drink slow or try to have smaller and frequent meals. Keep a heat pad on your stomach. Ask for your doctor’s advice if stomach pain doesn’t improve.

Headache:

Try to take rest and do not involve yourself in exertive activities. You can apply a pain-relieving balm on your forehead. Your doctor might suggest you some painkillers. Ask for your doctor’s advice if headache doesn’t improve.

WARNING & PRECAUTIONS
PREGNANCY

VETIRA 250 TABLET should be used with caution in pregnant women only if considered clearly necessary by the doctor. Consult your doctor before taking VETIRA 250 TABLET.

BREASTFEEDING

VETIRA 250 TABLET is not recommended for use in breastfeeding women. Consult your doctor before taking the medicine.

DRIVING AND USING MACHINES

Do not drive or operate any machines if you feel sleepy after taking VETIRA 250 TABLET.

ALCOHOL

Avoid the consumption of alcohol while taking VETIRA 250 TABLET.

KIDNEY

VETIRA 250 TABLET should be used with caution in patients with kidney disease. Consult with your doctor before taking the medicine.

ALLERGY

Do not take VETIRA 250 TABLET if you are allergic to Levetiracetam or to any other ingredients of this medicine.

HEART DISEASE

VETIRA 250 TABLET should be used with caution in patients with heart diseases such as family or medical history of irregular heart rhythm (visible on an electrocardiogram), or if you are prone to heartbeat irregularities. Consult your doctor before taking VETIRA 250 TABLET.

OTHERS

Before taking VETIRA 250 TABLET tell your doctor if you:

Have salt imbalances

Use in pediatrics:

VETIRA 250 TABLET is not recommended for use in children and adolescents under 16 years of age if used alone. However, VETIRA 250 TABLET can be used in children and adolescents in combination with other medicines. Your doctor will prescribe the right dose depends on your child’s age, body weight and disease condition.

Use in geriatrics:

Your doctor will decide the correct dose and duration of the treatment depending upon your age, disease condition and body weight. Consult your doctor before taking VETIRA 250 TABLET.

INTERACTIONS

A. Drug–Drug Interactions:

Inform your physician if you are taking any of the following medicines before taking VETIRA 250 TABLET:

Laxative such as macrogol (used to treat constipation)

Overdosage:

If you or anyone else accidentally took extra dose of VETIRA 250 TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdosage of VETIRA 250 TABLET are sleepiness, aggression, agitation, inhibition of breathing, decrease of alertness and coma.

SYNOPSIS
Drug :  

Levetiracetam

Pharmacological Category :  

Anticonvulsants

Therapeutic Indication :  

Epilepsy

Dosage Forms :  

Tablet, Injection, Infusion, Syrup, Suspension, Oral Suspension, Solution

MORE INFORMATION
Keep VETIRA 250 TABLET out of reach of children
Store at room temperature below 25°C
FAQs ABOUT VETIRA 250 TABLET

What is VETIRA 250 TABLET and why is it prescribed?

VETIRA 250 TABLET contains Levetiracetam which belongs to the group of medicines called Anticonvulsants. It is used in the treatment of epilepsy and also used in combination with other antiepileptic medicines to treat partial onset seizures with or without generalisation, myoclonic seizures, juvenile myoclonic epilepsy, primary generalised tonic-clonic seizures and idiopathic generalised epilepsy.

Can I stop taking VETIRA 250 TABLET if I start to feel better?

You must keep taking VETIRA 250 TABLET for the time your doctor has prescribed it to you. Stopping suddenly may cause increase in seizures. If you wish to discontinue taking VETIRA 250 TABLET, ask for your doctor’s advice to avoid the chances of increase in seizures.

What is the best time to take VETIRA 250 TABLET?

Always take VETIRA 250 TABLET as advised by your doctor. Consult your doctor for advice before taking the medicine.

How to manage if I miss a dose of VETIRA 250 TABLET?

If you miss one or two doses of VETIRA 250 TABLET, you should contact your doctor. Do not take a double dose to make up for the missed dose of VETIRA 250 TABLET.

Does VETIRA 250 TABLET affect my ability to drive?

VETIRA 250 TABLET may cause sleepiness. Do not drive or operate any machines if you feel sleepy after taking VETIRA 250 TABLET. You can continue with the activities once you feel normal again.

REFERENCES

1. K.D. Tripathi. Antiepileptic Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 420.

2. Bassel Abou-Khalil. Levetiracetam in the treatment of epilepsy. NIH National Library of Medicine, National center for biotechnology information. Pubmed Central. June 2008. [Accessed on 9th August 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2526377/

3. Zentiva Pharma UK Limited. Electronic Medicines Compendium (EMC). [Revised in May 2022] [Accessed on 9th August 2022] https://www.medicines.org.uk/emc/files/pil.3984.pdf

4. APL Swift Services (Malta) Limited. Electronic Medicines Compendium (EMC) [Revised in April 2022] [Accessed on 9th August 2022] https://www.medicines.org.uk/emc/files/pil.3073.pdf

5. Mayoclinic. [Accessed on 9th August 2022] https://www.mayoclinic.org/diseases-conditions/epilepsy/symptoms-causes/syc-20350093

6. Drug bank. [Accessed on 9th August 2022] https://go.drugbank.com/drugs/DB01202

USEFUL DIAGNOSTIC TESTS
EEG (Electroencephalogram)
MRI
Country Of Origin
India