The most commonly reported side effects of levetiracetam include seizure, off label use, and fatigue, based on 133,930 FDA adverse event reports from 2004 to 2025. 8.7% of reports found the drug to be ineffective.
Percentages show how often each reaction appears relative to total reports for levetiracetam.
1
Seizure11.8%15,854
2
Drug Ineffective8.7%11,621
3
Off Label Use6.9%9,175
4
Fatigue3.7%4,972
5
Epilepsy3.0%4,063
6
Somnolence2.7%3,655
7
Maternal Exposure During Pregnancy2.6%3,488
8
Fall2.5%3,343
9
Headache2.4%3,229
10
Dizziness2.4%3,152
11
Nausea2.3%3,089
12
Drug Interaction2.3%3,066
13
Death2.3%3,056
14
Diarrhoea2.2%2,913
15
Foetal Exposure During Pregnancy2.2%2,909
These are voluntary reports and do not establish that levetiracetam caused these reactions.
Report severity
83.5%Serious111,786 reports
37.1%Hospitalizations49,679 reports
9.2%Fatal12,316 reports
Seriousness is determined by the reporter, not by OpenClaim.
Levetiracetam drug interactions
Other drugs that appear in adverse event reports alongside levetiracetam. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.
Also suspected
1
Lacosamide8.1%10,838
2
Lamotrigine6.2%8,345
3
Phenytoin4.1%5,556
4
Topiramate3.7%4,903
5
Valproic-acid3.6%4,788
6
Carbamazepine3.4%4,592
7
Clobazam3.3%4,445
8
Phenobarbital-sodium2.4%3,212
9
Vigabatrin2.2%3,006
10
Oxcarbazepine2.1%2,851
11
Valproate-sodium2.1%2,835
12
Clonazepam2.1%2,793
13
Midazolam1.9%2,585
14
Cannabidiol1.7%2,325
15
Zonisamide1.6%2,083
Taken alongside
1
Acetaminophen7.5%10,101
2
Lamotrigine5.4%7,233
3
Aspirin5.3%7,048
4
Levothyroxine-sodium5.1%6,831
5
Dexamethasone4.9%6,628
6
Omeprazole4.7%6,292
7
Ergocalciferol4.7%6,284
8
Gabapentin4.5%6,037
9
Pantoprazole-sodium4.5%5,968
10
Atorvastatin-calcium4.2%5,639
11
Lorazepam4.2%5,598
12
Ondansetron4.2%5,577
13
Amlodipine4.1%5,476
14
Clonazepam3.9%5,197
15
Furosemide3.8%5,147
Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.
Who reports levetiracetam side effects
47.4% of levetiracetam adverse event reports involve female patients and 39.5% involve male patients. The largest age group is adult at 55%. These figures reflect who reports side effects, not underlying risk.
Sex
Female47.4%
Male39.5%
Unknown13.2%
Age group
< 26.5%
2–119.2%
12–175.1%
18–6454.8%
65+24.4%
What is levetiracetam used for
Conditions and purposes for which patients were taking levetiracetam when the adverse event was reported.
Abnormal BehaviourAbnormal DreamsAbnormal EegAbnormal GaitAccidental ExposureAccidental Exposure To ProductAccidental Exposure To Product By ChildAccidental OverdoseAccidental PoisoningAcquired Epileptic AphasiaAcute Disseminated EncephalomyelitisAcute Encephalitis With Refractory, Repetitive Partial SeizuresAcute Haemorrhagic LeukoencephalitisAcute Lymphocytic LeukaemiaAcute Promyelocytic Leukaemia
Showing 15 of 1,472 indications
ABNORMAL BEHAVIOUR
ABNORMAL DREAMS
ABNORMAL EEG
ABNORMAL GAIT
ACCIDENTAL EXPOSURE
ACCIDENTAL EXPOSURE TO PRODUCT
ACCIDENTAL EXPOSURE TO PRODUCT BY CHILD
ACCIDENTAL OVERDOSE
ACCIDENTAL POISONING
ACQUIRED EPILEPTIC APHASIA
ACUTE DISSEMINATED ENCEPHALOMYELITIS
ACUTE ENCEPHALITIS WITH REFRACTORY, REPETITIVE PARTIAL SEIZURES
ACUTE HAEMORRHAGIC LEUKOENCEPHALITIS
ACUTE LYMPHOCYTIC LEUKAEMIA
ACUTE PROMYELOCYTIC LEUKAEMIA
ACUTE PSYCHOSIS
ACUTE RESPIRATORY FAILURE
ADCY5-related dyskinesia
ADDISON'S DISEASE
ADJUSTMENT DISORDER
ADJUVANT THERAPY
ADVERSE DRUG REACTION
ADVERSE EVENT
AFFECT LABILITY
AFFECTIVE DISORDER
AGE-RELATED MACULAR DEGENERATION
AGGRESSION
AGITATION
AICARDI^S SYNDROME
ALCOHOL PROBLEM
ALCOHOL USE
ALCOHOL WITHDRAWAL SYNDROME
ALCOHOLIC SEIZURE
ALCOHOLISM
ALEXANDER DISEASE
ALOPECIA
ALTERED STATE OF CONSCIOUSNESS
ALTERNATING HEMIPLEGIA OF CHILDHOOD
AMAUROTIC FAMILIAL IDIOCY
AMNESIA
AMYLOIDOSIS
ANAEMIA
ANAESTHESIA
ANALGESIC THERAPY
ANAPLASTIC ASTROCYTOMA
ANAPLASTIC MENINGIOMA
ANEURYSM
ANEURYSM RUPTURED
ANGELMAN'S SYNDROME
ANGELMAN^S SYNDROME
ANGER
ANGIOEDEMA
ANKYLOSING SPONDYLITIS
ANOXIC ENCEPHALOPATHY
ANTEROGRADE AMNESIA
ANTICOAGULANT THERAPY
ANTICONVULSANT DRUG LEVEL
ANTICONVULSANT DRUG LEVEL ABOVE THERAPEUTIC
ANTICONVULSANT DRUG LEVEL THERAPEUTIC
ANTIDEPRESSANT THERAPY
ANTIPHOSPHOLIPID SYNDROME
ANXIETY
APALLIC SYNDROME
APHASIA
APNOEA
APNOEIC ATTACK
APPETITE DISORDER
ARNOLD-CHIARI MALFORMATION
ARRHYTHMIA
ARTERIOSCLEROSIS MOENCKEBERG-TYPE
ARTERIOVENOUS MALFORMATION
ARTHRALGIA
ASCITES
ASTHMA
ASTROCYTOMA
ASTROCYTOMA, LOW GRADE
ATAXIA
ATONIC SEIZURES
ATRIAL FIBRILLATION
ATRIAL FLUTTER
ATTENTION DEFICIT/HYPERACTIVITY DISORDER
ATYPICAL BENIGN PARTIAL EPILEPSY
AURA
AUTISM
AUTISM SPECTRUM DISORDER
AUTOIMMUNE DISORDER
AUTOIMMUNE ENCEPHALOPATHY
AUTOMATISM EPILEPTIC
AUTONOMIC SEIZURE
Abnormal behaviour
Accidental exposure to product by child
Acoustic neuroma
Acquired epileptic aphasia
Action tremor
Acute disseminated encephalomyelitis
Acute encephalitis with refractory, repetitive partial seizures
Acute haemorrhagic leukoencephalitis
Acute kidney injury
Acute leukaemia
Acute lymphocytic leukaemia
Acute post asthmatic amyotrophy
Acute respiratory distress syndrome
Adjuvant therapy
Adverse drug reaction
Adverse event
Affect lability
Affective disorder
Aggression
Agitation
Aicardi^s syndrome
Air embolism
Alcohol withdrawal syndrome
Alcoholic encephalopathy
Alcoholic seizure
Alice in wonderland syndrome
Allogenic stem cell transplantation
Altered state of consciousness
Alternating hemiplegia of childhood
Amnesia
Amyloidosis
Anaemia
Anaesthesia
Anaesthesia procedure
Analgesic therapy
Anaplastic astrocytoma
Anaplastic meningioma
Angelman^s syndrome
Angioedema
Angiopathy
Anisocoria
Anti-GAD antibody positive
Anti-infective therapy
Antibiotic prophylaxis
Antibiotic therapy
Anticoagulant therapy
Anticonvulsant drug level
Anticonvulsant drug level abnormal
Anticonvulsant drug level decreased
Anticonvulsant drug level therapeutic
Antidepressant therapy
Antifungal treatment
Antipsychotic therapy
Antipyresis
Anxiety
Anxiety disorder
Aortic dissection
Aphasia
Arnold-Chiari malformation
Aromatic L-amino acid decarboxylase deficiency
Arrhythmia
Arteriovenous malformation
Arthralgia
Asthenia
Asthma
Asthma prophylaxis
Astrocytoma
Astrocytoma, low grade
Ataxia
Atonic seizures
Attention deficit hyperactivity disorder
Aura
Autism spectrum disorder
Autoimmune disorder
Autoimmune encephalopathy
Autoimmune endocrine disorder
Autologous haematopoietic stem cell transplant
Automatism epileptic
Autonomic nervous system imbalance
Autonomic seizure
Axial spondyloarthritis
B-CELL LYMPHOMA
B-cell lymphoma
B-cell lymphoma refractory
BACK PAIN
BACTERIAL INFECTION
BALANCE DISORDER
BALTIC MYOCLONIC EPILEPSY
BEHAVIOUR DISORDER
BEHAVIOURAL THERAPY
BEHCET^S SYNDROME
BENIGN FAMILIAL NEONATAL CONVULSIONS
BENIGN ROLANDIC EPILEPSY
BIPOLAR DISORDER
BIPOLAR I DISORDER
BLEPHAROSPASM
BLOOD CHOLESTEROL
BLOOD CHOLESTEROL ABNORMAL
BLOOD CHOLESTEROL INCREASED
BLOOD PRESSURE DIASTOLIC INCREASED
BODY DYSMORPHIC DISORDER
BONE DISORDER
BRADYKINESIA
BRAIN ABSCESS
BRAIN DAMAGE
BRAIN HYPOXIA
BRAIN INJURY
BRAIN MALFORMATION
BRAIN NEOPLASM
BRAIN NEOPLASM MALIGNANT
BRAIN OEDEMA
BRAIN OPERATION
BRAIN SARCOMA
BRAIN STEM SYNDROME
BRAIN TUMOUR OPERATION
BREAKTHROUGH PAIN
BREATH HOLDING
BRONCHOPNEUMONIA
Balance disorder
Ballismus
Baltic myoclonic epilepsy
Behaviour disorder
Benign familial neonatal convulsions
Benign rolandic epilepsy
Bipolar disorder
Blood cortisol
Blood growth hormone
Blood pressure abnormal
Blood pressure measurement
Bone marrow conditioning regimen
Brachial plexopathy
Brain abscess
Brain cancer metastatic
Brain empyema
Brain injury
Brain neoplasm
Brain neoplasm benign
Brain neoplasm malignant
Brain oedema
Brain operation
Brain stent insertion
Brain tumour operation
Breast cancer
Breast cancer female
Breath holding
Bronchiolitis
Bronchopulmonary aspergillosis
CARDIAC DISORDER
CARDIAC FAILURE CHRONIC
CARDIAC PACEMAKER ADJUSTMENT
CARDIOVASCULAR DISORDER
CARDIOVASCULAR EVENT PROPHYLAXIS
CARPAL TUNNEL SYNDROME
CASTLEMAN'S DISEASE
CATAPLEXY
CATATONIA
CENTRAL NERVOUS SYSTEM LESION
CENTRAL NERVOUS SYSTEM LYMPHOMA
CENTRAL NERVOUS SYSTEM NEOPLASM
CENTRAL NERVOUS SYSTEM VASCULITIS
CEREBRAL ATROPHY
CEREBRAL CYST
CEREBRAL DISORDER
CEREBRAL HAEMATOMA
CEREBRAL HAEMORRHAGE
CEREBRAL INFARCTION
CEREBRAL ISCHAEMIA
CEREBRAL PALSY
CEREBRAL THROMBOSIS
CEREBRAL TOXOPLASMOSIS
CEREBRAL VENOUS SINUS THROMBOSIS
CEREBRAL VENOUS THROMBOSIS
CEREBROVASCULAR ACCIDENT
CEREBROVASCULAR ACCIDENT PROPHYLAXIS
CEREBROVASCULAR DISORDER
CHARLES BONNET SYNDROME
CHIKUNGUNYA VIRUS INFECTION
CHOREA
CHOREOATHETOSIS
CHOROID PLEXUS CARCINOMA
CHRONIC INFANTILE NEUROLOGICAL CUTANEOUS AND ARTICULAR SYNDROME