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Reply To: Levetiracetam use in hepatic insufficiency

Scott Walker

Hi guys,

Thanks for all your help.

The patient was a known epileptic that had been having a seizure around every 3 – 6 months over the proceeding 8 years or so. However it had worsened in 2020 to having clusters.

She had been on the keppra for around 3 months prior to this cluster.

I was under the impression that the owner’s believed the seizures were because of the liver disease. The dog had no clinical signs between episodes and was only on keppra and hepatocare. Although it did become extremely polyphagic during the cluster. I wasn’t entirely sure why it was so ravenous and put it down to post ictal behaviour. Would you be considering something else?

Thanks again