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Levetiracetam side effects: what 132,782 FDA adverse event reports show

Levetiracetam · 1,244 reaction terms · 420,462 drug–reaction co-reports · data 2026-09-14
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Drug class

Not stated in label

Who reports

132,782 reports · 83% serious · 11,940 with death outcome · 55% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Levetiracetam is indicated for the treatment of partial-onset seizures in patients 1 month of age and older ( 1.1 ) Levetiracetam is indicated for adjunctive therapy for the treatment of: Myoclonic seizures in patients 12 years of age and older with ju.

FDA label, Indications and Usage

What it is

Levetiracetam is an antiepileptic drug available as 500 mg (white), 750 mg (white) and 1000 mg (white) tablets for oral administration.

FDA label, Description section

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Labeled adverse reaction 2Labeled (related wording) 4Likely indication confounding 13Reporting / coding artifact 2Lab value / disease marker 5Not in label — unassessed 14
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,204 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Multiple-drug resistance1,482145.9
136.0–156.6ROR 147.6 · calibrated p 5e-9 ✓
75.5 EB05 72.4 · IC025 +6.1
3/3 methods agree
Reporting / coding artifactserious n=1,131 · 94% cliniciannot reported in cached trials
Postictal psychosis73141.3
102.9–194.0ROR 141.3 · calibrated p 2e-8 ✓
73.0 EB05 60.0 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious n=73 · ♀ 0% (drug 55%) · 100% cliniciannot reported in cached trials
Epileptic encephalopathy94117.4
89.8–153.4ROR 117.4 · calibrated p 6e-8 ✓
66.3 EB05 55.8 · IC025 +5.3
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=93 · ♀ 0% (drug 55%) · 100% cliniciannot reported in cached trials
Change in seizure presentation23386.9
74.0–102.0ROR 87.1 · calibrated p 4e-7 ✓
55.8 EB05 50.0 · IC025 +5.4
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=227not reported in cached trials
Sudden unexplained death in epilepsy18582.1
68.7–98.1ROR 82.2 · calibrated p 6e-7 ✓
53.7 EB05 47.5 · IC025 +5.3
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=185 · 100% cliniciannot reported in cached trials
Focal dyscognitive seizures38881.2
71.8–91.8ROR 81.4 · calibrated p 6e-7 ✓
53.5 EB05 49.1 · IC025 +5.5
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=377not reported in cached trials
Psychogenic seizure28369.8
60.6–80.3ROR 69.9 · calibrated p 2e-6 ✓
48.3 EB05 43.7 · IC025 +5.3
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=272 · 100% cliniciannot reported in cached trials
Vagal nerve stimulator implantation8765.4
50.9–84.0ROR 65.4 · calibrated p 3e-6 ✓
45.8 EB05 38.3 · IC025 +4.8
3/3 methods agree
Not in label — unassessedserious n=79 · ♀ 0% (drug 55%) · 100% consumernot reported in cached trials
Seizure cluster23565.1
55.9–75.8ROR 65.2 · calibrated p 3e-6 ✓
46.0 EB05 41.2 · IC025 +5.2
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=224not reported in cached trials
Myoclonic epilepsy42263.3
56.5–70.9ROR 63.5 · calibrated p 3e-6 ✓
45.1 EB05 41.6 · IC025 +5.3
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious n=419not reported in cached trials
Partial seizures1,43760.9
57.3–64.7ROR 61.5 · calibrated p 4e-6 ✓
44.0 EB05 42.1 · IC025 +5.4
3/3 methods agree
Labeled adverse reaction
exact term
serious n=1,391NCT00537238: 1/255 (0.4%) on Levetiracetam (serious AE)
Postictal paralysis6557.8
43.5–76.9ROR 57.9 · calibrated p 8e-6 ✓
41.9 EB05 34.0 · IC025 +4.6
3/3 methods agree
Not in label — unassessedserious n=63 · ♀ 0% (drug 55%) · 100% clinicianNCT01960075: 1/150 (0.7%) on Levetiracetam
Status epilepticus2,92354.9
52.6–57.2ROR 56.1 · calibrated p 6e-6 ✓
40.8 EB05 39.5 · IC025 +5.3
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 34.7 · serious PRR 28.3NCT00537238: 2/255 (0.8%) on Levetiracetam (serious AE)
Epileptic aura6654.1
40.9–71.5ROR 54.1 · calibrated p 1e-5 ✓
39.9 EB05 32.5 · IC025 +4.6
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=58 · ♀ 100% (drug 55%) · 100% consumernot reported in cached trials
Atonic seizures19149.6
42.2–58.4ROR 49.7 · calibrated p 2e-5 ✓
37.7 EB05 33.4 · IC025 +4.9
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=184not reported in cached trials
Infantile spasms16446.8
39.3–55.8ROR 46.9 · calibrated p 2e-5 ✓
36.1 EB05 31.7 · IC025 +4.8
3/3 methods agree
Not in label — unassessedserious n=163not reported in cached trials
Anticonvulsant drug level above therapeutic13541.1
34.0–49.6ROR 41.1 · calibrated p 5e-5 ✓
32.5 EB05 28.2 · IC025 +4.6
3/3 methods agree
Lab value / disease markerserious n=133 · 100% cliniciannot reported in cached trials
Aura36938.9
34.7–43.6ROR 39.0 · calibrated p 6e-5 ✓
31.3 EB05 28.7 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=281not reported in cached trials
Temporal lobe epilepsy8638.1
30.1–48.3ROR 38.2 · calibrated p 8e-5 ✓
30.6 EB05 25.6 · IC025 +4.4
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=85not reported in cached trials
Anticonvulsant drug level decreased26135.2
30.8–40.3ROR 35.3 · calibrated p 1e-4 ✓
28.8 EB05 26.0 · IC025 +4.6
3/3 methods agree
Lab value / disease markerserious n=244not reported in cached trials
Generalised tonic-clonic seizure2,96834.9
33.5–36.3ROR 35.6 · calibrated p 1e-4 ✓
28.6 EB05 27.8 · IC025 +4.8
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
age-adj. PRR 18.7 · serious PRR 19.7not reported in cached trials
Tonic convulsion24733.6
29.3–38.6ROR 33.7 · calibrated p 1e-4 ✓
27.8 EB05 25.0 · IC025 +4.5
3/3 methods agree
Not in label — unassessedserious n=243not reported in cached trials
Anticonvulsant drug level increased27932.5
28.6–37.0ROR 32.6 · calibrated p 2e-4 ✓
27.0 EB05 24.5 · IC025 +4.5
3/3 methods agree
Lab value / disease markerserious n=262not reported in cached trials
Drug withdrawal convulsions29831.5
27.8–35.7ROR 31.6 · calibrated p 2e-4 ✓
26.3 EB05 23.9 · IC025 +4.5
3/3 methods agree
Not in label — unassessedserious n=293NCT00537238: 1/255 (0.4%) on Levetiracetam (serious AE)
Anticonvulsant drug level below therapeutic12631.2
25.7–37.7ROR 31.2 · calibrated p 2e-4 ✓
26.0 EB05 22.4 · IC025 +4.3
3/3 methods agree
Lab value / disease markerserious n=120 · 100% cliniciannot reported in cached trials
Propofol infusion syndrome10226.5
21.5–32.7ROR 26.6 · calibrated p 6e-4 ✓
22.7 EB05 19.3 · IC025 +4.0
3/3 methods agree
Not in label — unassessedserious n=102 · 100% cliniciannot reported in cached trials
Seizure15,97625.4
25.0–25.8ROR 28.8 · calibrated p 3e-4 ✓
22.0 EB05 21.7 · IC025 +4.4
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
age-adj. PRR 17.2 · serious PRR 14.7NCT00537238: 1/255 (0.4%) on Levetiracetam (serious AE)
Epilepsy4,13424.6
23.8–25.4ROR 25.4 · calibrated p 6e-4 ✓
21.4 EB05 20.8 · IC025 +4.4
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
age-adj. PRR 18.7 · serious PRR 14.8NCT00537238: 2/255 (0.8%) on Levetiracetam (serious AE)
Glioblastoma multiforme11424.4
20.0–29.7ROR 24.4 · calibrated p 8e-4 ✓
21.2 EB05 18.1 · IC025 +4.0
3/3 methods agree
Not in label — unassessedserious n=112not reported in cached trials
Developmental hip dysplasia10021.4
17.4–26.4ROR 21.4 · calibrated p 0.002 ✓
18.9 EB05 16.0 · IC025 +3.8
3/3 methods agree
Not in label — unassessedserious n=100 · 100% cliniciannot reported in cached trials
Behaviour disorder59519.8
18.2–21.6ROR 19.9 · calibrated p 0.002 ✓
17.7 EB05 16.5 · IC025 +4.0
3/3 methods agree
Not in label — unassessedserious n=479not reported in cached trials
Breast feeding8619.2
15.3–24.0ROR 19.2 · calibrated p 0.003 ✓
17.1 EB05 14.3 · IC025 +3.6
3/3 methods agree
Not in label — unassessedserious n=74 · ♀ 100% (drug 55%)not reported in cached trials
Encephalitis autoimmune14019.1
16.0–22.7ROR 19.1 · calibrated p 0.003 ✓
17.1 EB05 14.8 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious n=140 · 100% cliniciannot reported in cached trials
Brain operation24218.9
16.5–21.6ROR 18.9 · calibrated p 0.003 ✓
16.9 EB05 15.2 · IC025 +3.8
3/3 methods agree
Reporting / coding artifactserious n=235 · 77% consumernot reported in cached trials
Foetal malformation11318.1
14.9–22.0ROR 18.1 · calibrated p 0.003 ✓
16.2 EB05 13.9 · IC025 +3.6
3/3 methods agree
Not in label — unassessedserious n=113 · 100% cliniciannot reported in cached trials
Electroencephalogram abnormal31717.5
15.6–19.7ROR 17.6 · calibrated p 0.004 ✓
15.8 EB05 14.4 · IC025 +3.8
3/3 methods agree
Lab value / disease markerserious n=300not reported in cached trials

Clinical concept groups

MedDRA splits one clinical problem across several terms (e.g. "neutropenia", "neutrophil count decreased", "agranulocytosis"), which dilutes term-level signals. These rows count reports with any term in a concept group (an exact union, not a sum), compared with all other drugs. Groups are hand-built and listed in the methods.

ConceptReportsPRR 95% CIReading
Seizure24,51222.422.1–22.7signal
Severe cutaneous reaction2,6075.75.5–5.9signal
Rhabdomyolysis / myopathy1,8133.63.4–3.8signal
Hyponatraemia1,5433.12.9–3.2signal
Thrombocytopenia3,1372.32.2–2.3signal
Extrapyramidal1,2942.01.8–2.1raised
Suicidality2,9081.91.8–1.9raised
Depression3,1091.81.7–1.8raised
Liver injury3,3311.81.7–1.8raised
Fall / fracture3,9371.61.6–1.7raised
Neutropenia / agranulocytosis2,3371.51.4–1.6raised
Stroke2,2671.41.4–1.5raised
Pancreatitis6591.31.2–1.4raised
Arrhythmia / qt1,5091.21.2–1.3raised
Anaemia2,3341.21.2–1.3raised
Kidney injury3,5091.21.2–1.3raised

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Levetiracetam as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (7 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Seizure15,97625.4
25.0–25.8ROR 28.8 · calibrated p 3e-4 ✓
22.0 EB05 21.7 · IC025 +4.4
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
age-adj. PRR 17.2 · serious PRR 14.7NCT00537238: 1/255 (0.4%) on Levetiracetam (serious AE)
Drug ineffective (drug did not work)12,3021.5
1.5–1.5ROR 1.5 · calibrated p 0.660
1.5 EB05 1.5 · IC025 +0.5Reporting / coding artifactage-adj. PRR 1.7 · serious PRR 2.3not reported in cached trials
Off label use (used outside approved label)9,4981.7
1.7–1.8ROR 1.8 · calibrated p 0.826
1.7 EB05 1.7 · IC025 +0.8Reporting / coding artifactage-adj. PRR 1.5 · serious PRR 1.9not reported in cached trials
Fatigue (tiredness)5,5881.1
1.1–1.2ROR 1.1 · calibrated p 0.401
1.1 EB05 1.1 · IC025 +0.1Labeled adverse reaction
exact term
age-adj. PRR 1.0 · serious PRR 1.1not reported in cached trials
Somnolence (drowsiness)4,1753.3
3.2–3.4ROR 3.4 · calibrated p 0.509
3.3 EB05 3.2 · IC025 +1.7
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.8 · serious PRR 3.1NCT00537238: 76/255 (29.8%) on Levetiracetam
Epilepsy4,13424.6
23.8–25.4ROR 25.4 · calibrated p 6e-4 ✓
21.4 EB05 20.8 · IC025 +4.4
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
age-adj. PRR 18.7 · serious PRR 14.8NCT00537238: 2/255 (0.8%) on Levetiracetam (serious AE)
Fall3,7581.8
1.7–1.9ROR 1.8 · calibrated p 0.840
1.8 EB05 1.7 · IC025 +0.8Labeled adverse reaction
exact term
age-adj. PRR 1.9 · serious PRR 1.4NCT00537238: 1/255 (0.4%) on Levetiracetam (serious AE)
Headache3,7310.9
0.9–1.0ROR 0.9 · calibrated p 0.267
0.9 EB05 0.9 · IC025 -0.1
PRR-only: not supported by EBGM or IC
Labeled adverse reaction
exact term
age-adj. PRR 0.8 · serious PRR 1.1NCT00537238: 30/255 (11.8%) on Levetiracetam
Maternal exposure during pregnancy3,7276.9
6.7–7.2ROR 7.1 · calibrated p 0.095
6.7 EB05 6.5 · IC025 +2.7
3/3 methods agree
Reporting / coding artifactserious PRR 5.7 · ♀ 92% (drug 55%)not reported in cached trials
Nausea3,6110.7
0.7–0.7ROR 0.7 · calibrated p 0.137
0.7 EB05 0.7 · IC025 -0.5
PRR-only: not supported by EBGM or IC
Not in label — unassessedage-adj. PRR 0.7 · serious PRR 0.7NCT00537238: 15/255 (5.9%) on Levetiracetam
Dizziness3,5841.1
1.1–1.2ROR 1.1 · calibrated p 0.400
1.1 EB05 1.1 · IC025 +0.1Labeled adverse reaction
exact term
age-adj. PRR 1.1 · serious PRR 1.1NCT00537238: 1/254 (0.4%) on Levetiracetam (serious AE)
Drug interaction3,4483.5
3.4–3.6ROR 3.6 · calibrated p 0.472
3.4 EB05 3.3 · IC025 +1.7
3/3 methods agree
Reporting / coding artifactage-adj. PRR 3.3 · serious PRR 2.5not reported in cached trials
Diarrhoea (diarrhea)3,2420.8
0.8–0.8ROR 0.8 · calibrated p 0.178
0.8 EB05 0.8 · IC025 -0.4
PRR-only: not supported by EBGM or IC
Labeled adverse reaction
exact term
age-adj. PRR 0.8 · serious PRR 0.7not reported in cached trials
Death3,2360.6
0.6–0.6ROR 0.6 · calibrated p 0.077
0.6 EB05 0.6 · IC025 -0.8
PRR-only: not supported by EBGM or IC
Outcome field, not a reactionage-adj. PRR 0.8 · serious PRR 0.4not reported in cached trials

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Levetiracetam?

In FDA FAERS, the most frequently co-reported reaction terms for Levetiracetam are seizure, fatigue, somnolence, epilepsy, convulsion, fall. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Levetiracetam have an FDA boxed warning?

No. The FDA label retrieved for Levetiracetam has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Levetiracetam causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.