Medical Disclaimer: This site provides informational comparisons only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or pharmacist before making medication decisions.
Compare LEVETIRACETAM (Levetiracetam) and TOPIRAMATE (Topiramate) — clinical data, side effects, and patient experiences.
Levetiracetam, Keppra · Anticonvulsant
How it works
12.1 Mechanism of Action The precise mechanism(s) by which levetiracetam exerts its antiepileptic effect is unknown. A saturable and stereoselective neuronal binding site in rat br...
Approved for
Topiramate, Topamax · Anticonvulsant
How it works
12.1 Mechanism of Action The precise mechanisms by which topiramate exerts its anticonvulsant and preventive migraine effects are unknown; however, preclinical studies have reveale...
Approved for
Estimated frequency (%) based on clinical trial data
Based on 30 Reddit discussions
LEVETIRACETAM
13%
positive
15 threads
TOPIRAMATE
20%
positive
15 threads
% of discussions mentioning each side effect
15 Reddit threads analysed for LEVETIRACETAM
Overall Sentiment
Mixed
Comparison Threads
0
Avg Post Score
101 upvotes
Most discussed side effects in community
Hi all, I’m a patient at one of the top migraine centers in the country (Diamond Headache Clinic in Chicago). They do a lot of off-label/ non-conventional treatments, so I feel like I have a pretty good list of known treatments. Feel free to add to it in the comments. Hope this helps someone!! THIS
I finally broke down and got these TimerCap caps from Amazon. I am really good about taking my meds usually, but I have been really sick this week and actually double dosed on accident. I can't stand those pill organizers, so I'm going to give these a shot. I attached photos so you can see that the
I hope the streak continues. I was diagnosed 3 years ago with Left TLE. I was having 2 grand Mal a month at the beginning and while they tweaked my meds it started varying. I’m on 2 meds (Levetiracetam, Oxcarbazepine) now and for the last year nothing has happened. Just this week for the first time
People seem to really dislike levetiracetam here. For me it’s been great. No side effects at all, if you don’t count that it totally took away my motion sickness, which I had even before epilepsy. Fingers crossed for another six months and I’ll get my drivers license back!
While other drugs clear existing plaques, levetiracetam (keppra) prevents production of toxic amyloid beta peptides https://news.northwestern.edu/stories/2026/02/common-anti-seizure-drug-prevents-alzheimers-plaques-from-forming I take Keppra. It keeps the seizures at bay, but it also makes me drowsy
I am angry, I can’t remember anything literally 2 seconds later, I can’t talk properly, I keep stuttering, I have ZERO thoughts ZERO. empty brain. it’s managing my seizures, but I don’t like how im feeling on it at all. Did you guys switch from it one that managed your seizures and wasn’t as enragi
(18F) I’m just wondering if anyone has any experiences similar to what I’m going through. I have complex partial seizures. The cause of these seizures is heterotopia in my brain. I have been taking keppra/levetiracetam for around 6 months now. It isn’t perfect but has made massive improvements. I’m
I take 1000 mg of Keppra/Levetiracetam and 400 Lamictal/Lamotrigine. And I am so fucking tired all the time. There isn't a moment of my day that I couldn't lay down and just, fall asleep. My memory is bad enough that I'll forget what I was gonna say in the middle of saying it, or forget what someone
Community discussions are sourced from public Reddit threads. Content reflects individual opinions and is not medical advice.
15 Reddit threads analysed for TOPIRAMATE
Overall Sentiment
Mixed
Comparison Threads
0
Avg Post Score
21 upvotes
Most discussed side effects in community
# General Info An Anticonvulsant may be used as a mood stabilizer to treat mood disorders characterized by intense and sustained mood shifts, typically Bipolar Disorder. Mood stabilizers suppress swings between mania and depression. The oldest and most studied mood stabilizer is [Lithium](https://ww
Hi all, I know this is a common question/topic of discussion here but I’m so frustrated and I’m looking for any help. I’m currently on 1200 lithium and 150 lamictal. Started 50 topiramate once a night 3 1/2 weeks ago, have seen no results, no change in appetite, nothing. I was diagnosed a year ago
So my husband turned 28 today. It's his first birthday since we got married, his first birthday in years when all our friends can hang out, he has the day off, we have our own place, and generally everything is good. Only problem is that this morning I woke up with my mania coming to a screeching ha
Hi everyone, if you’re reading this, thank you. From the deepest I can, I appreciate you. I ***finally*** got my diagnosis on the 30th of September after many years of confusion, seeing multiple counselors, therapists, doctors and psychiatrists. Earlier in the month I voluntarily spent a week in th
Hey all! I started noticing significant shedding of my hair about six months after upping my dose of topiramate to 75 mg/day. It seemed to get worse when I switched generic brands to Teva and right now about 2/3 of my hair is gone. Literally clumps were falling out on my floors and I was cleaning
It’s a mixture of bad choices influenced by a depression episode and reasons out of my control. I was fit last summer during a hypomanic episode then I went through a following depression episode last fall/winter and gained 30lb through binge eating. Hovered there. Then got meds adjusted to change t
As of late I have found it very hard to get out of the house. I can get up, shower, eat but when it finally comes time to leave; I just can’t. Going to the store is no problem, but getting out to go do something is seemingly impossible. I’ve recently went under some pretty drastic medication changes
Community discussions are sourced from public Reddit threads. Content reflects individual opinions and is not medical advice.
Both LEVETIRACETAM and TOPIRAMATE belong to the Anticonvulsant class. While they share a similar mechanism of action, differences in pharmacokinetics, dosing, and side effect profiles may make one more suitable than the other for individual patients.
LEVETIRACETAM carries 4 FDA warnings. TOPIRAMATE carries 4 FDA warnings. Patients should discuss all warnings and contraindications with their healthcare provider before starting or switching medications..
This comparison is for informational purposes only. Always consult a qualified healthcare professional before making medication decisions.