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Related Experiment Videos

Dramatic weight loss with levetiracetam.

Philippe Gelisse1, Raul Juntas-Morales, Pierre Genton

  • 1Epilepsy Unit, Gui de Chauliac hospital, Montpellier, France. p_gelisse@hotmail.com

Epilepsia
|September 11, 2007
PubMed
Summary
This summary is machine-generated.

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Levetiracetam, often considered weight-neutral, was associated with significant weight loss in 19 patients. Women appear to be at higher risk for this adverse effect.

Area of Science:

  • Neurology
  • Pharmacology
  • Clinical Medicine

Background:

  • Levetiracetam is widely recognized as a weight-neutral antiepileptic drug.
  • This study investigates a series of cases reporting significant weight loss in patients using levetiracetam.
  • Reported doses ranged from 500 to 2000 mg/day.

Purpose of the Study:

  • To document and analyze cases of significant weight loss potentially linked to levetiracetam use.
  • To identify patient characteristics and contributing factors associated with levetiracetam-induced weight loss.

Main Methods:

  • A case series approach was employed, dividing patients into groups based on the likelihood of levetiracetam being the sole cause of weight loss.
  • Data from patients experiencing weight loss attributed solely to levetiracetam (Group 1) and those with potential confounding factors (Group 2) were analyzed.

Related Experiment Videos

  • Additional cases from a national drug safety database (Group 3) were included for a broader perspective.
  • Main Results:

    • Group 1 comprised 12 patients (9 female, 3 male) with weight loss ranging from 8.1% to 28.6%.
    • Seven patients in Group 1 reported reduced caloric intake due to decreased appetite or altered taste perception.
    • Group 2 included seven females experiencing weight loss between 10% and 26.6%, with some cases involving concurrent medication changes.

    Conclusions:

    • The findings suggest that levetiracetam can induce significant weight loss, challenging its classification as strictly weight-neutral.
    • Women appear to be more susceptible to levetiracetam-associated weight loss.
    • Initial body weight was not identified as a predictive factor for this adverse effect.