Patient experienced "Keppra Anger" and psychosis side effects today. Patient was belligerent and almost violent. Made emergency call to Dr's office and spoke with neurologist. Result - Patient must stop Keppra today, evening dose was not taken. Side effects appeared about 4 days after starting medication (a couple pills were skipped due to poor memory and other emergencies attended by family. :( The dose was 250mg AM 250mg PM. Follow up call scheduled for Friday.
Patient had not had any seizures/dizziness since starting Keppra.
We think that we should see an endocrinologist and confirm we haven't missed something. Patient was said to have been hyperthyroid in the past.
--gjh
Tuesday, December 12, 2006
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