Keppra or levetiracetam is one of the biggest medications used to control epilepsy. Its one of the newer ones that came out. It's available by pill or intravenously. It works on what's called an SP2 receptor. So its different than some of the other anti-epileptics and its good for both partial complex seizures as well as generalized tonic-clonic seizures. It's usually very well tolerated. It also comes in a liquid formulation which is great for kids. It can be iv loaded which means if somebody's having a seizure in the emergency room or in the hospital it can be given intravenously to stop the seizure. The biggest side effects are, it makes some people, kinda irritable and nasty. And we deal with that by giving them a B6 vitamin at the same time that we start the keppra. Sometimes you can get a little bit of somnamolism and a little bit of somnambulism being sleepy. But the nice part is it doesn't interact with other drugs. So it has very little drugs to drug interaction. No liver issues, no other blood toxicities. So it's a clean medication, treats multiple seizure types. You don't need to monitor blood levels and it's actually safe in pregnancy, which is another big plus. And it doesn't interfere with oral contraceptives.