https://www.vetsurgeon.org/f/clinical-questions/30613/injectable-keppra-discontinued---do-you-know-of-an-alternative Hi, We usually order from MWI and they told us injectable Keppra has been discontinued. We haven&#39;t found an alternative injectable levetiracetam yet, does any one have any advice please? en-USTelligent Community 10https://www.vetsurgeon.org/thread/241192?ContentTypeID=1Wed, 29 Mar 2023 13:07:19 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:a46dc30b-0f3a-4881-9915-02550c359343Virginia Campbell<p>[quote userid="12930" url="~/001/veterinary-clinical/small-animal/neurology/f/discussions/30613/injectable-keppra-discontinued---do-you-know-of-an-alternative/241172#241172"]I&#39;ve never needed injectable levetiracetam,[/quote] <p>Nor have I, well I&#39;ve never had it available so just had to make do with using IV diazepam +/- IV phenobarb to try to work them down into them into the middle ground between actively seizuring and too flat to swallow, do a test swallow with 5ml syringeful of water, stuff lev tablet down gob, give water chaser, give a little more&nbsp; more IV diazepam/pheno if necessary to keep them &quot;down&quot; till the lev has had a chance to work- even the&nbsp;oral lev seems to work quite quickly. There are some individuals that have no middle ground between actively seizuring and totally flattened but these tend to be either the toxicities or suchlike that you just have to flatten and keep flat (usually with repeat doses of IV pheno to effect) till the inciting cause hopefully wears off; or the ones whose brains are so fried they&#39;re doomed anyway (eg suspected insulinoma that O arrived home after being away all afternoon and dog was in status and had been for goodness knows how long - we flattened her and did everything we could to correct and maintain blood glucose, body temp, electrolytes etc etc but could never get her back up out of very deep sedation without seizures and ended up euthing her).&nbsp;</p> <p></p> <p>I know it&#39;s not what you asked, but might come in useful if you can&#39;t get or aren&#39;t allowed to buy the injectible prep.&nbsp;</p></p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/241174?ContentTypeID=1Mon, 27 Mar 2023 16:37:55 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:5a803dfa-539e-4cf0-baf1-7591f7609a37Rob Loxley<p>VVS have listed&nbsp;Levetiracetam Vial 100mg/ml 5ml x 10 also</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/241172?ContentTypeID=1Mon, 27 Mar 2023 15:04:15 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:33287e4a-185d-461c-87db-9d52aaeb3bf5Beats<p>A number of brands can be seen here:</p> <p><a target='_blank' href="https://www.medicines.org.uk/emc/search?q=%22Levetiracetam%22">https://www.medicines.org.uk/emc/search?q=%22Levetiracetam%22</a></p> <p>Checked two sites that say they have in stock:</p> <h2><span style="font-size:inherit;"><span style="font-family:arial, helvetica, sans-serif;">Levetiracetam Soln for Infusion 500mg/5ml 5mlx10 with expiry of 2027 in stock at Raman Pharma by their website</span></span></h2> <p><span style="font-size:inherit;"><span style="font-family:arial, helvetica, sans-serif;">Munro vet also have in stock at different price</span></span></p> <p><span style="font-size:inherit;"><span style="font-family:arial, helvetica, sans-serif;">I&#39;ve never needed injectable levetiracetam, so not sure if these prices are higher than what you are used to.</span></span></p><div style="clear:both;"></div>