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In the controlled clinical study that included patients 4 years of age and older with PGTC seizuresthe most common adverse reaction in patients receiving KEPPRA in combination with other AEDsfor events with rates greater than placebowas nasopharyngitis.

Levetiracetam has minor or moderate influence on the ability to drive and use machinesDue to possible different individual sensitivitysome patients might experience somnolence or other central nervous system related symptomsespecially at the beginning of treatment or following a dose increaseThereforecaution is recommended in those patients when performing skilled taskse.gdriving vehicles or operating machineryPatients are advised not to drive or use machines until it is established that their ability to perform such activities is not affected.

Suicidesuicide attemptsuicidal ideation and behaviour have been reported in patients treated with anti-epileptic agentsincluding levetiracetamA meta-analysis of randomized placebo-controlled trials of anti-epileptic medicinal products has shown a small increased risk of suicidal thoughts and behaviourThe mechanism of this risk is not known.

Table 3Adverse Reactions in Pooled Placebo-ControlledAdd-On Studies in Adults Experiencing Partial Onset Seizures.

Report any new or worsening symptoms to your doctorsuch asmood or behavior changesdepressionanxietyor if you feel agitatedhostileirritablehyperactivementally or physicallyor have thoughts about suicide or hurting yourself.

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