Compare Trileptal vs. Keppra

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Trileptal
(oxcarbazepine)

Keppra
(levetiracetam)

Prevents seizures. Trileptal (Oxcarbazepine) is effective at preventing seizures and you don’t need to get regular blood tests to make sure it’s effective, but it has many drug interactions.Prevents seizures. Keppra (Levetiracetam) is effective for preventing seizures in people with epilepsy. Compared to other anti-seizure medications, it has few drug interactions and you don’t need to get your levels checked.
Reviews & ratings
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Have you used Trileptal (oxcarbazepine)?
Worth itNot sureNot worth it
Reviews for Keppra
33%
+34% better vs. Trileptal
81%
-14% worse vs. Trileptal
33%
+11% better vs. Trileptal
Have you used Keppra (levetiracetam)?
Worth itNot sureNot worth it
Side effects
TrileptalKeppra
  • Dizziness 16%
  • Nausea 4%
  • Headache 3%
  • Any adverse effect 9%
  • Diarrhea 5%
  • Vomiting 1%
  • Upper Respiratory Tract Infection 7%
  • Dyspepsia 1%
  • Constipation 5%
  • Ataxia 5%
More Trileptal side effects »
  • Headache 4%
  • Asthenia 6%
  • Vomiting 3%
  • Any side effect 3%
  • Nasopharyngitis 3%
  • Somnolence 7%
  • Infection 5%
  • Irritability 12%
  • Neck pain 6%
  • Pharyngitis 7%
More Keppra side effects »
How it works
TrileptalKeppra
Trileptal (Oxcarbazepine) is an antiepileptic medication. It reduces seizures by blocking certain types of nerve activity that regulate how your brain cells communicate with each other.Keppra (Levetiracetam) is an antiepileptic medication. It prevents seizures by helping regulate neurotransmitters in the brain.
Type of medication
TrileptalKeppra
Prescription onlyPrescription only
Available as
TrileptalKeppra
  • Pill
  • Liquid
  • Pill
  • Extended release
  • Liquid
Used for
TrileptalKeppra
Risk factors for serious side effects
TrileptalKeppra
  • Age 65 or older
  • dehydration
  • Taking diuretics (water pills)
  • Had allergic reaction to Tegretol (carbamazepine)
  • Asian ancestry
Detailed Trileptal (oxcarbazepine) risks & warnings »
  • History of depression
  • Starting the first month of therapy
  • Taking with alcohol
  • Taking other medicines that make you less alert
  • Stopping Keppra (Levetiracetam) suddenly
Detailed Keppra (levetiracetam) risks & warnings »
Pregnancy

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Interactions
TrileptalKeppra
  • Interacts with many other medicines and supplements.
No interactions related info.
Food
TrileptalKeppra
  • Trileptal (Oxcarbazepine) can be taken with or without food.
No food related info.
Kidneys and liver
TrileptalKeppra
  • Hepatitis and liver failure have been reported with Trileptal (Oxcarbazepine). However, this is very rare. Call your doctor right away if you start to have clay-colored stools, yellowing of the eyes or skin, dark urine, stomach pain, or if you are eating less than usual without trying to.
  • If you have kidney problems, your dose may need to be adjusted. Your doctor will check your kidney function regularly.
  • If you have kidney problems, your dose may need to be adjusted. Your doctor will check your kidney function regularly.
Sleep
TrileptalKeppra
  • Trileptal (Oxcarbazepine) may increase the risk of low sodium levels in the blood (hyponatremia). Watch out for symptoms including headache, difficulty concentrating, memory problems, confusion, weakness, and unsteadiness, which may lead to falls. Talk to a doctor right away before developing more serious symptoms, such as hallucination, fainting, coma, and death.
  • You can experience dizziness, drowsiness, double vision, stomach upset, and trouble with coordination while on this.
  • Can cause difficulty concentrating, tiredness or drowsiness, and problems with coordination.
  • Taking Keppra (Levetiracetam) can make you feel sleepy, dizzy, and affect your coordination. Avoid activities that require you to be alert, such as driving a car or operating machinery, until you know how Keppra (Levetiracetam) affects you.
  • You can experience drowsiness, weakness, dizziness, or respiratory infections while on this.
Upsides and benefits
TrileptalKeppra
  • Trileptal (Oxcarbazepine) is effective at lowering the frequency of seizures, especially for people with partial seizures.
  • If you have trouble swallowing tablets, Trileptal (Oxcarbazepine) is also available as an oral solution.
  • You won’t need to get regular blood tests to check the drug levels in your body.
  • Available in a generic form.
  • Lowers the frequency of seizures, including partial-onset, generalized tonic-clonic, and myoclonic seizures.
  • Unlike many other medications for epilepsy, this has very few drug interactions, so your other medicines shouldn't be affected.
  • If you have trouble swallowing tablets, Keppra (Levetiracetam) is also available as an oral solution.
  • You won’t need to get regular blood tests to check the drug levels in your body.
Downsides and risks
TrileptalKeppra
  • It’s important to take your dose on time so that Trileptal (Oxcarbazepine) has steady levels in your body.
  • Interacts with many other medicines and supplements.
  • Can cause difficulty concentrating, tiredness or drowsiness, and problems with coordination.
  • If you have kidney problems, your dose may need to be adjusted. Your doctor will check your kidney function regularly.
  • Being pregnant lowers the levels of Trileptal (Oxcarbazepine), so the medicine might not be as effective at preventing seizures.
  • It’s important to take your dose on time so that Keppra (Levetiracetam) has consistent levels in your body.
  • May not be the best drug to take if you have a history of psychiatric issues, such as depression or bipolar disorder.
  • If you have kidney problems, your dose may need to be adjusted. Your doctor will check your kidney function regularly.
  • Keppra (Levetiracetam) is only FDA-approved to be taken with other medicines to treat epilepsy.
Tips from our pharmacists for people taking the medication
TrileptalKeppra
  • You can experience dizziness, drowsiness, double vision, stomach upset, and trouble with coordination while on this.
  • If you start having skin rashes or thoughts of suicide, tell your doctor immediately.
  • If you need to stop taking Trileptal (Oxcarbazepine), do so over at least one week to prevent withdrawal seizures.
  • Trileptal (Oxcarbazepine) makes birth control and many other medicines less effective.
  • Trileptal (Oxcarbazepine) can be taken with or without food.
  • If you're taking the oral suspension, use the measuring device given with the medicine. Don’t use your household tablespoons to measure.
  • You can experience drowsiness, weakness, dizziness, or respiratory infections while on this.
  • If you start having skin rashes or changes in your mood, tell your doctor immediately.
  • If you need to stop taking Keppra (Levetiracetam), do so over at least one week to prevent withdrawal seizures.
  • If you are taking the oral solution, use the measuring device given with the medicine. Don’t use your household tablespoons to measure.
  • Don’t crush or cut this medicine before taking it, or else you’ll have dangerously high levels of this drug in your body.
Learn more
More about TrileptalSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Trileptal (oxcarbazepine)?
Worth itNot sureNot worth it
More about KeppraSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Keppra (levetiracetam)?
Worth itNot sureNot worth it