Medically reviewed by Drugs. Last updated on Dec 19, This is not a list of all drugs or health problems that interact with Keppra XR levetiracetam extended-release tablets. Tell your doctor and pharmacist about all of your drugs prescription or OTC, natural products, vitamins and health problems.
You must check to make sure that it is safe for you to take Keppra XR levetiracetam extended-release tablets with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. Use Keppra XR levetiracetam extended-release tablets as ordered by your doctor. Read all information given to you. Follow all instructions closely. Keppra XR dosage information in more detail.
Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:. All drugs may cause side effects. However, many people have no side effects or only have minor side effects.
Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at Keppra XR side effects in more detail. If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Keppra XR reviews.
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This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. We comply with the HONcode standard for trustworthy health information - verify here. Skip to Content.How the Body Absorbs and Uses Medicine - Merck Manual Consumer Version
See also: Keppra XR dosage information in more detail. See also: Keppra XR side effects in more detail. Drug Status Rx. Availability Prescription only.
Drug Class.At some point your healthcare or managed care company may have recommended tablet splitting for reasons such as to adjust the dosing of your medication or to reduce costs. You should always talk to your healthcare professional before splitting a tablet and not be afraid to ask him or her questions if you are considering splitting tablets. When considering whether to split a tablet, you and your healthcare professional should bear in mind the following:. Also, the tablet will be scored with a mark indicating where to split it.
If a tablet does not include such information in the label, FDA has not evaluated it to ensure that the two halves of a split tablet are the same in weight or drug content or work the same way in the body as the whole tablet. You should discuss with your healthcare professional whether to split this type of tablet. If your healthcare professional asks you to split your tablets, do not split the entire supply of tablets at one time and then store them for later use.
That is, make sure that both halves are taken before splitting the next tablet. For example, a split tablet stored in a damp environment such as in a bathroom medicine cabinet could be affected. Your healthcare professional may be able to recommend the best method by which to split a tablet. In many cases, a tablet splitter may be appropriate. However, some tablets may not be suitable for this method because of their unique shape and size—even if they appear to be scored.
It is important to discuss this issue with your healthcare professional to determine what is best for you. Most sustained, controlled, or timed release medications are not meant for splitting. When you switch from one brand of medicine to another, you and your healthcare professional should confirm whether the newly prescribed tablet is splitable, even if the original tablet could be split. The same medications can be manufactured differently, thus may not have been developed to be split.Breaking tablets into smaller portions usually halves has long been considered an acceptable way of obtaining a particular dose of medication.
An uneven break will give a dosage different to the the one desired. Tablets which are unevenly broken can have significant implications on patients, especially with those medications that have a narrow therapeutic window e. Changing the way a medication is absorbed e. Extended release medications are designed to have an effect over a long period of time.
Some extended release medications can be split without affecting the designed release profile e. Antineoplastic agents e. Breaking the coating of medications containing antineoplastic agents may compromise safety.
Therefore, tablets containing antineoplastics should not be split, crushed or broken. Tablets are usually scored when it is acceptable to cut them, leaving a groove in the surface of the tablet along which a break may form.
However, not all tablets are easy to break even though they are scored. It is important to note that not all tablets that are scored are suitable for splitting. The immunosuppressant azathioprine is cytotoxic, yet the tablets are scored. These are not suitable for splitting. Before splitting any of your medications, talk to your health care professional to find out if they are suitable to be split. The stability of the tablet when it is cut is also an important factor to consider. The cut surface of some medications may be sensitive to light, heat or air.
This is of particular concern when a medication is separated into individual dose administration aids. Do not use any medication that has changed colour, consistency or shape. These may be ineffective or have negative side effects. Tablets are usually cut by using a finger along the score lines, or by using a commercially available tablet cutter. In order to cut properly and as accurately as possible, you need a lot of dexterity. Otherwise, the tablet is unevenly divided, or a lot of waste is produced as tablets break into unusable portions.
Splitting medication will be more difficult for patients on multiple drugs, or if there is more than one tablet to split. You may decide it is easier to skip or double doses, rather than to split a tablet and keep the other half for later.
The cost effectiveness of cutting a tablet may be outweighed by the potential detrimental effects on your health, drug wastage, and the quality of the medicine. Your doctor will decide whether it is a suitable option for you and your medications. Health Engine Patient Blog. Tools Med Glossary Tools. Looking for a practitioner? HealthEngine helps you find the practitioner you need. Find your practitioner. Find a provider. What are you looking for? Search for articles.
Popular searches How can I relieve my back pain? Children's Health. Men's Health. Women's Health. Reasons to split medication Problems associated with splitting medication Formulation factors Therapeutic window Coated and controlled release tablets Scoring Stability Patient factors Dexterity and strength Compliance Deciding to split medication Breaking tablets into smaller portions usually halves has long been considered an acceptable way of obtaining a particular dose of medication.Also if they are sustained release SR and controlled release CR you can not split them in halves.
SR maintains drug release over a sustained period but not at a constant rate. CR maintains drug release over a sustained period at a nearly constant rate.
This means that if you split in half one of these pills, too much of the active ingredient will be released at once causing most likely potential side effects.
Still looking for answers? Try searching for what you seek or ask your own question. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Available for Android and iOS devices.
Subscribe to Drugs. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. We comply with the HONcode standard for trustworthy health information - verify here.
Skip to Content. Can 30 mg codeine sulfate tablets be split? Asked 9 days ago by Kitty girl Updated 8 April 9 days ago Topics codeine The tablet does have a score line. Answer this question. Responses 1. Regards, masso. Can I take Ferrous Sulfate tablets that are a couple of years old? Which is stronger codeine sulfate or codeine phosphate?
Venlafaxine may be used as part of a combination therapy. This means you may need to take it with other medications to treat your condition. Venlafaxine belongs to a class of antidepressant drugs called serotonin norepinephrine reuptake inhibitors SNRIs.
A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions. SNRIs work by increasing the levels of substances called serotonin and norepinephrine in your brain. Having more serotonin and norepinephrine in your brain can improve your symptoms of depression and anxiety. Venlafaxine oral tablet may cause drowsiness.
It may also affect your ability to make decisions, think clearly, or react quickly. You should not drive, use heavy machinery, or do things that require you to be alert until you know you can function normally. Venlafaxine may also cause other side effects. If these effects are mild, they may go away within a few days or a couple of weeks.
Call your doctor right away if you have serious side effects. Serious side effects and their symptoms can include the following:. Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects.
This information is not a substitute for medical advice.Split tablets of lisinopril are as effective as whole tablets of the same dose for hypertension SOR: Bbased on small randomized crossover study. Similarly, split tablets of atorvastatin, lovastatin, and simvastatin are no less effective for lowering cholesterol SOR: Bbased on retrospective cohort studies.
Extended-release, enteric-coated, or tablets that cannot be split accurately are not appropriate for splitting SOR: Cbased on observational studies ; the accuracy of splitting also depends on device used and user skill SOR: Cbased on observational study TABLE.
Can Metformin Extended Release Be Cut In Half
The theoretical benefit of tablet-splitting is reduced prescription cost. Splitting scored tablets is already FDA-approved as safe and efficacious. However, the cost savings garnered by splitting these types of tablets is often limited. However, splitting drugs with a long half-life and wide therapeutic index—such as those used to treat chronic asymptomatic conditions like hypertension or dyslipidemia—should pose minimal risk.
Be aware that recommending tablet-splitting to insured patients solely to spare them a copay—instructing a patient to take a half tablet to make a day paid prescription cover 60 days—may be considered insurance fraud.
However, this is not an issue for patients without prescription coverage. Few studies have looked at the clinical effects of pill-splitting. There was no difference in blood pressures between groups. A retrospective study of simvastatin evaluated patients taking whole tablets and patients converted to split tablets of the same dose. Another retrospective study evaluated tablet-splitting by patients taking statins atorvastatin, lovastatin, simvastatin.
Another retrospective evaluation of patients with split atorvastatin or simvastatin found no significant difference in total cholesterol or LDL values after initiating the tablet-splitting program. Thirty patients aged 50 years or older, half of whom received instruction and a demonstration, evaluated 2 tablet-splitters with different blade positions and types of guide.
In another study, 94 healthy volunteers mean age, Skip to main content. Coronavirus News Center. Clinical Inquiries. Which medications can be split without compromising efficacy and safety?
J Fam Pract. Luft, MSI. Evidence-based answers from the Family Physicians Inquiries Network. Practice Management. Menu Menu Presented by. Menu Close.Coming soon to the internet's top social site Facebook! Check back soon to follow us and connect with our community members.
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It is offensive or harmful. It does not contain enough information. It contains or requests illegal information. It does not make sense. Consumer Electronics. Local Businesses. Cats Dogs. Social Science. Q Can mucinex extended release bi layer tablets be split in half?
Can mucinex extended release bi layer tablets be split in half? I am very grateful for your help. Top Solutions. Pls beware when crushing mst tablets In my experience with my own children, you can base by their weight when childrens formula Add your answer. Suggested Solutions 9 What's this? Anonymous 5. So be careful!! Was this answer helpful?