Brivaracetam: clinical use

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Brivaracetam: clinical use. Brivaracetam is a synaptic vesicle protein 2A (SV2A) ligand. Fully referenced neurology checklist.

Mode of action

  • Brivaracetam is a synaptic vesicle protein 2A (SV2A) ligand

Indications

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Dosing

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Brivaracetam benefits over Levetiracetam

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Brivaracetam conversion from Levetiracetam

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References

  1. Klein P, Schiemann J, Sperling MR, et al. A randomized, double-blind, placebo-controlled, multicenter, parallel-group study to evaluate the efficacy and safety of adjunctive brivaracetam in adult patients with uncontrolled partial-onset seizures. Epilepsia 2015; 56:1890-1898.
  2. Ben-Menachem E, Mameniškienė R, Quarato PP, et al. Efficacy and safety of brivaracetam for partial-onset seizures in 3 pooled clinical studies. Neurology 2016; 87:314-323. 
  3. Wood MD, Gillard M. Evidence for a differential interaction of brivaracetam and levetiracetam with the synaptic vesicle 2A protein. Epilepsia 2017; 58:255-262. 
  4. Hirsch M, Hintz M, Specht A, Schulze-Bonhage A. Tolerability, efficacy and retention rate of brivaracetam in patients previously treated with levetiracetam: a monocenter retrospective outcome analysis. Seizure 2018; 61:98-103. 
  5. Strzelczyk A, Kay L, Bauer S, et al. Use of brivaracetam in genetic generalized epilepsies and for acute, intravenous treatment of absence status epilepticus. Epilepsia 2018; 59:1549-1556. 
  6. And 8 more. Subscribe to see the full list

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