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Take the medicine as prescribed by the doctor, do not change the dosage. @ahernandez l was reading your discussion about keppra. I was on keppra since 2014 until 2018. I was looking online and they said sometimes you have to change up meds until you find one that works. I had some of the symptoms you are talking about but l think it might be from my ammonia levels. If you become pregnant while taking Keppra, talk to your healthcare provider about registering with the North American Antiepileptic Drug Pregnancy Registry. You can enroll in this registry by calling 1-888-233-2334 or go to www.aedpregnancyregistry.org. 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