Telangana Journal of Psychiatry

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A case report of levetiracetam Ingestion and raise in Prothrombin time and International Normalized Ratio (INR)

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Case Report

Author Details : Anand Bhogaraju, Sai Vittal, Anusha.K, Ravikanth.T

Volume : 3, Issue : 2, Year : 2017

Article Page : 130-131

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Abstract

 We report a case of raised Prothrombin Time (PT) and International Normalized Ratio (INR) in a young male after ingestion of 3500 mgs of Levetiracetam as a suicidal attempt. No thrombocytopenia or raised liver enzyme disturbances were noticed. There were no previous published reports of such findings. Previous published reports of platelet related dysfunction and some reports of thrombocytopenia would be discussed in the light of our findings.
Introduction: levetiracetam (LEV) is an antiepileptic drug approved for adjunctive use in partial seizures by United States food and drug administration (FDA) in 1999.The maximum recommended dose is 3000 mg daily. It is known to have mild side effect profile with headache, somnolence, dizziness, infection and asthenia1. However, hematological side effects are rare. We report a case of suicidal attempt with LEV and prolonged Prothrombin time which resolved over time.

How to cite : Bhogaraju A, Vittal S, Anusha.k, Ravikanth.t, A case report of levetiracetam Ingestion and raise in Prothrombin time and International Normalized Ratio (INR). Telangana J Psychiatry 2017;3(2):130-131

Copyright © 2017 by author(s) and Telangana J Psychiatry. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (creativecommons.org)