Keppra XR/jerking movements in hands

My son was on Keppra, (750mg 2X day) his doctor changed him to KeppraXR same dosag because he was having more seizures. Since he has been on Keppra XR, still seizures and constant jerking movements in hands and very unsteady when standing. Not getting enough sleep @ night. Took him to ER last night, increase dosage to 2000mg per day. His hands jerk from about 11am to about 7pm or 8pm, then he has a seizure. Sleeps about a hour & half. Have anyone had these problems taking Keppra XR?

[Arti Sharma, M.D.]

Hello there,
A complete history about his seizures and medical examination are very important in determining the accurate cause of your son’s problems. The common side effects of Keppra XR are sleepiness, dizziness, weakness etc.Very rarely few people may experience aggression, agitation, anxiety on this drug. There may be problems with muscle coordination while on this drug. Your son seems to be in a very difficult situation. I will advise you to consult his neurologist. He may need tapering of this drug and may be an alternative drug for his condition. I do hope you find this information useful.
Take care and best luck!