Levetiracetam monotherapy in Alzheimer patients with late‐onset seizures: a prospective observational study

Levetiracetam (LEV) monotherapy was investigated in 25 patients with advanced Alzheimer's disease (AD) and new‐onset epileptic seizures in a prospective open‐label study. At a daily dose of 1000–1500 mg, 72% were seizure‐free for at least one year; 16% discontinued for untolerability; 8% were unresponsive; 4% were lost to follow‐up. These results suggest the need for controlled studies to confirm if LEV can be a first‐choice drug in AD.