It's been a wonder drug for me. I also take 300 mg carbatrol. The changes I have noticed that are positive have a billion times outweighed the negatives. That being said, since taking keppra, I have noticed:
- an emotional russian roulette after seizures. 90% of the time, i'm crying, sobbing, etc. But, since adding keppra in 2003, I also have another 10% that is black depression, some suicidality, and not paranoia... Just a feeling that everyone hates me and is out to get me. Lol... Maybe that is paranoia? It fades within a day. Though the first time it happened really freaked me out. Now, I just deal with it.
Coping... I let people know and I crack jokes, try to keep things light and I wait it out. It always passes.
For me, above 1500 mg of keppra per day and I get so spacey I can't hardly think. I might as well be sleepwalking for all I remember and the intelligence of my actions. I swear it knocks my iq down by at least half. I know some other people who have had some degree of mild depression on keppra, but it passed very quickly.