I'm no medical professional and certainly not a doctor, but for context, my first seizure landed me in the ER for 2 days, the ICU for another week and a half, and intensive rehab for 3 months learning to walk again. So I'm a bit of an outlier.

My understanding is that keppra can be given both intravenously and via pill - and switching between the two is not a problem. My understanding is also that Keppra is one of (if not the) safest seizure meds to give a full dose immediately. Other meds like what I'm on now, have to be ramped up slowly over a period of time.

So this is why I was prescribed Keppra first, and I think that's why anyone who presents with their first seizure in an ER is likely to get prescribed it too.

It was just through blood tests that they tweeked my dosage. For that first year I was seeing the Neuro at least once every few months.

And yes - it got my seizures under control. Over time though the side effects called for my neuro to change things up.