Problem:
You are seeing a 35 yo female with a seizure disorder for the first time. She had a seizure while driving and was seen in the ER a week ago. She has recovered from her injuries and has a benign exam today. The ER put her on Keppra 500mg BID and gave her a referral to a neurologist.
1) How do you determine if she is taking the Keppra correctly?
2) What drugs can you consider if she has an adverse reaction to the Keppra? What type of adverse reaction would cause you to switch her to something else?