Updated at: 14-07-2023 - By: John Lau

Do you ever wonder, “Can I have a drink while I’m on Keppra?”

You’re not alone. It’s a common confusion among those who are prescribed this antiepileptic medication.

This article delves into the interactions between Keppra and alcohol use, highlighting potential risks and side effects to help guide your choices.

Ready to discover? Let’s dive in!

The Risks of Drinking Alcohol on Keppra

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Increased risk of side effects

Among the crucial concerns about mixing Keppra and alcohol is the potential increase in side effects. In general, both substances can independently cause fatigue, dizziness, and coordination problems.

However, when consumed together, these issues may be magnified or occur more frequently.

This means that typical daily activities could become significantly more challenging and dangerous for individuals on this medication who choose to drink.

Furthermore, alcohol has been shown to potentially trigger seizures in some cases – a risk that’s certainly heightened for anyone taking an antiepileptic drug like Keppra.

Therefore, it’s critical to understand that consuming alcohol while using Keppra not only puts you at risk of experiencing intensified side effects but also raises the chances of seizure episodes.

Increased risk of seizures

Drinking alcohol while taking Keppra can significantly increase the risk of seizures. When consumed in combination with this antiepileptic medication, alcohol can interfere with its effectiveness and potentially trigger seizure activity.

The interaction between Keppra and alcohol may disrupt the delicate balance of brain chemicals that help to prevent seizures, making individuals more susceptible to experiencing them. Additionally, excessive alcohol consumption can lead to dehydration and electrolyte imbalances, which are known seizure triggers.

Mixing Keppra and alcohol also intensifies the side effects associated with both substances. Alcohol acts as a central nervous system depressant, causing drowsiness and sedation.

When combined with Keppra, these effects become even more pronounced, leading to worsened drowsiness and impaired coordination.

This heightens the risk of accidents or falls for individuals who are already prone to these issues due to their underlying condition.

Interference with medication effectiveness

Drinking alcohol while taking Keppra can interfere with the effectiveness of the medication. Alcohol has the potential to disrupt how Keppra works in your body, making it less effective at controlling seizures.

This can increase the risk of experiencing seizures or may decrease the overall effectiveness of your treatment.

It’s important to be cautious and avoid consuming alcohol while on Keppra to ensure that you are maximizing its therapeutic benefits.

Side Effects of Mixing Keppra and Alcohol

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Worsened drowsiness and dizziness

Mixing alcohol and Keppra can lead to worsened drowsiness and dizziness. Alcohol is a central nervous system depressant, which means that it slows down brain activity.

When combined with Keppra, this effect can be intensified, causing increased feelings of drowsiness and lightheadedness.

This combination can impair your coordination and reaction times, making activities such as driving or operating machinery even more dangerous.

To avoid these potential risks, it’s best to avoid alcohol altogether while taking Keppra or any other antiepileptic medication.

It’s always important to prioritize your safety and follow your doctor’s recommendations regarding alcohol consumption while on seizure medications like Keppra.

Impaired coordination

Combining Keppra and alcohol can lead to impaired coordination, which can put individuals at risk for accidents and injuries. Keppra is known to cause drowsiness and dizziness as side effects, and adding alcohol into the mix can intensify these effects.

Alcohol acts as a depressant on the central nervous system, further impairing coordination and balance. This can make it difficult for someone on Keppra to perform tasks that require precise movement, such as driving or operating machinery.

It’s important to remember that impaired coordination not only affects physical abilities but also cognitive function.

Mixing Keppra with alcohol can result in difficulty focusing, making decisions, or reacting quickly.

This combination may increase the likelihood of falls or other accidents due to decreased motor skills and slowed reaction times.

To ensure your safety while taking Keppra, it’s best to avoid consuming alcohol altogether.

If you have concerns about drinking while on this medication, it’s essential to consult with your doctor who can provide personalized guidance based on your specific situation.

Increased liver damage

Drinking alcohol while taking Keppra can also increase the risk of liver damage. The combination of alcohol and Keppra can put extra strain on your liver, which is responsible for processing both substances.

This increased workload can potentially lead to liver problems over time. It’s important to be aware of this potential risk and consider it when making decisions about alcohol consumption while on Keppra.

Monitoring your liver health and discussing any concerns with your healthcare provider is crucial in ensuring the best possible outcomes while taking this medication.

Recommendations for Alcohol Use While Taking Keppra

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Avoid alcohol altogether

Drinking alcohol while taking Keppra can have detrimental effects on your health. It’s best to avoid alcohol altogether to minimize the risks and ensure your medication is effective.

Here’s why:

  • Increased risk of side effects: Alcohol can intensify the side effects of Keppra, such as drowsiness, confusion, and difficulty concentrating. This can impair your ability to function normally and may put you at risk for accidents or injuries.
  • Increased risk of seizures: Drinking alcohol with Keppra can potentially trigger seizures in some individuals. Alcohol and hangovers have been known to provoke seizures in people who are taking epilepsy medication like Keppra.
  • Interference with medication effectiveness: Alcohol can interfere with how your body metabolizes and absorbs Keppra, which may impact its effectiveness in controlling your seizures. It’s important to take your medication consistently without any interactions that could compromise its benefits.

Talk to your doctor

If you have concerns or questions about drinking alcohol while taking Keppra, it’s important to talk to your doctor. Your doctor is the best person to guide you on how alcohol may interact with your specific situation and whether it is safe for you to drink while on this medication.

They can provide personalized advice based on factors such as your overall health, dosage of Keppra, and any other medications you may be taking.

It’s crucial not to underestimate the potential risks and side effects associated with mixing Keppra and alcohol. By discussing your concerns with your doctor, they can help you make an informed decision that aligns with your treatment plan and overall well-being.

Monitor for any negative effects

  • Be aware of any changes in your mood or behavior after consuming alcohol while on Keppra.
  • Pay attention to any increase in drowsiness, dizziness, or difficulty concentrating.
  • Monitor for any signs of confusion or memory problems that may arise after drinking alcohol with Keppra.
  • Take note of any changes in your coordination or balance, as alcohol can exacerbate these side effects of Keppra.
  • Keep track of any increased liver damage symptoms, such as abdominal pain, jaundice, or dark urine.
  • If you experience any negative effects after drinking alcohol while on Keppra, report them to your healthcare provider immediately.


In conclusion, while moderate alcohol consumption is generally considered safe for individuals taking Keppra, it is important to be aware of the potential risks and side effects.

Drinking alcohol can increase the risk of experiencing intensified side effects and seizures.

It is recommended to avoid excessive alcohol consumption and consult with your doctor for personalized advice on managing alcohol use while on Keppra.

Remember, prioritizing your health and well-being is crucial when it comes to managing your epilepsy medication effectively.