Evidence map›Paper›PMID 25298593›Full record

ArticleIndian journal of pharmacology

Levetiracetam induced acute reversible psychosis in a patient with uncontrolled seizures.

Nithin Kumar, H S Swaroop, Ananya Chakraborty, Suhas Chandran

Abstract readCase Reports
In one paragraph

Article in Indian journal of pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Neuropsychiatric Adverse Effects Associated with the Use of Levetiracetam in Adults: A Systematic Review and Meta-Analysis.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Levetiracetam induced hypomania: a case report.Therapeutic advances in drug safety · 2019
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Nithin KumarDepartment of Neurology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
H S SwaroopDepartment of Pharmacology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
Ananya ChakrabortyDepartment of Pharmacology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
Suhas ChandranDepartment of Neurology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Levetiracetam (LEV) is a relatively newer antiepileptic drug with novel mechanism of action. It was introduced to the market in the year 2000. Pre-marketing clinical trials of the drug reported good tolerability with a wide safety margin. On post-marketing updates, there are few reports of psychosis after treatment with the drug. Here, we report a case of 52-year-old epileptic man who developed acute, reversible psychosis within 3 days of initiation of treatment. The drug was prescribed at a dose of 500 mg per day. After 3 days of treatment, the patient developed visual hallucinations, mood swings, withdrawal and suspicious behavior. Delirium was ruled out as there was no fluctuation in his sensorium or focal neurological deficits. His lab investigations for electrolytes, renal function test, thyroid, liver function and other related tests levels were within normal limits. A diagnosis of LEV induced psychosis was reached based on clinical judgment and causality assessment.

Indexed as

AnticonvulsantsEpilepsyHumansLevetiracetamMaleMiddle AgedPiracetamPsychoses, Substance-InducedAnticonvulsantsLevetiracetamPiracetamAdverse drug reactionantiepileptic drugsanti-seizure druglevetiracetampsychosis

Identifiers

PMID25298593
PMCPMC4175900
OpenAlexW2063051675

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.