Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/12/2025

Levetiracetam Dosage for Status Epilepticus in Children

Initial Dosing and Titration

  • For status epilepticus in children, higher loading doses of 20-60 mg/kg IV have been used, with a maximum dose of 2,500 mg, according to the American Academy of Pediatrics 1, 2

Status Epilepticus Considerations

  • In non-convulsive status epilepticus, levetiracetam 40 mg/kg (maximum 2,500 mg) IV bolus has been used, as recommended by the American College of Emergency Physicians 1
  • In convulsive status epilepticus, levetiracetam 40 mg/kg (maximum 2,500 mg) IV bolus has been used, with a strength of evidence level of moderate, according to the American Academy of Neurology 1