BRIVERA 50MG TAB
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BRIVERA 50MG TABLET ONLINE AT BEST PRICE IN PAKISTAN
GENERIC: Brivaracetam 50mg
MANUFACTURER: Helix Pharmaceuticals
QUANTITY:
Pack of 14 tablets
INDICATION
Brivera 50mg Tab is a third-generation anticonvulsant used as adjunctive therapy for partial-onset (focal) seizures with or without secondary generalization in adults, adolescents, and children aged 4 years and above. It may be used as monotherapy in adults when other antiepileptic drugs have not provided adequate seizure control.
MECHANISM OF ACTION
Brivaracetam is a high-affinity ligand for synaptic vesicle protein 2A (SV2A), a glycoprotein involved in regulating vesicle exocytosis at the synapse. By binding to SV2A, brivaracetam modulates neurotransmitter release and reduces neuronal hyperexcitability, thereby preventing the abnormal synchronized electrical discharges that cause seizures. It has 10-fold higher affinity for SV2A than levetiracetam, and also partially inhibits voltage-gated sodium channels.
DOSAGE AND ADMINISTRATION
•     Adults and adolescents: starting dose 50mg twice daily; may be adjusted to 25mg or 100mg twice daily
•     Children aged 4 to 16 years (20kg and above): dose based on weight; typically, 25mg to 100mg twice daily
•     Take with or without food; take regularly at the same times each day
•     If switching from levetiracetam, no washout period is needed
•     Dose adjustments required in patients with hepatic impairment
SIDE EFFECTS
Common:
•     Somnolence (drowsiness), dizziness
•     Fatigue, nausea
•     Headache
•     Irritability or mood changes
Less common:
•     Psychiatric symptoms including aggression, agitation, anxiety, and depression
•     Suicidal ideation (all antiepileptics carry this risk — monitor closely)
•     Coordination problems (ataxia, dysarthria)
•     Stevens-Johnson syndrome (rare skin reaction)
NOT RECOMMENDED IN
•     Known hypersensitivity to brivaracetam or any excipient
•     Use with caution in patients with a history of psychiatric disorders
•     Not recommended during pregnancy unless the benefit clearly outweighs the risk
•     Abrupt withdrawal should be avoided; taper dose gradually
DRUG INTERACTIONS
Rifampicin, a strong CYP2C19 inducer, reduces brivaracetam exposure by approximately 45%; dose adjustment may be required. Brivaracetam inhibits CYP2C19 and may increase plasma levels of phenytoin and other CYP2C19 substrates. Co-administration with carbamazepine may increase carbamazepine-epoxide levels. No clinically relevant interactions with levetiracetam, lamotrigine, or valproate have been reported.
STORAGE INSTRUCTIONS
Store Brivera 50mg tablets at room temperature below 30°C. Protect from moisture. Keep in original blister packaging. Store out of reach of children.
WHERE TO BUY
Buy Brivera 50mg Tab online from Dawa Healthcare Pharmacy, a reliable source for antiepileptic medications in Pakistan. Check the Brivera 50mg Tab price in Pakistan and learn about Brivera 50mg Tab uses from our expert pharmacist team. Same-day delivery is available in Karachi. Dawa Healthcare Pharmacy delivers nationwide across Pakistan.
SERVICE AREAS: KARACHI
We are available from Monday to Saturday.
Delivery Time:
- Same day delivery is available for orders placed before 8 PM in service areas.
Delivery Charges:
- Delivery charge of 100 PKR on orders over 5000 PKR.
- A delivery charge of 220 PKR applies to orders below 5000 PKR.
NON-SERVICE AREAS: KARACHI
Includes:
1. Baldia
2. Gulshan Hadeed
3. Keemari
4. Port Bin Qasim
5. Highway
ADDITIONAL NOTES FOR OTHER CITIES:
- Currently, we are not offering Cash on Delivery services outside Karachi.
- Only online payments are accepted. Thank you for your cooperation.
- Delivery in cities other than Karachi shall be considered as delivery in Non-Delivery areas.
- For all Non-Delivery areas, Dawa Healthcare is partnering with a third-party logistics provider to provide its services to customers.
- Glass items, Injections, and fridge items cannot be delivered in cities other than Karachi.
Delivery Time:
Delivery will be attempted in 3-5 working days
Delivery Charges(Non-service areas & outside Karachi)
- Orders weighing 0.5 KG or less: Rs. 300
- Orders weighing more than 0.5 kg: Rs. 150 per additional KG