Is anyone taking Xcopri?

Posted by lynn0225 @lynn0225, Oct 29, 2025

My husband is on a new medication, Xcopri. I was wondering if anyone else is taking it.

He had his first seizure at the end of April 2025. He is 72 years old. The doctor who saw him at the hospital prescribed 1000 mg of Keppra twice a day. It made him very drowsy. He asked about having the dose lowered but the doctor said he couldn’t guarantee that a lower dose would keep him from having a seizure. My husband changed doctors.
The new doctor put him on Xcopri. He takes it at bedtime so he isn’t drowsy during the day.

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Profile picture for Chris Gautier, Volunteer Mentor @santosha

@kariabrown
Something just occurred to me—seizures themselves can really drain our energy.
Do you think you're feeling more tired now because your seizures aren't as well controlled, or has the tiredness been pretty constant since you started Xcopri?
Chris

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@santosha my seizures drained me, but each passing day it got better. They suck your strength away. I've come to recognize when mine are close, I excuse myself from what I am doing and take a quiet break and bring up happy things to think about, nothing fast to boost adrenaline but calm the mind. Hope that helps, I exercise daily each other day different part of the body. If tired then the next day. Hope this helps 🙏

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Profile picture for Randy Shields @randallshields56

@santosha my seizures drained me, but each passing day it got better. They suck your strength away. I've come to recognize when mine are close, I excuse myself from what I am doing and take a quiet break and bring up happy things to think about, nothing fast to boost adrenaline but calm the mind. Hope that helps, I exercise daily each other day different part of the body. If tired then the next day. Hope this helps 🙏

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@randallshields56
Hi Randy
Thank you for taking the time to share your experience! 🙏
Hearing strategies from others that help avoid seizures is always much appreciated.
Chris

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Hello! I just started taking Xcopri a few months ago. I am so excited about this medicine! I have taken almost every drug out there, and had the worst side effects. I was running out of options. My neurologist told me this is a newer drug with hardly any side effects. I wasn't holding my breath. I have had double vision, weight gain, hallucinations, exhaustion, and so many more side effects from the other drugs. I haven't had any side effects with Xcopri! I also take a lower dose. It's amazing. I really hope this med works for your husband. It has changed my life.

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Thank you for sharing your experience @heatherae !
Like you, I have temporal lobe epilepsy and have had a really hard time with side effects from the different AEDs I've already tried. Since December 2024, I've been on Keppra. My doctor reduced the dose little by little to make it more tolerable, and I was seizure-free for almost 8 months—which felt wonderful! But since last August, my seizures have come back despite increasing the dose again, and unfortunately, that's brought back many unpleasant side effects. I have a feeling my neurologist will suggest trying another AED at our appointment next week.
Would you mind sharing your current Xcopri dose? And do you also have mesial sclerosis in your temporal lobe?
Thank you!
Chris

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Does the fatigue ever stop? --presently, my adult son is taking only 25 mg of Xcopri--as he slowly increases to the goal of 100 mg. --He must push himself to get thru the day. If he could, he'd stay in bed all day.

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My first seizure event was June 2025. It was severe enough to be hospitalized for four days. I am taking lacosamide, 100 mg, twice per day and gabapentin, 300 mg three times per day. I have been seizure free since then. I'm 80 years old.

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Profile picture for bearbayou @bearbayou

Does the fatigue ever stop? --presently, my adult son is taking only 25 mg of Xcopri--as he slowly increases to the goal of 100 mg. --He must push himself to get thru the day. If he could, he'd stay in bed all day.

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Hi @bearbayou
I'm sorry to hear your son is dealing with fatigue, too. This is really common with AEDs, especially in the beginning; it can take a while for the body to adjust. I went through several side effects with different medications I tried, and many of them faded after the first month or two.
How long has your son been on Xcopri now? And is his sodium level stabilizing?
Chris

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Profile picture for frankv @frankv

My first seizure event was June 2025. It was severe enough to be hospitalized for four days. I am taking lacosamide, 100 mg, twice per day and gabapentin, 300 mg three times per day. I have been seizure free since then. I'm 80 years old.

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Hi @frankv
I'm so happy for you, Frank!
Thank you for sharing this with the group. It's really encouraging for those of us still working to get our seizures under control. Hearing success stories like yours gives hope. 🙏
You mentioned your first seizure was last June and it was severe enough that you needed to be hospitalized. I imagine you had a tonic-clonic seizure (also known as a convulsion), right?
Chris

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Profile picture for Chris Gautier, Volunteer Mentor @santosha

Hi @bearbayou
I'm sorry to hear your son is dealing with fatigue, too. This is really common with AEDs, especially in the beginning; it can take a while for the body to adjust. I went through several side effects with different medications I tried, and many of them faded after the first month or two.
How long has your son been on Xcopri now? And is his sodium level stabilizing?
Chris

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@santosha
Nearly 1 month on Xcopri--hasn't reached optimal level yet. Sodium level stabilizing? No recent blood test-- neurologist felt it wasn't 'that low'. She says sodium level will increase as Trileptal is decreased --yet decrease won't happen 'til Xcopri at optimal level.

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Profile picture for bearbayou @bearbayou

@santosha
Nearly 1 month on Xcopri--hasn't reached optimal level yet. Sodium level stabilizing? No recent blood test-- neurologist felt it wasn't 'that low'. She says sodium level will increase as Trileptal is decreased --yet decrease won't happen 'til Xcopri at optimal level.

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@bearbayou
I'd suggest giving it one more month to see if the side effects improve. Starting a new AED really does take patience and resilience. I know that's easier said than done.
Have you mentioned the fatigue to your son's doctor? What did he or she say?
Chris

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