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Table 2 Blood serum concentrations of brivaracetam (BRV) and topiramate (TPM) before, during and after pregnancy

From: Brivaracetam and topiramate serum levels during pregnancy and delivery: a case report and a review of literature

 

BRV concentration (200 mg/d)

Reference range: 0.5–0.9 mg/l* (mg/l)

TPM concentration (200 mg/d)

Reference range: 2.0–10.0 mg/l (mg/l)

Before pregnancy

3.31

4.7

Week of pregnancy: 17

2.91

4.7

Week of pregnancy: 21

4.53

6.5

Week of pregnancy: 25

4.21

5.7

Week of pregnancy: 30

2.48

4.1

Week of pregnancy: 33 + 

2.57

4.5

Week of pregnancy: 37

3.6

4.6

After pregnancy (1 month)

3.32

7.3

After pregnancy (8 month)

3.87

6.2

Umbilical cord blood

1.97

3.0

  1. The blood was taken regularly at noon about 6 h after taking the ASM
  2. *This reference range is validated for daily intake of 100 mg brivaracetam