Keppra

Can compounds of 3.5mg of extended release Keppra  be made up?  My 4lb dog won’t take liquid Keppra and can’t swallow 7mg capsules.

Hello - that's harder than it seems, I'm afraid.  The way I'd handle this would be to take your dog for an appointment with the nurse, to coincide with dosing time.  I understand that Keppra can be a 3 x daily med and that you can't get the nurse to give it every time you need to dose your dog.  However, they may be prepared to teach you how to give it, and how best to replicate this at home in order to make life easier.  Furthermore, if the professional can't dose, or teach you to dose, your dog, then you will be able to feel better about the situation and hopefully your vet will prescribe some alternative.

According to the information I found, compounding 3.5 mg of extended release Keppra for dogs may not be possible. The extended release tablets cannot be split or crushed, and they are only available in 500 mg and 750 mg strengths. This means they are not suitable for very small dogs like yours. You may need to consult your veterinarian for other options, such as using the regular formulation of Keppra, which can be given as a liquid or a chewable treat. Alternatively, you may ask your veterinarian about using an injectable form of Keppra, which can be given under the skin at home to control seizures.