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Can taking Keppra and the contraceptive pill cause a hormonal imbalance? My PMS symptoms have worsened since taking Keppra.

Yes, taking Keppra and birth control pills can potentially cause a hormonal imbalance. Some women may experience worsened premenstrual symptoms when taking Keppra. It is important to consult with a healthcare provider to discuss any changes in medication and possible alternatives to help manage hormonal fluctuations.