However, its overall safety and drug-interaction evidence is limited, and formulations vary. It should be used only after the prescriber/pharmacist reviews the exact product and current antiseizure drug regimen, especially if the patient takes multiple medicines.
The published review literature describes generally infrequent adverse effects but emphasizes that high-quality controlled safety data are insufficient, including for drug combinations and special populations (
review of serratiopeptidase safety). No relevant recent systematic review specifically addressing seizure disorders was identified.