Rational Polytherapy with Antiepileptic Drugs

被引:54
|
作者
Lee, Jong Woo [1 ]
Dworetzky, Barbara [1 ]
机构
[1] Brigham & Womens Hosp, Edward B Bromfield Epilepsy Program, Div EEG Epilepsy & Sleep Neurol, Dept Neurol, 75 Francis St, Boston, MA 02115 USA
来源
PHARMACEUTICALS | 2010年 / 3卷 / 08期
关键词
antiepileptic drug; rational polytherapy; epilepsy;
D O I
10.3390/ph3082362
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
Approximately 30-40% of patients do not achieve seizure control with a single antiepileptic drug (AED). With the advent of multiple AEDs in the past 15 years, rational polytherapy, the goal of finding combinations of AEDs that have favorable characteristics, has become of greater importance. We review the theoretical considerations based on AED mechanism of action, animal models, human studies in this field, and the challenges in finding such optimal combinations. Several case scenarios are presented, illustrating examples of rational polytherapy.
引用
收藏
页码:2362 / 2379
页数:18
相关论文
共 50 条
  • [21] The teratogenic risk of antiepileptic drug polytherapy
    Vajda, Frank J. E.
    Hitchcock, Alison A.
    Graham, Janet
    O'Brien, Terence J.
    Lander, Cecilie M.
    Eadie, Mervyn J.
    EPILEPSIA, 2010, 51 (05) : 805 - 810
  • [22] NEW ANTIEPILEPTIC DRUGS - FROM SERENDIPITY TO RATIONAL DISCOVERY
    PORTER, RJ
    ROGAWSKI, MA
    EPILEPSIA, 1992, 33 : S1 - S6
  • [23] Polytherapy with hERG-Blocking antiepileptic drugs:: Increased risk for embryonic cardiac arrhythmia and teratogenicity
    Danielsson, Christian
    Azarbayjani, Faranak
    Skold, Anna-Carin
    Sjogren, Niklas
    Danielsson, Bengt R.
    BIRTH DEFECTS RESEARCH PART A-CLINICAL AND MOLECULAR TERATOLOGY, 2007, 79 (08) : 595 - 603
  • [24] When one plus one makes three: The quest for rational antiepileptic polytherapy with supraadditive anticonvulsant efficacy
    Brigo, Francesco
    Ausserer, Harald
    Tezzon, Frediano
    Nardone, Raffaele
    EPILEPSY & BEHAVIOR, 2013, 27 (03) : 439 - 442
  • [25] Rational polytherapy: Historical antecedents
    Schachter, SC
    JOURNAL OF EPILEPSY, 1997, 10 (03): : 147 - 148
  • [26] Effects of antiepileptic drugs polytherapy on pregnancy outcomes in women with epilepsy: An observation study in northwest China
    Shi, Xiaojing
    Wang, Yuanyuan
    Zhang, Yaoyao
    Song, Changgeng
    Jiang, Yongli
    Zhao, Jingjing
    Xia, Liang
    Ma, Lei
    Jiang, Wen
    EPILEPSY & BEHAVIOR, 2022, 135
  • [27] Antiepileptic drug polytherapy in pregnant women with epilepsy
    Vajda, F. J. E.
    O'Brien, T. J.
    Graham, J. E.
    Hitchcock, A. A.
    Lander, C. M.
    Eadie, M. J.
    ACTA NEUROLOGICA SCANDINAVICA, 2018, 138 (02): : 115 - 121
  • [28] The impact of antiepileptic polytherapy on mood and cognitive function
    Roesche, Johannes
    Kundt, Guenther
    Weber, Raimund
    Froescher, Walter
    Uhlmann, Carmen
    ACTA NEUROLOGICA BELGICA, 2011, 111 (01) : 29 - 32
  • [29] THE IMPACT OF ANTIEPILEPTIC POLYTHERAPY ON MOOD AND COGNITIVE FUNCTION
    Roesche, J.
    Kundt, G.
    Uhlmann, C.
    Weber, R.
    Froescher, W.
    EPILEPSIA, 2010, 51 : 8 - 9
  • [30] EFFICACY OF THERAPEUTIC CHANGES IN PATIENTS ON ANTIEPILEPTIC POLYTHERAPY
    Hernando, V
    Huertas, N.
    Diez, A.
    Juarez, N.
    EPILEPSIA, 2011, 52 : 254 - 254