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
  • [41] Therapeutic changes in patients on antiepileptic polytherapy: looking for the "winner" combination
    Hernando-Requejo, V.
    Huertas, N.
    Juarez, N.
    Diez, A.
    EUROPEAN JOURNAL OF NEUROLOGY, 2012, 19 : 249 - 249
  • [42] THEORETICAL AND PRACTICAL CONSIDERATIONS OF RATIONAL POLYTHERAPY IN EPILEPSY
    Rajna Peter
    IDEGGYOGYASZATI SZEMLE-CLINICAL NEUROSCIENCE, 2011, 64 (11-12): : 367 - 376
  • [43] Is Rational Antipsychotic Polytherapy Feasible? A Selective Review
    Kroken, Rune Andreas
    Johnsen, Erik
    CURRENT PSYCHIATRY REPORTS, 2012, 14 (03) : 244 - 251
  • [44] Comorbidity, Polytherapy, and Drug Interactions in a Neurological Context: An Example of a Multidisciplinary Approach to Promote the Rational Use of Drugs
    Busa, Giulia
    Burlina, Alessandro
    Damuzzo, Vera
    Chiumente, Marco
    Palozzo, Angelo C.
    JOURNAL OF PHARMACY PRACTICE, 2018, 31 (01) : 58 - 65
  • [45] Assessment of sleep behaviour disorders in epileptic children on antiepileptic drugs: a comparison of phenytoin/carbamazepine/valproate monotherapy and polytherapy groups
    Gupta, M.
    Kohli, K.
    Gupta, C.
    Gupta, Y.
    JOURNAL OF SLEEP RESEARCH, 2006, 15 : 122 - 122
  • [46] Is Rational Antipsychotic Polytherapy Feasible? A Selective Review
    Rune Andreas Kroken
    Erik Johnsen
    Current Psychiatry Reports, 2012, 14 : 244 - 251
  • [47] The Australian Brain and Cognition and Antiepileptic Drugs Study: IQ in School-Aged Children Exposed to Sodium Valproate and Polytherapy
    Nadebaum, Caroline
    Anderson, Vicki
    Vajda, Frank
    Reutens, David
    Barton, Sarah
    Wood, Amanda
    JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2011, 17 (01) : 133 - 142
  • [48] Hospital use of antipsychotic drugs: polytherapy
    Centorrino, Franca
    Cincotta, Stephanie L.
    Talamo, Alessandra
    Fogarty, Kate V.
    Guzzetta, Francesca
    Saadeh, Mark G.
    Salvatore, Paola
    Baldessarini, Ross J.
    COMPREHENSIVE PSYCHIATRY, 2008, 49 (01) : 65 - 69
  • [49] Polytherapy with sodium channel-blocking antiepileptic drugs is associated with arrhythmogenic ST-T abnormality in patients with epilepsy
    Ishizue, Naruya
    Niwano, Shinichi
    Saito, Masanori
    Fukaya, Hidehira
    Nakamura, Hironori
    Igarashi, Tazuru
    Fujiishi, Tamami
    Yoshizawa, Tomoharu
    Oikawa, Jun
    Satoh, Akira
    Kishihara, Jun
    Murakami, Masami
    Niwano, Hiroe
    Miyaoka, Hitoshi
    Ako, Junya
    SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2016, 40 : 81 - 87
  • [50] EVALUATING THE EFFICACY OF POLYTHERAPY ANTIEPILEPTIC DRUG COMBINATIONS IN PATIENTS WITH EPILEPSY
    Dergalust, S.
    Nguyen, V.
    Chen, J.
    Stern, J.
    Sayers, J.
    Sankar, R.
    EPILEPSIA, 2009, 50 : 159 - 159