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 82 条
  • [1] Antiepileptic drug use of women with epilepsy and congenital malformations in offspring
    Artama, M
    Auvinen, A
    Raudaskoski, T
    Isojärvi, I
    Isojärvi, J
    [J]. NEUROLOGY, 2005, 64 (11) : 1874 - 1878
  • [2] Barcs G, 2000, EPILEPSIA, V41, P1597
  • [3] Adjunctive therapy versus alternative monotherapy in patients with partial epilepsy failing on a single drug: a multicentre, randomised, pragmatic controlled trial
    Beghi, E
    Gatti, G
    Tonini, C
    Ben-Menachem, E
    Chadwick, DW
    Nikanorova, M
    Gromov, SA
    Smith, PEM
    Specchio, LM
    Perucca, E
    [J]. EPILEPSY RESEARCH, 2003, 57 (01) : 1 - 13
  • [4] Carbamazepine toxicity with lamotrigine: Pharmacokinetic or pharmacodynamic interaction?
    Besag, FMC
    Berry, DJ
    Pool, F
    Newbery, JE
    Subel, B
    [J]. EPILEPSIA, 1998, 39 (02) : 183 - 187
  • [5] Safety and efficacy of two pregabalin regimens for add-on treatment of partial epilepsy
    Beydoun, A
    Uthman, BM
    Kugler, AR
    Greiner, MJ
    Knapp, LE
    Garofalo, EA
    [J]. NEUROLOGY, 2005, 64 (03) : 475 - 480
  • [6] From ion channels to complex networks: Magic bullet versus magic shotgun approaches to anticonvulsant pharmacotherapy
    Bianchi, Matt T.
    Pathmanathan, Jay
    Cash, Sydney S.
    [J]. MEDICAL HYPOTHESES, 2009, 72 (03) : 297 - 305
  • [7] Isobolographic and subthreshold analysis of interactions among felbamate and four conventional antiepileptic drugs in pentylenetetrazole-induced seizures in mice
    Borowicz, KK
    Luszczki, JJ
    Czuczwar, TJ
    [J]. EPILEPSIA, 2004, 45 (10) : 1176 - 1183
  • [8] Effect of gabapentin on the anticonvulsant activity of antiepileptic drugs against electroconvulsions in mice: An isobolographic analysis
    Borowicz, KK
    Swiader, M
    Luszczki, J
    Czuczwar, SJ
    [J]. EPILEPSIA, 2002, 43 (09) : 956 - 963
  • [9] ANTICONVULSANT POTENCY AND NEUROTOXICITY OF VALPROATE ALONE AND IN COMBINATION WITH CARBAMAZEPINE OR PHENOBARBITAL
    BOURGEOIS, BFD
    [J]. CLINICAL NEUROPHARMACOLOGY, 1988, 11 (04) : 348 - 359
  • [10] BOURGEOIS BFD, 1988, J PHARMACOL EXP THER, V247, P1128