Targeting pharmacoresistant epilepsy and epileptogenesis with a dual-purpose antiepileptic drug

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Targeting pharmacoresistant epilepsy and epileptogenesis with a dual-purpose antiepileptic drug.

In human epilepsy, pharmacoresistance to antiepileptic drug therapy is a major problem affecting a substantial fraction of patients. Many of the currently available antiepileptic drugs target voltage-gated sodium channels, leading to a rate-dependent suppression of neuronal discharge. A loss of use-dependent block has emerged as a potential cellular mechanism of pharmacoresistance for anticonvu...

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Antiepileptic Drug Treatment in Children with Epilepsy

Most children with new-onset epilepsy achieve seizure freedom with appropriate antiepileptic drugs (AEDs). However, nearly 20 % will continue to have seizures despite AEDs, as either monotherapy or in combination. Despite the growing market of new molecules over the last 20 years, the proportion of drug-resistant epilepsies has not changed. In this review, we report the evidence of efficacy and...

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Antiepileptic Drug Withdrawal in Dogs with Epilepsy

Epilepsy is one of the most common neurological disorders in dogs and is treated by chronic administration of antiepileptic drugs (AEDs). In human beings with epilepsy, it is common clinical practice to consider drug withdrawal after a patient has been in remission (seizure free) for three or more years, but withdrawal is associated with the risk of relapse. In the present study, the consequenc...

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Antiepileptic Drug Nonadherence and Its Predictors among People with Epilepsy

Introduction. Antiepileptic drugs are effective in the treatment of epilepsy to the extent that about 70% of people with epilepsy can be seizure-free, but poor adherence to medication is major problem to sustained remission and functional restoration. The aim of this study was to assess the prevalence and associated factors of antiepileptic drug nonadherence. Methods. Cross-sectional study was ...

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Antiepileptic Drugs and Mental Health Status of Patients with Epilepsy

Many patients with epilepsy suffer also from coexisting psychological problems. These mental co-morbidities have a significant impact on quality of life of patients with epilepsy. Recent studies have shown that although antiepileptic drugs (AEDs) treat epilepsy, they may increase risk of mental disorders in these patients . Due to the lack of adequate research in this area, we assess...

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ژورنال

عنوان ژورنال: Brain

سال: 2014

ISSN: 1460-2156,0006-8950

DOI: 10.1093/brain/awu339