comparison of levetiracetam with sodium valproate in controlling seizure in patients suffering from juvenile myoclonic epilepsy
نویسندگان
چکیده
conclusions it became clear at the end of the study that the effectiveness of two drugs were the same and they didn’t have any meaningful difference. according to the result gained from this study, levetiracetam is a proper alternative treatment instead of sodium valproate which has appropriate effectiveness along with lower complications. results comparison of mean generalized tonic colonic attacks in two groups with didn’t show meaningful differences (p = 0.95) , also, by comparing the mean of myoclonus attacks in patients of two groups before starting study, no meaningful difference was gained (p = 0.71). background juvenile myoclonic epilepsy is the most common type of generalized idiopathic epilepsy. sodium valproate is the first line of medications, but has many complications and 15% of patients are resistant to this medicine. this is a lifelong disease and in case of stopping the medication, relapsing of seizures is seen in more than 80% of cases. objectives analysis the effectiveness of these two drugs on controlling patients seizures by comparing them in mono therapy treatment of jme and to represent levetiracetam as a replacement of sodium valproate for first line medication of jme. patients and methods in this study we compared the effectiveness of sodium valproate and levetiracetam for 66 patients having juvenile myoclonic epilepsy and followed them for 6 months.
منابع مشابه
Levetiracetam monotherapy in juvenile myoclonic epilepsy
PURPOSE To describe our experience with levetiracetam (LEV) as initial or conversion monotherapy treatment for juvenile myoclonic epilepsy (JME). Valproate, the usual first line agent for JME, has chronic adverse effects, particularly for women of childbearing potential. Since JME requires lifetime treatment, chronic adverse effects of therapy are important consideration. METHODS We reviewed ...
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Sodium valproate (VPA) is considered the first choice drug in juvenile myoclonic epilepsy (JME). We have analysed the long-term evolution of 22 patients treated from the outset with VPA. The following inclusion criteria were applied: (1) unequivocal diagnosis of JME; (2) treatment should be initiated with VPA monotherapy; and (3) follow-up for more than 5 years. Twenty-two patients (15 females,...
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Drug treatment of Juvenile myoclonic epilepsy (JME) is mainly based on clinical experience and prospective and retrospective studies, with little evidence from randomized clinical trials. There are no head-to-head comparisons between old and new antiepileptic drugs (AEDs) and no drugs licensed specifically for JME. Valproate is unquestionably the drug of the first choice in men with JME. In wom...
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عنوان ژورنال:
jentashapir journal of health researchجلد ۵، شماره ۴، صفحات ۰-۰
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