New drugs for epilepsy

被引:24
作者
Sander, JWAS
机构
[1] UCL Natl Hosp Neurol & Neurosurg, Inst Neurol, London WC1N 3BG, England
[2] Natl Soc Epilepsy, Gerrards Cross, Bucks, England
关键词
D O I
10.1097/00019052-199804000-00011
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Seizure freedom with no side-effects is the aim of treatment, and new antiepileptic drugs have not lived up to expectations; only a few patients with chronic epilepsy have been rendered seizure-free. These treatments have side-effects but their safety profile may be better than older alternatives, although chronic effects have not yet been established. This article reviews newly marketed antiepileptic drugs. It concentrates on shortcomings of current antiepileptic treatment and on the way drugs are developed. A new approach to treatment is long overdue. The development of rational antiepileptic treatments should be strongly encouraged. More clinically relevant paradigms need to be developed and incorporated into clinical trial programmes as these are presently biased in their designs towards regulatory issues. (C) 1998 Rapid Science Ltd.
引用
收藏
页码:141 / 148
页数:8
相关论文
共 86 条
[1]   The effects of antiepileptic drugs on cognition in normal volunteers [J].
Akaho, R .
PSYCHIATRY AND CLINICAL NEUROSCIENCES, 1996, 50 (02) :61-69
[2]   Felbamate in therapy-resistant epilepsy: An Italian experience [J].
Avanzini, G ;
Canger, R ;
DallaBernardina, B ;
Vigevano, F ;
Aguglia, U ;
Albano, C ;
Antonini, L ;
Battaglia, S ;
Battino, D ;
Benna, P ;
Besana, D ;
Antonelli, C ;
Binelli, S ;
Biondi, R ;
Boniver, C ;
Buti, D ;
Canziani, F ;
Capovilla, G ;
Casara, G ;
Casazza, M ;
Cernibori, A ;
Chindemi, A ;
Cianchetti, C ;
Cilio, MR ;
Coppola, G ;
Cremonte, M ;
DAgostino, V ;
Daniele, O ;
DeMarco, P ;
DeMaria, G ;
DiCosmo, F ;
DiPerri, R ;
Durisotti, C ;
Elia, M ;
Fois, A ;
Fontana, E ;
Franceschetti, S ;
Gaggero, R ;
Galeone, D ;
Gallitto, G ;
Gianelli, L ;
Rossi, PG ;
Giubergia, S ;
Gobbi, G ;
Guarneri, B ;
LaSelva, L ;
Lanzi, G ;
Laurienzo, P ;
Lenti, C ;
Lunardi, G .
EPILEPSY RESEARCH, 1996, 25 (03) :249-255
[3]   Epileptic syndromes: An underutilized concept [J].
Benbadis, SR ;
Luders, HO .
EPILEPSIA, 1996, 37 (11) :1029-1034
[4]  
Bennett GD, 1996, J PHARMACOL EXP THER, V279, P1237
[5]   Gabapentin monotherapy .1. An 8-day, double-blind, dose-controlled, multicenter study in hospitalized patients with refractory complex partial or secondarily generalized seizures [J].
Bergey, GK ;
Morris, HH ;
Rosenfeld, W ;
Blume, WT ;
Penovich, PE ;
Morrell, MJ ;
Leiderman, DB ;
Crockatt, JG ;
LaMoreaux, L ;
Garofalo, E ;
Pierce, M .
NEUROLOGY, 1997, 49 (03) :739-745
[6]   Gabapentin monotherapy .2. A 26-week, double-blind, dose-controlled, multicenter study of conversion from polytherapy in outpatients with refractory complex partial or secondarily generalized seizures [J].
Beydoun, A ;
Fischer, J ;
Labar, DR ;
Harden, C ;
Cantrell, D ;
Uthman, BM ;
Sackellares, JC ;
AbouKhalil, B ;
Ramsay, RE ;
Hayes, A ;
Greiner, M ;
Garofalo, E ;
Pierce, M .
NEUROLOGY, 1997, 49 (03) :746-752
[7]   A double-blind controlled clinical trial of oxcarbazepine versus phenytoin in adults with previously untreated epilepsy [J].
Bill, PA ;
Vigonius, U ;
Pohlmann, H ;
Guerreiro, CAM ;
Kochen, S ;
Saffer, D ;
Moore, A .
EPILEPSY RESEARCH, 1997, 27 (03) :195-204
[8]   Preliminary open-label experience with topiramate in primary generalized seizures [J].
Biton, V .
EPILEPSIA, 1997, 38 :S42-S44
[9]   Controlled trial of lamotrigine (Lamictal(R)) for treatment-resistant partial seizures [J].
Boas, J ;
Dam, M ;
Friis, ML ;
Kristensen, O ;
Pedersen, B ;
Gallagher, J .
ACTA NEUROLOGICA SCANDINAVICA, 1996, 94 (04) :247-252
[10]  
Bourgeois B F, 1997, Semin Pediatr Neurol, V4, P3, DOI 10.1016/S1071-9091(97)80003-4