Valproate and clonazepam comedication in patients with intractable epilepsy.

Abstract:

:The efficacy and the potential risk of inducing convulsive or nonconvulsive status epilepticus with the combination of valproate (VPA) and clonazepam (CZP), with or without other anticonvulsant drugs, in 55 patients with intractable epilepsy was evaluated. The patients were treated with VPA and CZP concomitantly for from 3 to 72 months (mean 21.7 months). Trough VPA serum levels ranged from 26 to 96 micrograms/ml). Trough CZP serum levels ranged from 5 to 63 ng/ml (mean 22.6 ng/ml). The treatment seizure frequency was compared with baseline values before combination treatment. Seizure improvement was obtained in 7 of 8 patients with absence seizures, 8 of 9 patients with myoclonic seizures, 19 of 39 patients with complex partial seizures, 3 of 14 patients with primary generalized tonic-clonic seizures, 8 of 23 patients with secondarily generalized tonic-clonic seizures, and 3 of 14 patients with atonic seizures. No single case of status epilepticus or exacerbation of seizures of any type was seen.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Mireles R,Leppik IE

doi

10.1111/j.1528-1157.1985.tb05394.x

subject

Has Abstract

pub_date

1985-03-01 00:00:00

pages

122-6

issue

2

eissn

0013-9580

issn

1528-1167

journal_volume

26

pub_type

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