Postmarketing experience with topiramate and cognition.

Abstract:

:Ideal antiepileptic drugs (AEDs) are designed to stop seizures with limited central nervous system (CNS) side effects. However, CNS-related treatment-emergent adverse events (TEAEs) often occur in patients receiving AEDs. Topiramate (TPM) is an AED proven to be safe and effective as adjunctive treatment for epilepsy patients with partial seizures. Double-blind, placebo-controlled, multicenter trials demonstrated potential effects on cognition. The P.A.D.S. (post-marketing antiepileptic drug survey) group, a cooperative group of 14 epilepsy centers that collaborate on obtaining data about new AEDs and devices, prospectively collected standardized data forms before and during treatment with TPM for epilepsy, and analyzed the postmarketing experience of CNS TEAEs with TPM. Our results from 701 treated patients show that cognitive complaints were the most common reason to discontinue TPM. The presence of complaints did have predictive value if the patient would discontinue TPM, although was not specific as to when discontinuation would occur. The spectrum of complaints in our open-label prospective multicenter postmarketing study was similar to those observed in controlled clinical trials. We were unable to demonstrate a specific population, dose titration, or concomitant AED that was at risk to discontinue treatment. We conclude that most patients treated with TPM will continue therapy beyond 6 months. Cognitive complaints and not efficacy reflect the primary reason for discontinuing therapy. Psychomotor slowing was the most common complaint, yet most patients elect to continue treatment, with "better" or "much better" ratings of both seizure and global improvement during treatment.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Tatum WO 4th,French JA,Faught E,Morris GL 3rd,Liporace J,Kanner A,Goff SL,Winters L,Fix A,PADS Investigators. Post-marketing antiepileptic drug survey.

doi

10.1046/j.1528-1157.2001.41700.x

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

1134-40

issue

9

eissn

0013-9580

issn

1528-1167

pii

41700

journal_volume

42

pub_type

杂志文章
  • Antiepileptic drug mechanisms of action.

    abstract::Established antiepileptic drugs (AEDs) decrease membrane excitability by interacting with neurotransmitter receptors or ion channels. AEDs developed before 1980 appear to act on sodium channels, gamma-aminobutyric acid type A (GABAA) receptors, or calcium channels. Benzodiazepines and barbiturates enhance GABAA recept...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1995.tb05996.x

    authors: Macdonald RL,Kelly KM

    更新日期:1995-01-01 00:00:00

  • 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 f...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1985.tb05394.x

    authors: Mireles R,Leppik IE

    更新日期:1985-03-01 00:00:00

  • Plasma levels of diphenylhydantoin and the control of adult epileptic seizures: a Chilean experience.

    abstract::In a prospective study of 117 adult ambulatory patients, 110 of whom were epileptics treated only with oral diphenylhydantoin (DPH), plasma levels of this drug were determined by gas-liquid chromatography. The average follow-up time was 6 months (range, 3 to 13 months); satisfactory control of seizures was obtained wi...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1980.tb04297.x

    authors: Galdames DG,Saavedra IN,Ortiz MA,Aguilera LI,Valenzuela AL,Concha GL,Droguett PA,Morales ER

    更新日期:1980-10-01 00:00:00

  • A case of extended spectrum GEFS+.

    abstract::A 10-year-old boy developed febrile convulsions at age 2 years, and multiple types of nonfebrile generalized seizures over the ensuing months and years. Gestation, birth, and early development were normal, as were initial EEG and brain imaging studies. By age 5 years, he had developed behavioral difficulties, and the ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.00357.x

    authors: Grant AC,Vazquez B

    更新日期:2005-01-01 00:00:00

  • Violence and epilepsy: a close relation between violence and postictal psychosis.

    abstract:PURPOSE:We investigated the incidence of well-directed violent behavior and suicide attempts in patients with temporal lobe epilepsy, with special attention to postictal psychosis. METHODS:We compared 57 episodes of postictal psychosis with 62 episodes of acute interictal (or alternative) psychosis and with 134 comple...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1999.tb01996.x

    authors: Kanemoto K,Kawasaki J,Mori E

    更新日期:1999-01-01 00:00:00

  • Lack of change in neurochemical markers during the postepileptic phase of intrahippocampal tetanus toxin syndrome in rats.

    abstract::The chronic epileptic syndrome induced by injecting tetanus toxin into rat hippocampus causes functional changes that essentially are permanent, outlasting the period of active seizures by at least 1 year. These long-term changes have been characterized by an impaired performance on a range of behavioral tasks, which ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1990.tb05508.x

    authors: Francis PT,Lowe SL,Bowen DM,Jefferys JG

    更新日期:1990-11-01 00:00:00

  • National Association of Medical Examiners position paper: Recommendations for the investigation and certification of deaths in people with epilepsy.

    abstract::Sudden unexpected death of an individual with epilepsy can pose a challenge to death investigators, as most deaths are unwitnessed, and the individual is commonly found dead in bed. Anatomic findings (eg, tongue/lip bite) are commonly absent and of varying specificity, thereby limiting the evidence to implicate epilep...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.14030

    authors: Middleton O,Atherton D,Bundock E,Donner E,Friedman D,Hesdorffer D,Jarrell H,McCrillis A,Mena OJ,Morey M,Thurman D,Tian N,Tomson T,Tseng Z,White S,Wright C,Devinsky O

    更新日期:2018-03-01 00:00:00

  • Innovative clinical trial designs for future antiepileptic drugs.

    abstract::Pharmacoresistance continues to be a challenging problem for a substantial number of epileptic patients and their attending physicians. In the past 10 years, we have made little progress in reducing the incidence of refractory epilepsy and have no innovative plans in place with the potential to do so. In this article,...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.00996.x

    authors: Dichter MA

    更新日期:2007-01-01 00:00:00

  • The progression of electrophysiologic abnormalities during epileptogenesis after experimental traumatic brain injury.

    abstract:OBJECTIVE:Posttraumatic epilepsy (PTE) accounts for 20% of acquired epilepsies. Experimental models are important for studying epileptogenesis. We previously reported that repetitive high-frequency oscillations with spikes (rHFOSs) occur early after lateral fluid percussion injury (FPI) and may be a biomarker for PTE. ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13486

    authors: Reid AY,Bragin A,Giza CC,Staba RJ,Engel J Jr

    更新日期:2016-10-01 00:00:00

  • Transition issues for benign epilepsy with centrotemporal spikes, nonlesional focal epilepsy in otherwise normal children, childhood absence epilepsy, and juvenile myoclonic epilepsy.

    abstract::This chapter covers the syndromes of benign epilepsy with centrotemporal spikes (BECTS), nonlesional focal epilepsy in otherwise normal children (NLFN), and the genetic generalized epilepsies. BECTS is an epilepsy syndrome that always enters terminal remission before the general age of a planned transition of adolesce...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.12706

    authors: Camfield CS,Berg A,Stephani U,Wirrell EC

    更新日期:2014-08-01 00:00:00

  • Seizure-associated Takotsubo cardiomyopathy.

    abstract::Takotsubo cardiomyopathy is characterized by chest pain, dyspnea, electrocardiographic changes resembling an acute coronary syndrome, and transient wall-motion abnormalities without identifiable coronary culprit lesion explaining the wall-motion abnormality. Takotsubo cardiomyopathy occurs frequently after emotional o...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2011.03185.x

    authors: Stöllberger C,Wegner C,Finsterer J

    更新日期:2011-11-01 00:00:00

  • Cellular localization and functional significance of CYP3A4 in the human epileptic brain.

    abstract:PURPOSE:Compelling evidence supports the presence of P450 enzymes (CYPs) in the central nervous system (CNS). However, little information is available on the localization and function of CYPs in the drug-resistant epileptic brain. We have evaluated the pattern of expression of the specific enzyme CYP3A4 and studied its...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02956.x

    authors: Ghosh C,Marchi N,Desai NK,Puvenna V,Hossain M,Gonzalez-Martinez J,Alexopoulos AV,Janigro D

    更新日期:2011-03-01 00:00:00

  • Subtemporal hippocampectomy preserving the basal temporal language area for intractable mesial temporal lobe epilepsy: preliminary results.

    abstract:PURPOSE:Decline in verbal memory as a surgical complication remains an unresolved problem in mesial temporal lobe epilepsy. Some areas in the temporal lobe associated with the language function, often including the basal temporal language area, have been removed or transected by conventional surgical procedures. The au...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00610.x

    authors: Mikuni N,Miyamoto S,Ikeda A,Satow T,Taki J,Takahashi J,Ohigashi Y,Hashimoto N

    更新日期:2006-08-01 00:00:00

  • Which anesthetic should be used in the treatment of refractory status epilepticus?

    abstract::While the treatment of refractory status epilepticus (SE) relies on the use of anesthetic agents, mostly barbiturates, propofol, or midazolam, the study of the available literature discloses that the evidence level is low. Therapeutic coma induction appears straightforward for generalized convulsive or subtle SE, but ...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2007.01350.x

    authors: Rossetti AO

    更新日期:2007-01-01 00:00:00

  • A comparison of two methods for estimating the health care costs of epilepsy.

    abstract:PURPOSE:Previous studies have estimated medical care costs of epilepsy by applying unit costs to estimated utilization or by summing costs for (a) ambulatory care and hospitalizations coded as epilepsy and (b) procedures and drugs specifically associated with the diagnosis or treatment of epilepsy. These methods may un...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00288.x

    authors: Frost FJ,Hurley JS,Petersen HV,Gunter MJ,Gause D

    更新日期:2000-08-01 00:00:00

  • Phasic GABAA -receptor activation is required to suppress epileptiform activity in the CA3 region of the immature rat hippocampus.

    abstract:PURPOSE:  Despite the consistent observation that γ-aminobutyric acid A (GABA(A) ) receptors mediate excitatory responses at perinatal stages, the role of the GABAergic system in the generation of neonatal epileptiform activity remains controversial. Therefore, we analyzed whether tonic and phasic GABAergic transmissio...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03442.x

    authors: Kolbaev SN,Sharopov S,Dierkes PW,Luhmann HJ,Kilb W

    更新日期:2012-05-01 00:00:00

  • Further evidence that pathologic high-frequency oscillations are bursts of population spikes derived from recordings of identified cells in dentate gyrus.

    abstract:PURPOSE:To analyze activity of identified dentate gyrus granular cells and interneurons during pathologic high-frequency oscillations (pHFOs). METHODS:Pilocarpine-treated epileptic mice were anesthetized with urethane and ketamine. Their heads were fixed in a stereotaxic frame. Extracellular unit activity was recoded ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02896.x

    authors: Bragin A,Benassi SK,Kheiri F,Engel J Jr

    更新日期:2011-01-01 00:00:00

  • Caring for transgender patients with epilepsy.

    abstract:OBJECTIVE:Approximately 25 million individuals older than age 15 identify as transgender, representing about 0.3-0.9% of the world's population. The aim of this paper is to identify and describe important medical and social considerations facing transgender persons with epilepsy. METHODS:We performed literature search...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.13864

    authors: Johnson EL,Kaplan PW

    更新日期:2017-10-01 00:00:00

  • An electrophysiological analysis of the anticonvulsant action of cannabidiol on limbic seizures in conscious rats.

    abstract::The effects of cannabidiol (CBD) on electrically evoked kindled seizures were studied in conscious, unrestrained rats with chronically implanted cortical and limbic electrodes, and the results were compared with those of delta 9-tetrahydrocannabinol (delta 9-THC), phenytoin (PHT), and ethosuximide (ESM). All drugs wer...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1979.tb04815.x

    authors: Turkanis SA,Smiley KA,Borys HK,Olsen DM,Karler R

    更新日期:1979-08-01 00:00:00

  • The effects of antimicrobial and antiepileptic treatment on the outcome of epilepsy associated with central nervous system (CNS) infections.

    abstract::The course and outcome of epilepsy following central nervous system (CNS) infections has been poorly characterized. Likewise, the impact of antimicrobial treatment as well as other preventative and therapeutic interventions on the development of epilepsy following neurological infectious disorders has been insufficien...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01755.x

    authors: Singh G,Prabhakar S

    更新日期:2008-08-01 00:00:00

  • WONOEP appraisal: optogenetic tools to suppress seizures and explore the mechanisms of epileptogenesis.

    abstract::Optogenetics is a novel technology that combines optics and genetics by optical control of microbial opsins, targeted to living cell membranes. The versatility and the electrophysiologic characteristics of the light-sensitive ion-channels channelrhodopsin-2 (ChR2), halorhodopsin (NpHR), and the light-sensitive proton ...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.12804

    authors: Mantoan Ritter L,Golshani P,Takahashi K,Dufour S,Valiante T,Kokaia M

    更新日期:2014-11-01 00:00:00

  • Genetics of the partial epilepsies: a review.

    abstract::The research literature is consistent in reporting somewhat less familial aggregation in partial than in generalized epilepsy. However, relatives of patients with partial seizures do appear to have higher seizure risks than relatives of controls, suggesting that genetic factors are important in at least some partial e...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1989.tb05290.x

    authors: Ottman R

    更新日期:1989-01-01 00:00:00

  • Predictors of psychiatric and seizure outcome following temporal lobe epilepsy surgery.

    abstract:PURPOSE:Neurosurgery is an effective therapy for selected individuals with medically refractory temporal lobe epilepsy (TLE). De novo psychopathology may complicate the postsurgical outcome. Our aims were to identify predictors of de novo psychiatric and seizure outcome following TLE surgery. METHODS:Medical records o...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03604.x

    authors: Cleary RA,Thompson PJ,Fox Z,Foong J

    更新日期:2012-10-01 00:00:00

  • Effects of tiagabine monotherapy on abilities, adjustment, and mood.

    abstract:PURPOSE:We evaluated the dose-related impacts of tiagabine (TGB) on cognition and mood in a monotherapy study. METHODS:Patients were 123 adults with uncontrolled partial seizures, each treated with a single currently available antiepileptic drug (AED) for management of clinical epilepsy. They completed a battery of ne...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1528-1157.1998.tb01271.x

    authors: Dodrill CB,Arnett JL,Shu V,Pixton GC,Lenz GT,Sommerville KW

    更新日期:1998-01-01 00:00:00

  • Decreased cerebrospinal fluid hypocretin-1 (orexin A) in patients after repetitive generalized tonic-clonic seizures.

    abstract::The effects of seizures on the hypocretin/orexin system have not yet been investigated in epileptic patients. The present study aimed to assay hypocretin-1 in the cerebrospinal fluid (CSF) of patients after generalized tonic-clonic (GTC) seizures. Study groups consisted of 21 patients after GTC seizures and 19 control...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01990.x

    authors: Rejdak K,Papuć E,Grieb P,Stelmasiak Z

    更新日期:2009-06-01 00:00:00

  • NBQX blocks acute and late epileptogenic effects of perinatal hypoxia.

    abstract::Clinically, and in experimental models, perinatal hypoxic encephalopathy is commonly associated with seizures. We previously described a rat model in which hypoxia induces seizures and permanently increases in seizure susceptibility in immature rats [postnatal day (P) 10-12] but not in older rats. In the present study...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb00954.x

    authors: Jensen FE,Blume H,Alvarado S,Firkusny I,Geary C

    更新日期:1995-10-01 00:00:00

  • Depression and anxiety in women with epilepsy during pregnancy and after delivery: a prospective population-based cohort study on frequency, risk factors, medication, and prognosis.

    abstract:OBJECTIVE:To assess incidence, prevalence, risk factors, and prognosis of peripartum depression and anxiety in a prospective study of women with epilepsy. METHOD:Pregnancies in women with epilepsy (n=706) were compared to pregnancies in all women without epilepsy (n=106,511) including women with specified nonepileptic...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12884

    authors: Bjørk MH,Veiby G,Reiter SC,Berle JØ,Daltveit AK,Spigset O,Engelsen BA,Gilhus NE

    更新日期:2015-01-01 00:00:00

  • Differential antiepileptic sensitivity between cortical sites in the rat.

    abstract::The relative efficacies of phenobarbital (PB), phenytoin (PHT), carbamazepine (CBZ), and valproic acid (VPA) in the suppression of focal and generalized seizures produced by electrical stimulation of two different cortical sites (areas 3 and 10) were evaluated in the rat. The two cortical sites were distinguished by s...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1986.tb03530.x

    authors: Moss KA,Kalichman MW,Iragui VJ

    更新日期:1986-05-01 00:00:00

  • The anticonvulsant profile of rufinamide (CGP 33101) in rodent seizure models.

    abstract:PURPOSE:To evaluate the anticonvulsant profile and behavioral toxicity of rufinamide in animal seizure models compared to the established antiepileptic drugs (AEDs): phenytoin, phenobarbital, valproate, and ethosuximide, or vehicle. METHODS:In acute studies of anticonvulsant efficacy, the AEDs were administered via or...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01552.x

    authors: White HS,Franklin MR,Kupferberg HJ,Schmutz M,Stables JP,Wolf HH

    更新日期:2008-07-01 00:00:00

  • Seizure frequency in intractable partial epilepsy: a statistical analysis.

    abstract::We examined the seizure records of 13 patients (nine men and four women, ages 27-50 years) with intractable partial epilepsy, maintained with steady anti-epileptic drug dosages. Patients recorded daily seizure frequency on calendars. Periods of outpatient observation ranged from 99 to 1,710 days and the number of obse...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1991.tb04703.x

    authors: Balish M,Albert PS,Theodore WH

    更新日期:1991-09-01 00:00:00