Phenobarbital for the treatment of epilepsy in the 21st century: a critical review.

Abstract:

SUMMARY:Phenobarbital (PB) is the most widely used antiepileptic drug (AED) in the developing world and remains a popular choice in many industrialized countries. Meta-analyses of randomized controlled trials suggest that few differences in efficacy exist between PB and other established AEDs, but its possible deleterious cognitive and behavioral side effects remain a concern in the developed world. In contrast, high degrees of efficacy and tolerability in everyday clinical use have been demonstrated consistently in observational studies in developing countries. We propose that a pragmatic, comprehensive outcomes program be carried out, perhaps under the aegis of the Global Campaign Against Epilepsy, to optimize the conditions of the use of PB, so that more people around the world can benefit from this cost-effective medication and live more fulfilling lives.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Kwan P,Brodie MJ

doi

10.1111/j.0013-9580.2004.12704.x

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

1141-9

issue

9

eissn

0013-9580

issn

1528-1167

pii

EPI12704

journal_volume

45

pub_type

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