The relation of anticonvulsant drug levels to complete seizure control.

Abstract:

:This study was undertaken to determine the relationship of serum ACD levels to dosage in a group of patients who had been seizure free for at least two years. It demonstrated that some patients remain completely seizure free with DPH and/or phenobarbital serum concentrations which are well below the reported "optimal" therapeutic ranges. In addition, medicating patients with anti-convulsant drugs solely on the basis of mg/kg of body weight does not assure optimal ACD levels in any given patient. Certain patients can be maintained completely seizure free controlled with DPH and/or Pb levels of less than 10 micrograms/ml. There are several explanations for the medication concentrations observed in these patients: (1) patient noncompliance in ingestion of prescribed medication; (2) altered drug utilization; (3) a mild focus which is maintained under control with lower DPH levels than those necessary to control a more active focus; or (4) epilepsy in remission. Our observations emphasize the importance of individual regulation of medications for seizure control.

journal_name

J Clin Pharmacol

authors

Feldman RG,Pippenger CE

doi

10.1002/j.1552-4604.1976.tb01491.x

subject

Has Abstract

pub_date

1976-01-01 00:00:00

pages

51-9

issue

1

eissn

0091-2700

issn

1552-4604

journal_volume

16

pub_type

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