High-dose monotherapy in treatment of intractable seizures.

Abstract:

:We evaluated the therapeutic efficacy and toxicity of high-dose monotherapy, using carbamazepine or phenytoin, in patients with previously uncontrolled seizures. Treatment with a single drug was equal to or better than polypharmacy, but only a few patients became free of seizures. Toxicity was mild and associated with higher total plasma levels after polypharmacy. Free fractions ranged from 0.14 to 0.30 for carbamazepine and from 0.60 to 0.13 for phenytoin. Toxicity was associated with free phenytoin levels above 3 micrograms/ml; there was no clear relationship between free carbamazepine level and toxicity.

journal_name

Neurology

journal_title

Neurology

authors

Lesser RP,Pippenger CE,Lüders H,Dinner DS

doi

10.1212/wnl.34.6.707

subject

Has Abstract

pub_date

1984-06-01 00:00:00

pages

707-11

issue

6

eissn

0028-3878

issn

1526-632X

journal_volume

34

pub_type

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