Advancing the medical management of epilepsy: disease modification and pharmacogenetics.

Abstract:

:Despite the recent development of new antiepilepsy drugs, a significant number of children are still unable to achieve seizure freedom without side effects. Understanding the factors behind individual variability in antiepilepsy drug tolerability and dose response and incorporating these factors into a treatment plan would represent an important advance in epilepsy pharmacotherapy. A more thorough understanding of the epileptogenic process may allow clinicians to select antiepilepsy drugs that interrupt or modify various steps in the epileptogenic progression (ie, disease modification). Additionally, advances in the understanding of human genetics may allow for selection of antiepilepsy drugs and dosage regimens based on a patient's clinical characteristics and genotype (ie, pharmacogenetics). This article focuses on these two areas of potential improvement in the medical treatment of patients with epilepsy. Such methods of tailoring antiepilepsy drug therapy would be preferable to the trial-and-error system that is currently used.

journal_name

J Child Neurol

authors

Glauser TA

doi

10.1177/08830738020170011301

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

S85-93

eissn

0883-0738

issn

1708-8283

journal_volume

17 Suppl 1

pub_type

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