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拉莫三嗪添加和替换治疗癫痫的疗效 被引量:4

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摘要 目的探讨服用传统抗癫痫药物,发作得不到有效控制的癫痫患者,使用拉莫三嗪添加和替换治疗,观察疗效及不良反应。方法挑选75例服用苯妥英钠、丙戊酸或卡马西平发作得不到有效控制的癫痫患者,加用抗癫痫新药拉莫三嗪治疗,加至目标剂量后逐渐减去原用药物,观察疗效及不良反应。结果替换至拉莫三嗪单药治疗后,75例患者中,发作完全控制17例(22.7%),显效22例(29.3%),有效17例(22.7%),无效16例(18.6%),恶化3例(2.9%)。仅有8例出现药物不良反应,但不影响药物使用。结论拉莫三嗪是替换传统抗癫痫药物治疗的安全有效药物。
作者 许坤 黄希顺
出处 《中国实用医刊》 2011年第16期113-114,共2页 Chinese Journal of Practical Medicine
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  • 1Patsalos PN, Berry DJ, Bourgeois BF, et al. Antiepileptic drugs—best practice guidelines for therapeutic drug monitoring: a positionpaper by the subcommission on therapeutic drug monitoring, ILAECommission on Therapeutic Strategies. Epilepsia,2008,49 ( 7 ):1239-1276.
  • 2Sondergaard KM,Nielsen KA,Dahl M,et al. Lamotrigine therapeu-tic thresholds. Seizure,2008,17(5) :391-395.
  • 3Contin M,Balboni M,Callegati E,et al. Simultaneous liquid chro-matographic determination of lamotrigine,oxcarbazepine monohy-droxy derivative and felbamate in plasma of patients with epilepsy.J Chromatogr B Analyt Technol Biomed Life Sci ’ 2005,828 (1-2):113-117.
  • 4Beck 0,Ohman I,Nordgren HK. Determination of lamotrigine andits metabolites in human plasma by liquid chromatography-massspectrometry. Ther Drug Monit, 2006,28(5) :603-607.
  • 5Johannessen SI. Can pharmacokinetic variability be controlled forthe patient's benefit the place of TDM for new AEDs. Ther DrugMonit,2005,27(6) :710-713.
  • 6Yamamoto Y,Inoue Y,Matsuda K,et al. Influence of concomitantantiepileptic drugs on plasma lamotrigine concentration in adultJapanese epilepsy patients. Biol Pharm Bull,2012,35 (4) :487-493.
  • 7Argikar UA,Remmel RP. Variation in glucuronidation of lamotrigi-ne in human liver microsomes. Xenobiotica, 2009,39 (5 ) :355-363.
  • 8Reinsberger C,Dorn T,Kramer G. Smoking reduces serum levels oflamotrigine. Seizure,2008,17(7) :651-653.
  • 9Reddy DS. Clinical pharmacokinetic interactions between antiepi-leptic drugs and hormonal contraceptives. Expert Rev Clin Pharma-col,2010,3(2) :183-192.
  • 10Fotopoulou C,Kretz R,Bauer S,et al. Prospectively assessed chan-ges in lamotrigine-concentration in women with epilepsy duringpregnancy, lactation and the neonatal period. Epilepsy Res, 2009,85(l):60-64.

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