Efficacy, safety, and potential of extended-release lamotrigine in the treatment of epileptic patients

Barbara Błaszczyk1,2, Stanisław J Czuczwar3,41Department of Neurology, Neuropsychiatric Hospital, Kielce, Poland; 2Faculty of Health Sciences, High School of Economics and Law, Kielce, Poland; 3Department of Pathophysiology, Medical University, Lublin, Poland; 4Department of Physiopathology, Institu...

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Autores principales: Barbara Błaszczyk, Stanisław J Czuczwar
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Publicado: Dove Medical Press 2010
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spelling oai:doaj.org-article:d3bf1a42e72c4b09a8bb482a3709abbd2021-12-02T04:58:34ZEfficacy, safety, and potential of extended-release lamotrigine in the treatment of epileptic patients1176-63281178-2021https://doaj.org/article/d3bf1a42e72c4b09a8bb482a3709abbd2010-04-01T00:00:00Zhttp://www.dovepress.com/efficacy-safety-and-potential-of-extended-release-lamotrigine-in-the-t-a4296https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Barbara Błaszczyk1,2, Stanisław J Czuczwar3,41Department of Neurology, Neuropsychiatric Hospital, Kielce, Poland; 2Faculty of Health Sciences, High School of Economics and Law, Kielce, Poland; 3Department of Pathophysiology, Medical University, Lublin, Poland; 4Department of Physiopathology, Institute of Agricultural Medicine, Lublin, PolandAbstract: Epilepsy is a frequent, chronic disease demanding long-term medication with antiepileptic drugs (AEDs). When slow release formulations of AEDs are used the chance of compliance and control of seizures is increased. Lamotrigine (LTG) is a broad spectrum antiepileptic drug (AED), effective against both generalized and partial seizures. Its immediate-release formulation (LTG-IR) requires twice-daily dosing. In contrast, an extended-release formulation (LTG-XR) may be given once daily, providing a flatter dose-concentration curve with apparently lower maximum serum levels. Simplified dosing positively affects compliance and LTG-XR has a similar profile of efficacy and tolerability to LTG-IR. Rashes, including Stevens–Johnson syndrome, are the most serious adverse effect impacting 0.8% of pediatric patients. Thus, LTG-XR should be discontinued upon the appearance of rash.Keywords: epilepsy, antiepileptic drugs, extended-release, lamotrigine, adverse reactions, tolerability, pharmacokinetics Barbara BłaszczykStanisław J CzuczwarDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2010, Iss Issue 1, Pp 145-150 (2010)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Barbara Błaszczyk
Stanisław J Czuczwar
Efficacy, safety, and potential of extended-release lamotrigine in the treatment of epileptic patients
description Barbara Błaszczyk1,2, Stanisław J Czuczwar3,41Department of Neurology, Neuropsychiatric Hospital, Kielce, Poland; 2Faculty of Health Sciences, High School of Economics and Law, Kielce, Poland; 3Department of Pathophysiology, Medical University, Lublin, Poland; 4Department of Physiopathology, Institute of Agricultural Medicine, Lublin, PolandAbstract: Epilepsy is a frequent, chronic disease demanding long-term medication with antiepileptic drugs (AEDs). When slow release formulations of AEDs are used the chance of compliance and control of seizures is increased. Lamotrigine (LTG) is a broad spectrum antiepileptic drug (AED), effective against both generalized and partial seizures. Its immediate-release formulation (LTG-IR) requires twice-daily dosing. In contrast, an extended-release formulation (LTG-XR) may be given once daily, providing a flatter dose-concentration curve with apparently lower maximum serum levels. Simplified dosing positively affects compliance and LTG-XR has a similar profile of efficacy and tolerability to LTG-IR. Rashes, including Stevens–Johnson syndrome, are the most serious adverse effect impacting 0.8% of pediatric patients. Thus, LTG-XR should be discontinued upon the appearance of rash.Keywords: epilepsy, antiepileptic drugs, extended-release, lamotrigine, adverse reactions, tolerability, pharmacokinetics
format article
author Barbara Błaszczyk
Stanisław J Czuczwar
author_facet Barbara Błaszczyk
Stanisław J Czuczwar
author_sort Barbara Błaszczyk
title Efficacy, safety, and potential of extended-release lamotrigine in the treatment of epileptic patients
title_short Efficacy, safety, and potential of extended-release lamotrigine in the treatment of epileptic patients
title_full Efficacy, safety, and potential of extended-release lamotrigine in the treatment of epileptic patients
title_fullStr Efficacy, safety, and potential of extended-release lamotrigine in the treatment of epileptic patients
title_full_unstemmed Efficacy, safety, and potential of extended-release lamotrigine in the treatment of epileptic patients
title_sort efficacy, safety, and potential of extended-release lamotrigine in the treatment of epileptic patients
publisher Dove Medical Press
publishDate 2010
url https://doaj.org/article/d3bf1a42e72c4b09a8bb482a3709abbd
work_keys_str_mv AT barbarabłaszczyk efficacysafetyandpotentialofextendedreleaselamotrigineinthetreatmentofepilepticpatients
AT stanisławjczuczwar efficacysafetyandpotentialofextendedreleaselamotrigineinthetreatmentofepilepticpatients
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