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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1988-2-4
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pubmed:abstractText |
A double-blind randomized crossover design trial of carbamazepine (CBZ) and oxcarbazepine (OCBZ) was performed with 48 in-patients with epilepsy. All were stabilized on polytherapy including CBZ and had at least two seizures per week. CBZ was replaced by the trial medication. Each trial period started with a titration, followed by a 12-week steady state. Concomitant medications were kept constant during the trial. The criteria for assessment were seizure fit frequency and severity; tolerability; hematology and blood chemistry; plasma levels of antiepileptic drugs; EEG; cardiovascular parameters; and treatment preference. The following differences regarding OCBZ were detected: 9% reduction of the total number of seizures, with a significant reduction of tonic-clonic (20%) and tonic (31%) seizures; increased alertness and concentration ability in five patients; an allergic skin reaction with CBZ that completely disappeared in two patients while receiving OCBZ; an increase of valproate and phenytoin plasma levels in a number of patients, probably caused by reduced enzyme induction; a slight but significant reduction of serum Na, not causing clinical symptoms; less seizures than in the CBZ period in 25 patients (52%); and a preference for OCBZ in 23 patients (48%). We consider OCBZ at least as effective as CBZ with a slightly better tolerability. In severe cases, the wider therapeutic window might improve seizure control.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0013-9580
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
28
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
|
pubmed:pagination |
693-8
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:3319537-Adolescent,
pubmed-meshheading:3319537-Adult,
pubmed-meshheading:3319537-Anticonvulsants,
pubmed-meshheading:3319537-Carbamazepine,
pubmed-meshheading:3319537-Clinical Trials as Topic,
pubmed-meshheading:3319537-Double-Blind Method,
pubmed-meshheading:3319537-Epilepsy,
pubmed-meshheading:3319537-Female,
pubmed-meshheading:3319537-Humans,
pubmed-meshheading:3319537-Male,
pubmed-meshheading:3319537-Middle Aged,
pubmed-meshheading:3319537-Random Allocation,
pubmed-meshheading:3319537-Seizures,
pubmed-meshheading:3319537-Time Factors
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pubmed:articleTitle |
Oxcarbazepine (GP 47.680): a possible alternative to carbamazepine?
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pubmed:affiliation |
Instituut voor Epilepsiebestrijding, Heemstede, The Netherlands.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|