Document Detail


Levetiracetam monotherapy for elderly patients with epilepsy.
MedLine Citation:
PMID:  14741184     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We retrospectively identified 14 elderly patients with a history of partial seizures who received levetiracetam (LEV) monotherapy. Patients began LEV either as first line therapy (n=5) or were converted to LEV monotherapy (n=9) after failing prior antiepileptic medications (AEDs). Thirteen patients continued on LEV monotherapy for at least 6 months. One patient was lost to follow-up. Eight patients (61.5%) became seizure free. Four patients who began LEV as a first line therapy became seizure free, whereas the remaining four patients who converted to LEV after they failed their previous AEDs became seizure free. Four patients (30.7%) had more than a 50% seizure reduction of seizures. Only one patient had no significant change in seizure frequency after started on LEV. The total dosages used to control seizures were 500-3000 mg/day, (mean 1839.2 mg/day). LEV monotherapy can be effective and well tolerated in this group of patients. A prospective, larger, double blind monotherapy study is needed to confirm this finding.
Authors:
Taoufik M Alsaadi; Suzanne Koopmans; Michelle Apperson; Sarah Farias
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Seizure : the journal of the British Epilepsy Association     Volume:  13     ISSN:  1059-1311     ISO Abbreviation:  Seizure     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-01-26     Completed Date:  2004-03-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9306979     Medline TA:  Seizure     Country:  England    
Other Details:
Languages:  eng     Pagination:  58-60     Citation Subset:  IM    
Affiliation:
Department of Neurology, Epilepsy Treatment Center, University of California, Davis, Sacramento, CA 95817, USA. taoufik.alsaadi@ucdmc.ucdavis.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anticonvulsants / therapeutic use*
Dose-Response Relationship, Drug
Epilepsy / drug therapy*
Female
Humans
Male
Middle Aged
Piracetam / analogs & derivatives*,  therapeutic use*
Retrospective Studies
Chemical
Reg. No./Substance:
0/Anticonvulsants; 33996-58-6/etiracetam; 7491-74-9/Piracetam

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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