Document Detail


What do the suffixes--XR, ER, Chrono, Chronosphere--really mean as it pertains to modified-release antiepileptic drugs?
MedLine Citation:
PMID:  20831540     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Epilepsy is a disease requiring chronic therapy with antiepileptic drugs (AEDs). Many conventional AEDs currently available have either too rapid an absorption or elimination, requiring the patient to take multiple doses per day, which may adversely impact adherence or cause peak-related side-effects. Consequently, some AEDs with immediate-release characteristics have been modified to prolong absorption and/or reduce peak serum concentration, enabling dosage regimen simplification. Modified-release (MR) AED formulations have been labelled with various suffixes or names ('XR, ER, -Chrono, -Chronosphere'), but such labelling may not adequately distinguish those MR AEDs with the most prolonged absorption or unique formulation characteristics. Such suffixes lack precise definition.
OBJECTIVE: We identified the formulation characteristics of currently available MR AEDs, attempting to distinguish them by suffix designation.
DESIGN/METHODS: Nine MR AED formulations, representing six different AEDs, were characterized, utilizing information from FDA-approved inserts (2001 +) and published literature.
RESULTS: The formulation characteristics of commercially available MR AEDs are quite variable and do not appear to correlate with their brand name suffix.
CONCLUSIONS: When all MR AEDs are compared, suffix designations do not provide distinguishable information about formulation characteristics. Clarification of MR AED suffix terminology may be warranted.
Authors:
R C Reed; J Meinhold; S Dutta; W Liu; Y Qiu
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical pharmacy and therapeutics     Volume:  35     ISSN:  1365-2710     ISO Abbreviation:  J Clin Pharm Ther     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-09-13     Completed Date:  2010-12-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704308     Medline TA:  J Clin Pharm Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  373-83     Citation Subset:  IM    
Affiliation:
Department of Neuroscience, Abbott Laboratories, Abbott Park, IL 60064-6075, USA. RonaldCReed@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Anticonvulsants / administration & dosage*,  therapeutic use
Delayed-Action Preparations
Drug Chronotherapy*
Epilepsy / drug therapy
Humans
Terminology as Topic*
Chemical
Reg. No./Substance:
0/Anticonvulsants; 0/Delayed-Action Preparations

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


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