- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo, lamotrigine liquid oral suspension / OWP Pharma
Preclinical, Journal: Simultaneous Determination of Lamotrigine, Oxcarbazepine, Lacosamide, and Topiramate in Rat Plasma by Ultra-Performance Liquid Chromatography-Tandem Mass Spectrometry. (Pubmed Central) - Mar 25, 2022 The matrix effect was within 91%-105%, and the recovery was better than 88%. The established UPLC-MS/MS method was successfully applied to the pharmacokinetic study of lamotrigine, oxcarbazepine, lacosamide, and topiramate in rats.
- |||||||||| Fycompa (perampanel) / Eisai
Observational data, Retrospective data, Journal: Effectiveness and safety of perampanel in Chinese paediatric patients (2-14 years) with refractory epilepsy: a retrospective, observational study. (Pubmed Central) - Mar 8, 2022 Perampanel was more effective in patients concomitantly treated with levetiracetam, however, this did not result in significantly more adverse events, including aggression. The present study suggests that perampanel, with or without concomitant oxcarbazepine or levetiracetam, is generally safe, well-tolerated, and efficacious in paediatric patients with uncontrolled epilepsy in a clinical setting.
- |||||||||| pregabalin / Generic mfg., gabapentin / Generic mfg.
A Rare Case of Postherpetic Wallerian Degeneration of the Trigeminal nerve (Poster Hall) - Mar 6, 2022 - Abstract #AAN2022AAN_3959; The pustular lesions resolved with valacyclovir treatment...We attempted to treat her with gabapentin and pregabalin, but she did not tolerate these medications due to dizziness and fatigue...Most recently, we increased the oxcarbazepine dosage and restarted pregabalin. Insults to CN V by herpes zoster reactivation may result in extensive Wallerian degeneration of CN V and its spinal nuclei, giving rise to atypical and medically refractory symptoms of PHTN.
- |||||||||| amitriptyline / Generic mfg., gabapentin / Generic mfg., duloxetine / Generic mfg.
Red Ear Syndrome (Poster Hall) - Mar 6, 2022 - Abstract #AAN2022AAN_3349; This suggests the possibility of using a sodium channel blocker, such as lidocaine infusion acutely, or oral mexiletine for maintenance. This case provides further insight into another management approach of this rare entity that may be confused with erythromelalgia.
- |||||||||| zonisamide / Generic mfg., levetiracetam / Generic mfg., oxcarbazepine / Generic mfg.
A Case of CHD2 Epileptic Encephalopathy (Poster Hall) - Mar 6, 2022 - Abstract #AAN2022AAN_3326; This case demonstrates an example of genetic testing providing a diagnosis that directly impacted patient care. Improved seizure control was attained when the genetic diagnosis suggested a generalized-onset epilepsy that was exacerbated by a narrow-spectrum anti-seizure medication, despite focal epileptiform discharges on EEG.
- |||||||||| ketamine / Generic mfg.
New-Onset Refractory Status Epilepticus After Pfizer-BioNTech COVID-19 Vaccination (Poster Hall) - Mar 6, 2022 - Abstract #AAN2022AAN_3093; To our knowledge, this is the first case of NORSE reported after Pfizer COVID-19 vaccination. While no test exists to definitively establish causality, these findings warrant further investigation of the possible association between COVID-19 vaccination and autoimmune encephalitis.
- |||||||||| pregabalin / Generic mfg., gabapentin / Generic mfg.
Safety Profiles of Second-Generation Antiseizure Medications: A Pharmacovigilance Study (Poster Hall) - Mar 6, 2022 - Abstract #AAN2022AAN_2885; This comprehensive analysis of postmarketing data from the FDA Adverse Event Database shows differences in safety profiles between new generation ASMs. Rigorous post-market surveillance and further research is required to better understand the long-term safety of these drugs to make informed clinical decisions.
- |||||||||| carbamazepine / Generic mfg.
Recurrent Progressive Peripheral Vertigo: Revisiting Vestibular Paroxysmia (Poster Hall) - Mar 6, 2022 - Abstract #AAN2022AAN_2641; Diagnosis is based on: at least ten attacks of spontaneous spinning or non-spinning vertigo, duration <1 minute, stereotyped phenomenology, response to treatment with carbamazepine/oxcarbazepine and not better accounted for by another diagnosis. This case looks into the findings of vestibular paroxysmia, its work-up, and potential other diagnoses that need to be excluded (i.e. BPPV, Meniere’s disease, Vestibular Neuritis, Labyrinthitis) as it’s an uncommon cause of peripheral vertigo.
- |||||||||| acetylcysteine solution / Generic mfg., carbamazepine / Generic mfg.
Vestibular Paroxysmia Successfully Treated with N-acetylcysteine: A Case Report (Poster Hall) - Mar 6, 2022 - Abstract #AAN2022AAN_2640; This case looks into the findings of vestibular paroxysmia, its work-up, and potential other diagnoses that need to be excluded (i.e. BPPV, Meniere’s disease, Vestibular Neuritis, Labyrinthitis) as it’s an uncommon cause of peripheral vertigo. N-acetylcysteine should be considered an alternative treatment for vestibular paroxysmia especially when comorbidities or patient preference preclude treatment with oxcarbazepine and carbamazepine.
- |||||||||| Briviact (brivaracetam) / UCB
Real-world Study of Brivaracetam in the United States () - Mar 6, 2022 - Abstract #AAN2022AAN_1569; Main eligibility criteria included a history of focal seizures, age ≥16 years, and lifetime history or concomitant use of ≥1 of four specific antiseizure medications (ASMs): levetiracetam/lamotrigine/oxcarbazepine/carbamazepine. BRV demonstrated long-term effectiveness in this US observational study.
- |||||||||| carbamazepine / Generic mfg., oxcarbazepine / Generic mfg.
Maternal Symptomatic Toxicity and Oxcarbazepine Free Fraction during Pregnancy in Women with Epilepsy () - Mar 6, 2022 - Abstract #AAN2022AAN_1566; Adjusting oxcarbazepine dosages during pregnancy to maintain the individualized baseline target concentration based on total MHD serum concentrations may result in maternal symptomatic toxicity and undue fetal over-exposure to oxcarbazepine. Free MHD concentrations should be made available for therapeutic drug monitoring use during pregnancy.
- |||||||||| Journal: Nonopioid drugs for pain. (Pubmed Central) - Mar 3, 2022
Studies are needed to determine whether these children could benefit from adjunct bone fragility therapies. No abstract available
- |||||||||| gabapentin / Generic mfg.
Clinical, Review, Journal: Neurodevelopmental outcomes in children exposed to newer antiseizure medications: A systematic review. (Pubmed Central) - Feb 25, 2022 Exposure to certain newer ASMs, such as lamotrigine and levetiracetam, does not thus far appear to impact certain aspects of neurodevelopment, but further delineation across the different neurodevelopmental domains and dosage levels is required. A lack of data cannot be inferred to represent safety of newer ASMs, which are yet to be investigated.
- |||||||||| carbamazepine / Generic mfg.
Review, Journal: Research Progress on the Effect of Epilepsy and Antiseizure Medications on PCOS Through HPO Axis. (Pubmed Central) - Feb 19, 2022 In addition, patients receiving other anti-seizure medications (ASMs), such as lamotrigine (LTG), oxcarbazepine (OXC), and carbamazepine (CBZ), also have reproductive endocrine abnormalities...ASMs may also cause PCOS-like disorders of the reproductive endocrine system through the HPO axis. Moreover, other factors such as hormone metabolism and related signalling pathways also play a role in it.
- |||||||||| oxcarbazepine / Generic mfg.
Clinical, Journal: Vestibular paroxysmia caused by contralateral tortuous vertebral artery: A case report. (Pubmed Central) - Feb 12, 2022 The neurovascular cross-compression of the vestibulocochlear nerve by the contralateral vertebral artery tortuosity can cause VP. Periodic paroxysms of right-beating nystagmus accompanying the left-side tinnitus during vertigo attacks in our patient can be explained by secondary central hyperactivity in both vestibular and cochlear nuclei following long-standing neurovascular cross-compression.
- |||||||||| oxcarbazepine / Generic mfg.
Journal: Oxcarbazepine May Be Useful in Sydenham Chorea. (Pubmed Central) - Feb 4, 2022 Thus, 6-ND modulates RIEVD contractility, and desipramine, clomipramine, amitriptyline, cyclobenzaprine and carbamazepine act as selective 6-ND receptor antagonists. No abstract available
- |||||||||| Abilify Maintena (aripiprazole depot formulation) / Otsuka, Lundbeck
Retrospective data, Review, Journal: Mood stabilizers and/or antipsychotics for bipolar disorder in the maintenance phase: a systematic review and network meta-analysis of randomized controlled trials. (Pubmed Central) - Jan 28, 2022 The second included studies on second-generation antipsychotic combination therapies (SGAs) (i.e., aripiprazole, lurasidone, olanzapine, quetiapine, and ziprasidone) with lithium or valproate (LIT/VAL) compared with placebo with LIT/VAL...Lurasidone+LIT/VAL and quetiapine+LIT/VAL outperformed placebo+LIT/VAL for all-cause discontinuation. Treatment efficacy, tolerability, and safety profiles differed among treatments.
- |||||||||| lamotrigine liquid oral suspension / OWP Pharma
Journal: Seizures in Fragile X Syndrome: Associations and Longitudinal Analysis of a Large Clinic-Based Cohort. (Pubmed Central) - Jan 18, 2022 Overall, this study confirms previous reports of seizures in FXS and extends previous findings by further defining the cognitive and behavioral phenotype of those with epilepsy in FXS. Future studies should further investigate the natural history of seizures in FXS and the characteristics of seizures in FXS in adulthood.
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