- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo, pentylenetetrazole (BTD-001) / Balance Therap
Preclinical, Journal: Evaluation of the impact of compound C11 a new anticonvulsant candidate on cognitive functions and hippocampal neurogenesis in mouse brain. (Pubmed Central) - Jan 6, 2021 C11 revealed high efficacy in acute animal seizure models such as the maximal electroshock model (MES), the pentylenetetrazole model (PTZ) and the 6 Hz (6 Hz, 32 mA) seizure model, as well as in the kindling model of epilepsy induced by repeated injection of PTZ in mice...The following drugs were used: C11, levetiracetam (LEV), ethosuximide (ETS) and lacosamide (LCM)...A new hybrid compound C11 in contrast to LCM has no negative impact on the process of neurogenesis and neurodegeneration in the mouse hippocampus. Furthermore, chronic treatment with C11 turned out to have no negative impact on cognitive functions of treated mice, which, is certainly of great importance for further more advanced preclinical and especially clinical trials.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Clinical, Journal: Lacosamide Levels in Blood and Breastmilk During Pregnancy and Lactation: A Case Report. (Pubmed Central) - Dec 30, 2020 Furthermore, chronic treatment with C11 turned out to have no negative impact on cognitive functions of treated mice, which, is certainly of great importance for further more advanced preclinical and especially clinical trials. No abstract available
- |||||||||| milrinone / Generic mfg.
[VIRTUAL] Milrinone for cerebral vasospasm following aneurysmal subarachnoid hemorrhage () - Dec 26, 2020 - Abstract #ASHP2020ASHP_3418; A combination of intra-arterial verapamil and intravenous milrinone was started to manage CVS and maintain cardiac output...Per AHA/ASA 2012 guidelines, he was started on oral nimodipine and underwent emergent endovascular repair with aneurysmal coiling...After a 32 day length of stay, the patient was discharged to a rehabilitation facility on aspirin and simvastatin, as well as levetiracetam and lacosamide for seizure prevention...Based off of limited data, milrinone appears to be a safe intervention for CVS in patients with aSAH. Further studies are needed to establish the efficacy and safety of milrinone treatment for CVS.
- |||||||||| Flagyl (metronidazole) / SLA
[VIRTUAL] Refractory seizures secondary to neurocysticercosis () - Dec 26, 2020 - Abstract #ASHP2020ASHP_2914; In ED, she had two more GTCS which required lorazepam for the first episode and repeat of lorazepam with an increase in propofol for the second episode...She was started on ceftriaxone and metronidazole for empiric treatment of post-partum endometritis...The patient was started on albendazole and dexamethasone...This case represents a rare status epilepticus refractory to neurocysticercosis with a patient that was in remission for ten years. It is important to consider neurocysticercosis on the differential in any patient presenting with status epilepticus.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
[VIRTUAL] Efficiency and Safety of Undiluted Intravenous Push Levetiracetam and Lacosamide () - Dec 26, 2020 - Abstract #ASHP2020ASHP_1928; The primary outcome is the time from order entry to medication administration of the initial AED dose ordered for immediate use. Secondary outcomes include time from order entry to pharmacist verification, time from pharmacist verification to medication administration, rate of overdue doses, rate of adverse drug reactions (hypotension, bradycardia, and infusion reactions), and cost.
- |||||||||| Humira (adalimumab) / Eisai, AbbVie, Trileptal (oxcarbazepine) / Novartis
[VIRTUAL] The clinical use of immunosuppressants and anti-epileptic drug therapies in the treatment of Neuro-Behcet's in a patient with unspecified dementia and epileptic seizure () - Dec 26, 2020 - Abstract #ASHP2020ASHP_1699; Treatment was initiated with haloperidol, loxapine, lorazepam, phenytoin, levetiracetam, topiramate, lacosamide, adalimumab, hibiclens, and theragran...For ulcers, PD4 inhibitor apremilast is the only FDA approved medication...Anti-epileptic drugs (AED) phenytoin, oxcarbazepine or carbamazepine can control seizures in most patients...Although the combination of dementia, epilepsy and intellectual disabilities seen together in this patient is rare, it is a predictable complication of NBD. Recognition of these symptoms is critical to initiating appropriate therapy.
- |||||||||| pregabalin / Generic mfg.
Clinical, PK/PD data, Review, Journal: Pharmacodynamic interactions of antiepileptic drugs: From bench to clinical practice. (Pubmed Central) - Dec 18, 2020 The pharmacodynamic lamotrigine-valproate interaction is also supported by synergistic adverse events. Therefore, well-designed double-blind prospective studies recruiting a sufficient number of patients possibly with a crossover design and carefully ascertain the role of pharmacokinetic interactions and variations of AEDs' levels in the blood are needed.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Clinical, Journal: The effect of lacosamide on psychiatric comorbidities in patients with epilepsy. (Pubmed Central) - Dec 17, 2020 LCM polytherapy may have less negative influence on psychiatric comorbidities in patients with epilepsy compared with other antiseizure medications, and may also improve seizure severity. While LCM polytherapy might improve psychiatric symptoms as seizures improve, a small number of patients experienced worsening of psychiatric symptoms despite seizure improvement.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo
Journal: Lacosamide intake during pregnancy increases the incidence of foetal malformations and symptoms associated with schizophrenia in the offspring of mice. (Pubmed Central) - Dec 2, 2020 Neonatal mice born to dams treated with LCM during gestation displayed clear psychomotor delay and behavioural and morphological alterations in the prefrontal cortex, hippocampus and amygdala that were associated with behaviours associated with schizophrenia spectrum disorders in adulthood. We conclude that LCM and its metabolites may have teratogenic effects on the developing embryos, reflected in embryonic lethality and malformations, as well as behavioural and histological alterations in adult mice that resemble those presented by patients with schizophrenia.
- |||||||||| Vimpat (lacosamide) / UCB, Daiichi Sankyo, Aptiom (eslicarbazepine) / Sumitomo Dainippon, Eisai
Journal: Initiating antiepilepsy treatment: An update of expert consensus in Spain. (Pubmed Central) - Nov 28, 2020 With respect to the choice of initial monotherapy depending on the type of epilepsy and the patient's age/sex profile, it is agreed to avoid valproic acid (VPA) in women with childbearing potential, with levetiracetam (LEV) and lamotrigine (LTG) being the preferable options in generalized epilepsy...In the elderly, LEV, lacosamide (LCM), eslicarbazepine acetate (ESL) and LTG are considered the most suitable drugs for initiating treatment...In conclusion, as the ILAE definition states, there are different situations that lead to treatment initiation after a first seizure. When choosing the first ASM, the type of epilepsy, childbearing potential and drug-drug interaction are key factors.
- |||||||||| lamotrigine liquid oral suspension / OWP Pharma
[VIRTUAL] A Case of Ictal Asystole in Temporal Lobe Epilepsy () - Nov 28, 2020 - Abstract #AES2020AES_945; Left TLE in particular is associated with autonomic-induced cardiorespiratory phenomena such as ictal bradycardia and ictal central apnea, due to the role of the left insular region in parasympathetic regulation demonstrated through cortical stimulation and lesional studies. 2, 3.
- |||||||||| Briviact (brivaracetam) / UCB
[VIRTUAL] Brivaracetam: Long term experience in Mexico () - Nov 28, 2020 - Abstract #AES2020AES_905; B: Patients on levetiracetam (LVT) treatment and switched to brivaracetam due to undesirable adverse events...The most common and useful combination was with lacosamide...The primary adverse effect was a long-lasting drowsy-lethargic state, which impeded patients' daily activities. Funding: No funding was required for this study
- |||||||||| sertraline / Generic mfg.
[VIRTUAL] New-onset Binge Eating Disorder After Anterior Temporal Lobe Resection with Amygdalohippocampectomy () - Nov 28, 2020 - Abstract #AES2020AES_465; Overeating to relieve negative affective states and overeating despite aversive consequences have been related to amygdala function. In our patient, with a psychiatric history but no history of eating disorder, amygdalohippocampectomy with anterior temporal lobectomy led to abrupt onset, clinically significant binge-eating that was refractory to medical management and psychologic interventions.
- |||||||||| Actemra IV (tocilizumab) / Roche, JW Pharma, Rituxan (rituximab) / Biogen, Zenyaku Kogyo, Roche, Trileptal (oxcarbazepine) / Novartis
[VIRTUAL] New Onset Refractory Status Epilepticus treated successfully with Tocilizumab () - Nov 28, 2020 - Abstract #AES2020AES_299; Many recent studies have identified cytokines associated with poorly controlled epilepsy. Recent research has shown that uncontrolled seizures lead to an inflammatory cascade, with rising IL-6 levels, blood-brain barrier disruption and seizure propagation.
- |||||||||| eleclazine (GS-6615) / Gilead
Journal: GS-967 and Eleclazine BlockSodium Channels in Human Induced Pluripotent Stem Cell-derived Cardiomyocytes. (Pubmed Central) - Nov 12, 2020 Sodium channel inhibition by GS-967 and eleclazine has unique features including accelerating the onset of slow inactivation and impairing recovery from inactivation. These effects combined with rapid binding and moderate unbinding kinetics explain potent use-dependent block, which we propose contributes to their observed antiarrhythmic efficacy.
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