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Pharmacokinetics and Interaction Profile of Topiramate: Review and Comparison with Other Newer Antiepileptic Drugs
Authors:S I Johannessen
Institution:The National Center for Epilepsy, Sandvika, Norway
Abstract:Summary: Standard antiepileptic drugs (AEDs) have a number of pharmacokinetic shortcomings, and AEDs with more favorable profiles would be preferred. The pharmacokinetics and interaction profile of the recently developed AED topiramate (TPM), is reviewed and compared with those of other newer AEDs including lamotrigine (LTG), gabapentin (GBP), vigabatrin (VGB), and oxcarbazepine (OCBZ). Although none of these agents meets all of the criteria of the "ideal" AED from the pharmacokinetic standpoint, a number of these drugs, including TPM, have desirable properties that distinguish them from the older AEDs and should contribute to their clinical utility.
Keywords:Anticonvulsants  Topiramate  Phenytoin  Carbamazepine  Valproate  Lamotrigine  Gabapentin  Vigabatrin  Oxcarbazepine  Drug therapy  Pharmacokinetics  Drug monitoring  Drug toxicity
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