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Läkemedelsbehandling av epilepsi : Många nya alternativ men måttliga framsteg

Tomson, Torbjörn and Rask, Olof LU (2018) In Läkartidningen 115(21).
Abstract

Pharmacotherapy of epilepsy is usually initiated after two or more unprovoked seizures, a decision that should be made after assessment of the individual risk of further seizures. Antiepileptic drugs (AEDs) are selected based on documented efficacy for the type of seizures, the epilepsy and possible epilepsy syndrome of the patient, taking potential adverse effects and comorbidity into account. For many AEDs, the mechanisms of action are incompletely understood. More than half of patients with newly diagnosed epilepsy achieve sustained seizure freedom with their first or second drug trials. After a prolonged time of seizure freedom discontinuation of therapy may be considered; the risk of relapse after drug withdrawal can be estimated... (More)

Pharmacotherapy of epilepsy is usually initiated after two or more unprovoked seizures, a decision that should be made after assessment of the individual risk of further seizures. Antiepileptic drugs (AEDs) are selected based on documented efficacy for the type of seizures, the epilepsy and possible epilepsy syndrome of the patient, taking potential adverse effects and comorbidity into account. For many AEDs, the mechanisms of action are incompletely understood. More than half of patients with newly diagnosed epilepsy achieve sustained seizure freedom with their first or second drug trials. After a prolonged time of seizure freedom discontinuation of therapy may be considered; the risk of relapse after drug withdrawal can be estimated on the basis of a number of clinical factors. The informed patient’s attitude is essential in all therapy decisions. Treatment is still largely symptomatic, but the future may involve a greater degree of disease-modifying precision medicine.

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Please use this url to cite or link to this publication:
author
and
alternative title
Pharmacotherapy of epilepsy
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
115
issue
21
pages
1 pages
publisher
Swedish Medical Association
external identifiers
  • scopus:85047619408
ISSN
0023-7205
language
Swedish
LU publication?
no
id
e318aae3-7f2b-4bdc-9659-78cacda52ae2
date added to LUP
2018-06-15 14:47:34
date last changed
2022-01-31 04:01:23
@article{e318aae3-7f2b-4bdc-9659-78cacda52ae2,
  abstract     = {{<p>Pharmacotherapy of epilepsy is usually initiated after two or more unprovoked seizures, a decision that should be made after assessment of the individual risk of further seizures. Antiepileptic drugs (AEDs) are selected based on documented efficacy for the type of seizures, the epilepsy and possible epilepsy syndrome of the patient, taking potential adverse effects and comorbidity into account. For many AEDs, the mechanisms of action are incompletely understood. More than half of patients with newly diagnosed epilepsy achieve sustained seizure freedom with their first or second drug trials. After a prolonged time of seizure freedom discontinuation of therapy may be considered; the risk of relapse after drug withdrawal can be estimated on the basis of a number of clinical factors. The informed patient’s attitude is essential in all therapy decisions. Treatment is still largely symptomatic, but the future may involve a greater degree of disease-modifying precision medicine.</p>}},
  author       = {{Tomson, Torbjörn and Rask, Olof}},
  issn         = {{0023-7205}},
  language     = {{swe}},
  month        = {{01}},
  number       = {{21}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Läkartidningen}},
  title        = {{Läkemedelsbehandling av epilepsi : Många nya alternativ men måttliga framsteg}},
  volume       = {{115}},
  year         = {{2018}},
}