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Published on: May 16, 2019
New antiepileptic agents
Linda P Nelson1, Ilse Savelli-Castillo
1Department of Pediatric Dentistry, Children 's Hospital, Boston, Mass, USA.
Insights
Seven new antiepileptic drugs (AEDs) approved since 1993 offer improved treatment for refractory childhood epilepsy. These medications provide better outcomes for about 25% of pediatric patients previously unresponsive to traditional therapies.
Area of Science:
- Neurology
- Pediatric Medicine
- Pharmacology
Background:
- Epilepsy treatment in children has seen limited advancements for many years.
- The US Food and Drug Administration (FDA) has approved new antiepileptic drugs (AEDs) starting in 1993.
- A significant portion of pediatric patients remain refractory to conventional antiepileptic drug therapies.
Purpose of the Study:
- To provide an update on new antiepileptic drugs (AEDs) for the pediatric population.
- To summarize the efficacy and side effects of newly approved AEDs in children.
- To inform pediatric dentists about advancements in childhood epilepsy treatment.
Main Methods:
- Review of recent US FDA approvals for antiepileptic drugs (AEDs).
- Summary of available information on the efficacy of new AEDs in pediatric patients.
- Compilation of data on the side effect profiles of these new AEDs in children.
Main Results:
- Seven new AEDs have been introduced in the United States since 1993.
- These new AEDs offer more successful treatment outcomes for approximately 25% of pediatric patients with refractory epilepsy.
- The new AEDs include felbamate, gabapentin, lamotrigine, topiramate, tiagabine, vigabatrin, and oxcarbazepine.
Conclusions:
- Recent FDA-approved AEDs represent a significant therapeutic improvement for childhood epilepsy.
- Newer antiepileptic drugs provide viable options for pediatric patients who do not respond to older medications.
- Understanding the efficacy and side effects of these AEDs is crucial for managing pediatric epilepsy.
Abstract:
Recent US Food and Drug Administration approval of new antiepileptic drugs (AEDs) offers a significant improvement in the treatment of childhood epilepsy. After a period of many years, during which no new AEDs became available, 7 new AEDs were introduced in the United States beginning in 1993. Approximately 25% of pediatric patients who remain refractory to therapy with conventional epileptic drugs now have the availability of more successful outcomes with several new drugs. These new drugs include felbamate, gabapentin, lamotrigine, topiramate, tiagabine, vigabatrin, oxcarbazepine. Information regarding the efficacy of these AEDs, as well as their side effects in the pediatric population has been summarized as an update for the pediatric dentist.
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