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Published on: May 9, 2025
Seizures as a Potential Complication of Treatment With Simeprevir and Sofosbuvir
Gaurav Syal1, Seth D Heldenbrand, Andres Duarte-Rojo
11Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR; and 2Department of Clinical Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR.
Abstract:
Newer direct-acting antiviral agents have revolutionized the medical management of chronic hepatitis C. In addition to being extremely efficacious, they report very mild adverse drug reactions from experience in clinical trials. However, because they are relatively new on the horizon, postmarketing surveillance studies refining the safety profile are not yet available. We present a case of seizures as a potential side effect of antiviral therapy with sofosbuvir and simeprevir.
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Seizures: Classification
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:

