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[Not Available].

Régis Bouquié1, Eric Dailly1, Danièle Bentué-Ferrer2

  • 1Service de Pharmacologie Clinique, CHU de Nantes, Nantes, France; EA 4275 Biostatistique, Recherche Clinique et Mesures Subjectives en Santé, Faculté de Médecine-Pharmacie, Université de Nantes, France.

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|July 10, 2016
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Summary
This summary is machine-generated.

Oxcarbazepine

Keywords:
MHDTrileptal®oxcarbazepineoxcarbazépinesuivi thérapeutique pharmacologiquetherapeutic drug monitoring

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Area of Science:

  • Pharmacology and Neurology
  • Clinical Chemistry

Context:

  • Oxcarbazepine is an antiepileptic drug, an analogue of carbamazepine.
  • The active metabolites, mono-hydroxylated derivatives (MHD), are crucial for its anticonvulsant effect.
  • Therapeutic drug monitoring (TDM) of MHD is considered for optimizing treatment.

Purpose:

  • To evaluate the clinical utility of therapeutic drug monitoring (TDM) for oxcarbazepine's mono-hydroxylated derivatives (MHD).
  • To determine the established relationship between MHD plasma concentrations and drug efficacy or toxicity.

Summary:

  • No well-established correlation exists between MHD plasma concentrations and oxcarbazepine's efficacy or toxicity.
  • While typical therapeutic MHD levels range from 12 to 30 mg/L, routine TDM is not consistently justified.
  • Pharmacokinetic variability of oxcarbazepine necessitates careful consideration for TDM.

Impact:

  • Routine TDM of oxcarbazepine's MHD is not generally recommended.
  • TDM may be beneficial in specific patient populations, including pregnant women or those with renal insufficiency.
  • Further research is needed to define precise therapeutic ranges and indications for TDM.