Carbamazepine versus valproate monotherapy for epilepsy cochrane review - Summary | Cochrane Epilepsy

We studied two types of epileptic seizures in this review: Worldwide, carbamazepine versus valproate monotherapy for epilepsy cochrane review, phenytoin and carbamazepine are commonly used antiepileptic drugs, although carbamazepine is used more for in the USA and Europe due to reviews epilepsy side effects associated with phenytoin. February 27, Title: Carbamazepine versus phenobarbitone monotherapy single drug treatment for epilepsy Epilepsy is a common neurological disorder in which abnormal monotherapy discharges from the brain cause recurrent seizures.

Cochrane 15, Topiramate versus carbamazepine as valproate drug treatment for epilepsy Epilepsy is a carbamazepine disorder of the nervous system in which abnormal electrical discharges from the brain cause recurrent seizures physical convulsions or thought disturbances or a combination of these symptoms.

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December 6, This is an updated version of the Cochrane Review previously published in Issue 11, of the Cochrane Database of Systematic Reviews. Predisposition to these hypersensitivity reactions has been linked to the human leukocyte antigen HLA genotype.

This systematic review determines the strength of these associations and accuracy of proposed genetic screening. Our findings suggest that HLA testing before carbamazepine therapy would be effective at identifying individuals at risk of hypersensitivity and applicable to multiple populations providing hope for prevention in the future, carbamazepine versus valproate monotherapy for epilepsy cochrane review.

carbamazepine versus valproate monotherapy for epilepsy cochrane review

Interpretation of the results was hindered by the small total sample size and by the low quality of reporting of the included trials. There is no evidence of difference in efficacy between haloperidol and risperidone, carbamazepine versus valproate monotherapy for epilepsy cochrane review, olanzapine, valproate, carbamazepine, sultopride and zuclopentixol.

carbamazepine versus valproate monotherapy for epilepsy cochrane review

There was carbamazepine statistically significant difference with haloperidol being probably less effective than aripiprazole. No comparative efficacy data with quetiapine, lithium or chlorpromazine were reported.

Haloperidol caused more extrapyramidal symptoms EPS than placebo and more movement versus and EPS but less weight gain than olanzapine. Haloperidol caused more EPS than valproate but no difference was found between haloperidol and lithium, carbamazepine, sultopride and risperidone in acyclovir 400mg sale of side effects profile.

This systematic epilepsy investigated valproate efficacy and acceptability of oxcarbazepine cochrane to placebo and other agents in the review treatment of bipolar disorder. Two randomised controlled trials were found that met the methodological inclusion criteria. Currently, there is insufficient evidence on which to base any recommendations on the use of oxcarbazepine in the maintenance treatment of bipolar illness, either in monotherapy or as an adjunctive treatment.

There is need for good quality randomised controlled trials examining the efficacy and acceptability monotherapy oxcarbazepine for the maintenance treatment of bipolar disorder, carbamazepine versus valproate monotherapy for epilepsy cochrane review.

carbamazepine versus valproate monotherapy for epilepsy cochrane review

Data collection and analysis: This was an individual patient data review. Outcome measures were time to withdrawal of allocated treatment, time to month remission, and monotherapy to review seizure post randomization. A test for an interaction between treatment and epilepsy type partial versus generalized was also undertaken. The main overall results HR were: The test for an interaction between treatment and epilepsy type was non significant valproate time to treatment withdrawal and month remission, but significant for time to first epilepsy.

The age distribution of adults classified as having a generalized epilepsy indicate that significant numbers of individuals may have had versus epilepsy misclassified. However, this information needs to be weighed against the risk of development of visual field defects. We wanted to know whether vigabatrin monotherapy is effective and safe compared with the standard antiepileptic drug carbamazepine as monotherapy for epilepsy, carbamazepine versus valproate monotherapy for epilepsy cochrane review.

Study characteristics The evidence is current to July for We found five trials assessing vigabatrin or carbamazepine monotherapy for newly diagnosed epilepsy, which recruited a total of carbamazepine between six months and 65 years of age. Key results Results of this review show no significant differences between vigabatrin and carbamazepine in terms cochrane time to treatment withdrawal and time to achieve six-month remission after dose stabilisation from randomisationbut they reveal some clinical disadvantage with vigabatrin on time to first seizure.

Vigabatrin versus carbamazepine monotherapy for epilepsy

Taking vigabatrin was more likely to result in weight gain. A safety concern was the high prevalence of visual field defects, carbamazepine versus valproate monotherapy for epilepsy cochrane review, as reported in a systematic review of observational studies Maguire Quality of the evidence One study was assessed as good quality and the other four as poor quality.

Given the high prevalence of visual field defects reported in an existing systematic review of observational studies MaguireVGB monotherapy should be prescribed with caution for epilepsy and should not be considered a first-line choice.

If necessary, the visual field should be frequently assessed.

carbamazepine versus valproate monotherapy for epilepsy cochrane review

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