Advances in anti-epileptic drug testing

作者：Krasowski Matthew D^*; McMillin Gwendolyn A

来源：Clinica Chimica Acta, 2014, 436: 224-236.

DOI：10.1016/j.cca.2014.06.002

• Anticonvulsants
• Drug monitoring
• Drug toxicity
• Epilepsy
• Seizures

In the past twenty-one years, 17 new antiepileptic drugs have been approved for use in the United States and/or Europe. These drugs are clobazam, ezogabine (retigabine), eslicarbazepine acetate, felbamate, gabapentin, lacosamide, lamotrigine, levetiracetam, oxcarbazepine, perampanel, pregabalin, rufinamide, stiripentol, tiagabine, topiramate, vigabatrin and zonisamide. Therapeutic drug monitoring is often used in the clinical dosing of the newer anti-epileptic drugs. The drugs with the best justifications for drug monitoring are lamotrigine, levetiracetam, oxcarbazepine, stiripentol, and zonisamide. Perampanel, stiripentol and tiagabine are strongly bound to serum proteins and are candidates for monitoring of the free drug fractions. Alternative specimens for therapeutic drug monitoring are saliva and dried blood spots. Therapeutic drug monitoring of the new anti-epileptic drugs is discussed here for managing patients with epilepsy.

• 出版日期2014-9-25