Epilepsy and Seizure Medication
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MONOTHERAPY is a realistic goal - See results from a study showing that more patients achieved seizure control with their first antiepileptic drug monotherapy than with their second  monotherapy. Go

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Adult Efficacy

For your adult patients with breakthrough partial seizures, The goal is added control

Patients experienced additional partial seizure control when TRILEPTAL therapy was added to 1 or 2 other antiepileptic drugs (AEDs)

Reduction in frequency of partial seizures with TRILEPTAL adjunctive therapy1,2

Graph - Reduction in partial seizure frequency over 28 weeks

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Adult Efficacy
Pediatric Efficacy
First-line Use
TRILEPTAL vs CBZ
Multicenter, randomized, double-blind, placebo-controlled, fixed-dose trial of 692 patients aged 15 to 65 years (n=519 intent-to-treat TRILEPTAL patients)—28-week, double-blind treatment phase. Median numbers of partial seizures per 28 days at baseline were: placebo (8.6); TRILEPTAL 600 mg (9.6); TRILEPTAL 1200 mg (9.8); TRILEPTAL 2400 mg (10.0). P values are for comparison with placebo.1,2

Clear dose response across effective dosage range of 600 to 2400 mg/day1,2
Prior to the addition of TRILEPTAL, patients were taking up to 3 AEDs, including1,2

—Carbamazepine (75%) —Valproate (25%)
—Phenytoin (21%) —Lamotrigine (13%)

Study limitations

36% of patients in the 1200-mg/day group and 67% in the 2400-mg/day group discontinued therapy due to adverse events (central nervous system [CNS]- and dose-related)2

— No dosage adjustments were permitted for TRILEPTAL or the concomitant AEDs2
— A rapid forced-titration schedule was required by the study protocol during the first 3 weeks of therapy2

References:
1. Data on file. Novartis Pharmaceuticals Corporation, East Hanover, NJ.
2. Barcs G, Walker EB, Elger CE, et al. Oxcarbazepine placebo-controlled, dose-ranging trial in refractory partial epilepsy. Epilepsia. 2000;41:1597-1607.




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