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 adult patients experiencing breakthrough partial seizures, the goal of control is conversion to monotherapy

TRILEPTAL monotherapy achieved greater control in adult patients still experiencing partial seizures on up to 2 antiepileptic drugs (AEDs)

Significant reduction in frequency of partial seizures following conversion to TRILEPTAL monotherapy1,2

Graph - Reduction in partial seizure frequency over 126 days

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Adult Efficacy
Pediatric Efficacy
First-line Use
TRILEPTAL vs CBZ
Multicenter, randomized, double-blind, dose-controlled, monotherapy substitution trial in 87 patients aged 11 to 66 years (n=41 intent-to-treat [ITT] patients receiving 2400 mg/day of TRILEPTAL; n=46 ITT patients receiving 300 mg/day of TRILEPTAL as the control group)— 126-day, double-blind treatment phase. Median numbers of partial seizures per 28 days at baseline were 10.5 for the 2400 mg/day group and 6.5 for the control group.1,2

Prior to being converted to TRILEPTAL (2400 mg/day), patients were experiencing a median of 10.5 seizures per 28 days while taking therapeutic doses of up to 2 AEDs, including1

—Carbamazepine (54%) —Phenytoin (20%)
—Valproate (15%) —Lamotrigine (12%)
—Gabapentin (10%)


For the long term,
the goal is continued monotherapy control

Long-term, open-label extension:

Data from 51% of patients who remained on TRILEPTAL monotherapy for up to 2 years3

Graph - Reduction in partial seizure frequency up to 2 years
Two-year, open-label extension phase of a multicenter, randomized, double-blind, dose-controlled, monotherapy substitution trial of 87 patients aged 11 to 66 years.3

In an open-label extension phase of patients converted from up to 2 AEDs, all patients (N=76) either continued on TRILEPTAL monotherapy or received polytherapy as clinically needed3

— 51% of patients (n=39) remained on TRILEPTAL monotherapy
— 49% of patients (n=37) received polytherapy (not included in graph above)

NEXT: See data on breakthrough partial seizures

References:
1. Data on file. Novartis Pharmaceuticals Corporation, East Hanover, NJ.
2. Beydoun A, Sachdeo RC, Rosenfeld WE, et al. Oxcarbazepine monotherapy for partial-onset seizures: a multicenter, double-blind, clinical trial. Neurology. 2000;54:2245-2251.
3. Minecan D, Beydoun A, Sachdeo R, D'Souza J. Safety and efficacy of oxcarbazepine after 2 years' treatment in patients with inadequately controlled partial-onset seizures. Poster presented at: American Epilepsy Society 56th Annual Meeting; December 6-11, 2002; Seattle, Wa.



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