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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TRILEPTAL vs CBZ

TRILEPTAL vs CBZ

When the goal is control, TRILEPTAL adjunctive therapy improves seizure control in adults when added to CBZ or other AEDs

Reductions in Frequency of Partial Seizures When TRILEPTAL Is Added to Regimens Including or Excluding CBZ1,2

Graph - Reduction in seizure frequency with and without CBZ

Man dressed for cycling
Adult Efficacy
Pediatric Efficacy
First-line Use
TRILEPTAL vs CBZ
Multicenter, randomized, double-blind, placebo-controlled, fixed-dose trial of 692 patients ages 15 to 65 years—28-week, double-blind treatment phase. Median seizure frequency per 28 days at baseline was 9.8 in the 1200 mg/day group.2

Proven efficacy when added to regimens with CBZ or without CBZ
Patients were at therapeutic levels of CBZ prior to the addition of TRILEPTAL*1

*Mean level of carbamazepine at baseline: 7.4 μg/mL

Study Limitations

36% of patients in the 1200 mg/day group discontinued therapy due to adverse events2

—  No dosage adjustments were permitted for TRILEPTAL or the concomitant AEDs
—  A rapid forced titration schedule, as required by the study protocol, titrated the 1200 mg/day group in 6 days


In children, Improves seizure control when added to CBZ or other AEDs

Reductions in Frequency of Partial Seizures When TRILEPTAL Is Added to Regimens Including or Excluding CBZ1,3

Graph - Reduction in seizure frequency with AEDs including CBZ and not including CBZ
Multicenter, randomized, double-blind, placebo-controlled trial of 267 children with partial seizures ages 3 to 17 years (n=135 intent-to-treat TRILEPTAL patients). In the 16-week, double-blind phase, patients were randomized to TRILEPTAL 30 to 46 mg/kg/day or to placebo while on their other AEDs. Median dose was 31.4 mg/kg/day.3

Proven efficacy when TRILEPTAL is added to regimens with CBZ or without CBZ
Patients were at therapeutic levels of CBZ prior to the addition to TRILEPTAL*1

*Mean level of carbamazepine: 8.1 μg/mL

References:
1. Data on file, Novartis Pharmaceuticals Corporation.
2. Barcs G, Walker EB, Elger CE, et al. Oxcarbazepine placebo-controlled, dose-ranging trial in refractory partial epilepsy. Epilepsia. 2000;41:1597-1607.
3. Glauser TA, Nigro M, Sachdeo R, et al. Adjunctive therapy with oxcarbazepine in children with partial seizures. Neurology. 2000;54:2237-2244.



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