PREVALENCE OF ADVERSEE FFECTS OF ANTIEPILEPTIC DRUGS AT TERTIARY CARE TEACHING HOSPITAL: AN OBSERVATIONAL STUDY Authors: Jangra S , BHYAN B, NEGI P, GANGAWAT S, PALUCK AND YADAV I
ABSTRACT
A single Centre prospective observational study. Patients (<18 years old) receiving one or more AEDs for
epilepsy, at each clinically determined follow-up visit. Primary outcome was adverse reactions of AEDs.
Behavioral and cognitive functions were secondary outcomes. A total of 64 patients were recruited into
this study. The median age of the patients was 26.2 years. A total of 47 patients were on polytherapy and
17 on polytherapy. Over half of the patients received either Levetiracetam or carbamazepine as
monotherapy. Seventy-four per cent of all AED prescriptions were old generation drugs. The most
frequently prescribed drugs were Levetiracetam (42%), (9%). Conclusion: In conclusion, polytherapy
increases the possibility of ADRs in patients. Physicians should give AED polytherapy only when the
maximum therapeutic doses of monotherapy are ineffective. Both clinicians and parents should monitor
AED treated patients for adverse reactions, especially behavioral problems and somnolence. To assess the
types of ADRs in prescribed drugs, Prevention and control the adverse effects of antiepileptic drugs, Risk
and benefit related to antiepileptic drugs, improving health outcomes for epilepsy patients.
Keywords: Polytherapy, monotherapy, seizures, AED, ADR, Levetiracetam, carbamazepine,
carbamazepine, lamotrigine, Sodium valproate Publication date: 01/07/2022 https://ijbpas.com/pdf/2022/July/MS_IJBPAS_2022_6208.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2022/11.7.6208