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Pediatric antiepileptic drug therapeutic drug monitoring

Patsalos, PN; (2016) Pediatric antiepileptic drug therapeutic drug monitoring. Journal of Pediatric Pharmacy , 2016 (3) pp. 12-17. Green open access

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Abstract

Antiepileptic drugs( AEDs) are the mainstay of epilepsy treatment and there are now 27 licensed AEDs in total for the treatment of patients with epilepsy. This has led to an increasingly widespread application of therapeutic drug monitoring( TDM)making AEDs among the most common medications for which TDM is performed. For the older first generation AEDs( carbamazepine,ethosuximide, phenobarbital, phenytoin, primidone and valproic acid) much data has accumulated in this regard. However, increasingly this is occurring for the new AEDs (eslicarbazepine acetate, felbamate,gabapentin, lacosamide, lamotrigine, levetiracetam, oxcarbazepine, perampanel, piracetam, pregabalin, retigabine, rufinamide, stiripentol, tiagabine, topiramate, vigabatrin and zonisamide). The aim of the present paper is to provide an overview of the indications for AEDs TDM in children. Practical issues such as choice of sample type, sample collection and processing and the concept of the reference range are discussed.

Type: Article
Title: Pediatric antiepileptic drug therapeutic drug monitoring
Open access status: An open access version is available from UCL Discovery
Publisher version: http://caod.oriprobe.com/articles/47585369/Pediatr...
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: antiepileptic drugs; therapeutic drug monitoring; pharmacokinetics; drug-drug interactions; saliva
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
URI: https://discovery.ucl.ac.uk/id/eprint/1505805
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