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 monotherapy improves control in patients with seizures on carbamazepine (CBZ) or other antiepileptic drugs (AEDs)

Convert patients experiencing partial seizures on CBZ or other AEDs to TRILEPTAL

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 ages 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)—126-day, double-blind phase. Median number of partial seizures per 28 days at baseline was 10.5 (range: 3 to 74) for the 2400 mg/day group and 6.5 (range: 2 to 49) for the control group.

Prior to being converted to TRILEPTAL, patients were experiencing seizures even while taking clinically effective doses of at least one AED, including2

— CBZ (54%)
— Phenytoin (20%)
— Other AEDs (such as valproate, lamotrigine, and gabapentin)

Effective seizure control in patients converted from CBZ

In an open-label study:

Reductions in Frequency of Partial Seizures Following Conversion From CBZ to TRILEPTAL Monotherapy2

Graph - Reduction in partial seizure frequency over 16 weeks
Multicenter, open-label trial of 245 patients with partial seizures ages 12 to 81 years (n=109 ITT patients on CBZ monotherapy at study onset). In the 16-week treatment phase, patients were administered flexible doses of TRILEPTAL from 600 mg/day to 2400 mg/day. Median number of partial seizures per month prior to treatment with TRILEPTAL was 2.7.2

Discontinuation rate due to adverse events was 11% for patients switched to TRILEPTAL from CBZ2

References:
1. Data on file, Novartis Pharmaceuticals Corporation.
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.




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