Demographic and Clinical Predictors of Drug Response in Epileptic Children in Jeddah.

antiseizure drug response pediatric neurology

Journal

Biomedicines
ISSN: 2227-9059
Titre abrégé: Biomedicines
Pays: Switzerland
ID NLM: 101691304

Informations de publication

Date de publication:
30 Jul 2023
Historique:
received: 24 06 2023
revised: 20 07 2023
accepted: 28 07 2023
medline: 26 8 2023
pubmed: 26 8 2023
entrez: 26 8 2023
Statut: epublish

Résumé

Epilepsy is a chronic neurological disease of the brain. Over 20 antiseizure medications are available on the market, but a third of patients still have drug-resistant epilepsy. This study was designed to assess the impact of the demographic and clinical characteristics of epileptic children on their likelihood of developing drug resistance. This study was a multicenter, hospital-based, cross-sectional, case-control study of pediatric patients diagnosed with epilepsy in Jeddah, Saudi Arabia. The study included 101 children with epilepsy. Fifty-six patients showed good response to antiseizure medications (ASMs), and forty-five patients had a poor response. A statistically significant good response to ASMs was reported among younger patients, those who did not report parental consanguinity, those who did not have a family history of epilepsy, and those diagnosed with partial seizures, with no reported adverse effects. The levetiracetam regimen was statistically significant regarding the responsiveness to ASMs. Patients on a monotherapy regimen elicited a significantly better response to levetiracetam than patients on polytherapy (

Identifiants

pubmed: 37626648
pii: biomedicines11082151
doi: 10.3390/biomedicines11082151
pmc: PMC10452810
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : King Abdulaziz University
ID : G-677-140-1441

Références

Epilepsia. 2012 Jul;53 Suppl 2:10-3
pubmed: 22765498
Neurology. 2020 Nov 3;95(18):e2519-e2528
pubmed: 32817177
Seizure. 2016 Oct;41:56-61
pubmed: 27474907
Epilepsia. 2017 Apr;58(4):522-530
pubmed: 28276060
Forensic Sci Med Pathol. 2011 Dec;7(4):336-40
pubmed: 21573851
J Med Biochem. 2018 Apr 01;37(2):141-147
pubmed: 30581350
Pharmgenomics Pers Med. 2019 Jun 10;12:87-95
pubmed: 31354331
Epilepsy Behav. 2017 Apr;69:126-132
pubmed: 28242476
J Chin Med Assoc. 2017 Mar;80(3):147-153
pubmed: 28094233
Int J Neurosci. 2018 Aug;128(8):705-714
pubmed: 29198163
Neurology. 2008 Jan 1;70(1):54-65
pubmed: 18166707
Ther Drug Monit. 2016 Dec;38(6):738-743
pubmed: 27855134
Seizure. 2001 Sep;10(6):410-4
pubmed: 11700993
Ther Drug Monit. 2020 Dec;42(6):886-892
pubmed: 32890316
Epilepsy Behav. 2015 Mar;44:27-34
pubmed: 25618500
Neuroepidemiology. 2021;55(3):232-238
pubmed: 33957636
Epilepsy Res. 2009 Jul;85(1):31-45
pubmed: 19369037
Cold Spring Harb Perspect Med. 2016 May 02;6(5):
pubmed: 26801895
Ann Saudi Med. 2015 Jan-Feb;35(1):51-7
pubmed: 26142939
Biomed Rep. 2016 Oct;5(4):413-416
pubmed: 27699007
Drug Metab Pharmacokinet. 2009;24(3):255-60
pubmed: 19571437
Epilepsia. 2010 Apr;51(4):676-85
pubmed: 20196795
Seizure. 2010 May;19(4):237-41
pubmed: 20356767
Neurosciences (Riyadh). 2015 Jul;20(3):205-6
pubmed: 26166586
Pharmacol Rev. 2020 Jul;72(3):606-638
pubmed: 32540959
Epilepsia. 2010 Jun;51(6):1069-77
pubmed: 19889013
Seizure. 2001 Jun;10(4):306-14; quiz 315-6
pubmed: 11466029
Epilepsy Res. 2017 Mar;131:15-27
pubmed: 28212985
Genet Test Mol Biomarkers. 2012 Jun;16(6):550-7
pubmed: 22239287

Auteurs

Rania Magadmi (R)

Clinical Pharmacology Department, Faculty of Medicine, King Abdulaziz University, Jeddah 21589, Saudi Arabia.

Reem Alyoubi (R)

Pediatric Department, Faculty of Medicine, King Abdulaziz University, Jeddah 21589, Saudi Arabia.

Classifications MeSH