Yamatogi Yasuko
Okayama Prefectural University, Okayama Prefecture, Japan.
Psychiatry Clin Neurosci. 2004 Jun;58(3):S3-6. doi: 10.1111/j.1440-1819.2004.01244_1.x.
For the successful treatment of epilepsy, accurate diagnosis of epilepsy and epileptic seizures, and proper selection of antiepileptic drugs (AED) according to the classification of epileptic syndromes are fundamentally important. Efficacy of AED treatment, however, depends not only on its pharmacological action but also on its efficient use, namely a rationally thinking tailor-made treatment considering the characteristics of each patients, i.e. individual differences in pharmacokinetics, factors influencing AED concentrations, AED interactions, and comprehensively their life style and psychosocial factors.
对于癫痫的成功治疗,准确诊断癫痫及癫痫发作,并根据癫痫综合征的分类正确选择抗癫痫药物(AED)至关重要。然而,AED治疗的疗效不仅取决于其药理作用,还取决于其合理使用,即考虑每位患者的特征进行理性思考的个性化治疗,也就是药代动力学的个体差异、影响AED浓度的因素、AED相互作用,以及综合考虑他们的生活方式和社会心理因素。