Suppr超能文献

[新型抗癫痫药物]

[New antiepileptic drugs].

作者信息

Vidaurre Jorge, Herbst James

机构信息

Pediatric Neurology Department, Nationwide Children's Hospital, The Ohio State University, USA. E-mail:

Pharmacy Departament, Nationwide Children's Hospital, The Ohio State University, USA.

出版信息

Medicina (B Aires). 2019;79 Suppl 3:48-53.

Abstract

Antiepileptic drugs are the first treatment option in patients with epilepsy. Drugs developed after 2000 are known as third generation antiepileptic drugs. These medications offer new mechanisms of action and favorable pharmacokinetics, decreasing the occurrence of side effects and drug-drug interactions. Broad spectrum antiepileptic drugs, such as brivaracetam and clobazam are good choices for generalized tonic colonic seizures and are well tolerated.New sodium channel blockers such as lacosamide and eslicarbazepine, have a more "benign" side effect profile than the first or second generation of sodium channel blockers. These new drugs are useful therapies in patients with epilepsy of difficult control. Cannabidiol and fenfluramine are useful in the treatment of Dravet or Lennox Gastaut syndrome. Allopregnenolona and ganaxolone showed good efficacy in status epilepticus and could play an important future role in this clinical scenario.

摘要

抗癫痫药物是癫痫患者的首选治疗方案。2000年后研发的药物被称为第三代抗癫痫药物。这些药物具有新的作用机制和良好的药代动力学特性,可减少副作用和药物相互作用的发生。广谱抗癫痫药物,如布瓦西坦和氯巴占,是全身性强直阵挛性发作的良好选择,且耐受性良好。新型钠通道阻滞剂,如拉科酰胺和依斯利卡西平,与第一代或第二代钠通道阻滞剂相比,具有更“良性”的副作用谱。这些新药对难治性癫痫患者是有效的治疗方法。大麻二酚和芬氟拉明对治疗德雷维特或伦诺克斯-加斯托综合征有用。别孕烯醇酮和加奈索酮在癫痫持续状态中显示出良好疗效,可能在这一临床情况中发挥重要的未来作用。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验