Department of Biology, Faculty of Basic Sciences, Azarbaijan Shahid Madani University, Tabriz, Iran.
Curr Drug Targets. 2021;22(3):356-367. doi: 10.2174/1389450121999201001152221.
Epilepsy is one of the most common disorders of the central nervous system. Although epilepsy is common worldwide, approximately 80% of epileptic patients live in the developing countries or those with low-middle income. Up until the second decade of the 20th century, epilepsy was treated mostly by traditional remedies. Today, antiepileptic drugs are used as a general treatment instead to prevent and control epileptic seizures. However, patient access to these drugs is hindered due to the healthcare systems of their countries and a number of other reasons, such as cultural, socio-demographic, and financial poverty. In addition, approximately 30-40%of epileptic patients suffer from refractory epilepsy, additionally, AEDs have adverse side-effects that can lead to treatment failure or reduce the patient's quality of life. Despite recent advances in the treatment of epilepsy, there is still a need for improving medical treatment with a particular focus on efficacy, safety, and accessibility. Since herbal medicines have been used for many centuries around the world for treating epilepsy, it is, therefore, plausible that a rigorous study on herbal medicine and phytochemical components within plants of various species and origin may lead to the discovery of novel AEDs. Nowadays, many medicinal plants used in different cultures and regions of the world have been identified. Most phytochemical components of these plants have been identified and, in some cases, their targets located. Therefore, it is possible that new, effective, and accessible anticonvulsants drugs can be obtained from a medicinal plant.
癫痫是中枢神经系统最常见的疾病之一。尽管癫痫在全球范围内很常见,但大约 80%的癫痫患者生活在发展中国家或中低收入国家。直到 20 世纪的第二个十年,癫痫主要还是通过传统疗法治疗。如今,抗癫痫药物被用作一般治疗方法,以预防和控制癫痫发作。然而,由于各国的医疗保健系统和一些其他原因,如文化、社会人口和经济贫困,患者获得这些药物受到了阻碍。此外,大约 30-40%的癫痫患者患有难治性癫痫,此外,AEDs 有不良反应,可能导致治疗失败或降低患者的生活质量。尽管癫痫治疗最近取得了进展,但仍需要特别关注疗效、安全性和可及性来改善医疗。由于草药在世界各地已经使用了几个世纪,用于治疗癫痫,因此,对不同物种和来源的植物中的草药和植物化学成分进行严格研究,可能会发现新的 AEDs。如今,已经确定了许多在不同文化和地区使用的药用植物。这些植物的大多数植物化学成分已经被确定,在某些情况下,它们的靶点也已经被定位。因此,有可能从药用植物中获得新的、有效且可获得的抗惊厥药物。