Reynolds E H
Lancet. 1978 Sep 30;2(8092 Pt 1):721-5. doi: 10.1016/s0140-6736(78)92713-7.
The difficulties of the drug treatment of epilepsy include the high prevalence of the disorder, poor prognosis, prolonged multidrug treatment, chronic toxicity, and uncertainty of the relative efficacy and toxicity of individual anticonvulsants. These problems are reviewed in relation to recent knowledge of the clinical pharmacology of the drugs, the application of which offers the possibility of a more simple, rational, and effective approach to therapy. There is considerable potential for monotherapy assisted by drug-level monitoring.
癫痫药物治疗的困难包括该疾病的高患病率、预后不良、长期多药治疗、慢性毒性以及个体抗惊厥药相对疗效和毒性的不确定性。结合药物临床药理学的最新知识对这些问题进行了综述,药物临床药理学的应用为更简单、合理和有效的治疗方法提供了可能性。通过药物浓度监测辅助进行单药治疗具有相当大的潜力。