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  • Title: Alternative single anticonvulsant drug therapy for refractory epilepsy.
    Author: Schmidt D, Richter K.
    Journal: Ann Neurol; 1986 Jan; 19(1):85-7. PubMed ID: 3947041.
    Abstract:
    Fifty-nine patients with chronic generalized tonic-clonic or partial seizures refractory to the maximally tolerated daily dosage of single-drug therapy with carbamazepine, phenytoin, phenobarbital, or primidone subsequently received single-drug therapy with another one of these primary anticonvulsant drugs. Alternative single-drug therapy resulted in complete seizure control or more than 75% seizure reduction for 18 patients (31%). Side effects disappeared in 16 patients (27%). Patients with a good therapeutic response often had epilepsy of recent onset. Alternative single-drug therapy is beneficial for chronic refractory epilepsy and should be considered before a second drug is permanently added.
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