Abstract

The clinical differences between oxcarbazepine (OXC) and carbamazepine (CBZ) are reviewed in terms of efficacy, tolerability, and interaction with other drugs in a study at Universitat Bonn, Berlin, Germany.

Highlights

  • OXC metabolizes by reduction to the monohydroxy derivative (MHD) and is excreted in the urine after conjugation as a glucuronide, with no autoinduction

  • Pediatric Neurology Briefs 2004 dose of 20 mg/kg/day provided a >75% reduction in partial seizures in 84% patients, and 100% reduction in 60%. (Report of responses from neurologists provided by Bergman S, Novartis)

  • Sixty-one percent of neurologists were already using Trileptal as monotherapy for partial seizures in children ages 4-16, and 68% use it as adjunctive therapy

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Summary

Introduction

The clinical differences between oxcarbazepine (OXC) and carbamazepine (CBZ) are reviewed in terms of efficacy, tolerability, and interaction with other drugs in a study at Universitat Bonn, Berlin, Germany. OXC (Trileptal) is used as monotherapy or adjunctive therapy for the treatment of partial seizures with or without secondary generalization in adults and children above 4 years (USA) or 6 years (Europe) of age. OXC is better tolerated and its risk-benefits are superior to CBZ.

Results
Conclusion

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