Phenobarbitone to gabapentin: a guide to 82 years of anti-epileptic drug pharmacokinetic interactions

Seizure ◽  
1994 ◽  
Vol 3 (3) ◽  
pp. 163-170 ◽  
Author(s):  
Philip N. Patsalos
Molecules ◽  
2015 ◽  
Vol 20 (12) ◽  
pp. 22113-22127 ◽  
Author(s):  
Carlemi Calitz ◽  
Chrisna Gouws ◽  
Joe Viljoen ◽  
Jan Steenekamp ◽  
Lubbe Wiesner ◽  
...  

2010 ◽  
Vol 6 (12) ◽  
pp. 1515-1538 ◽  
Author(s):  
Clemence Tarirai ◽  
Alvaro M Viljoen ◽  
Josias H Hamman

2018 ◽  
Vol 23 (42) ◽  
pp. 6446-6453
Author(s):  
Rui Feng ◽  
Justin Mascitelli ◽  
Alexander G. Chartrain ◽  
Konstantinos Margetis ◽  
J. Mocco

2020 ◽  
Vol 10 (4) ◽  
pp. 242
Author(s):  
Giulia Di Prima ◽  
Giuseppina Campisi ◽  
Viviana De Caro

Nowadays the therapeutic strategies to manage Parkinson’s Disease are merely symptomatic and consist of administering L-DOPA and/or dopamine receptor agonists. Among these, Ropinirole (ROP) is a widely orally-administered molecule, although it is extensively susceptible to hepatic metabolism. Since literature reports the buccal mucosa as a potentially useful route to ROP administration, the development of novel, effective, and comfortable oromucosal formulations should prove desirable in order to both enhance the therapeutic efficacy of the drug and allow a personalized therapeutic strategy able to meet the patient’s needs. The results of the proposed ROP film as a new dosage form show that it is flexible; uniform; and characterized by suitable surface pH; good mucoadhesiveness; low swelling degree; and fast, complete drug release. Moreover, after ex vivo evaluation on a film having an area of 0.282 cm2 and dose of 2.29 mg, the results of drug flux through the buccal mucosa are closely comparable to the amount of ROP that reaches the bloodstream at the steady-state condition after ROP-PR 4 mg oral administration, calculated according to the literature (0.237 mg/cm2·h−1 vs. 0.243 mg/h, respectively). Moreover, drug flux and ROP dose could be accurately modulated time-by-time depending on the patient’s need, by varying the administered disk area. In addition, the proposed ROP film displays no lag time, producing an immediate drug input in the bloodstream, which could result in a prompt therapeutic response. These findings make ROP film a potentially comfortable and patient-friendly formulation, and a promising candidate for further clinical trials.


CNS Spectrums ◽  
2021 ◽  
Vol 26 (2) ◽  
pp. 177-177
Author(s):  
Kelsey Kenaan ◽  
Mohsin Zafar ◽  
Ronnie Bond ◽  
Barbara Gracious

AbstractPerampanel is an anti-epileptic drug reported to exert its effects in the central never system (CNS) by inhibiting post-synaptic glutamate receptors. The most commonly reported neuropsychiatric side effects are affective dysregulation with some reports of psychosis. However, the precise therapeutic mechanism is unknown. We report on a 32-year-old African American male with recurring generalized tonic-clonic (GTC) seizures, who presented to our hospital with onset of mood lability for several months, subsequent to adding perampanel to his antiepileptic medications. On presentation, perampanel administration was temporarily withheld, and subsequently, noted to be coincident with neuropsychiatric symptomatology, including motor weakness in emotional contexts. The mechanisms underlying cataplexy are complex and, in our patient, most likely induced by an interaction between perampanel and the wakeful inhibition of the sublaterodorsal nucleus projections.


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