Guía clínica. Fármacos antiepilépticos de elección para crisis focales y generalizadas en adultos

IF 0.5 Q4 CLINICAL NEUROLOGY Revista Mexicana de Neurociencia Pub Date : 2023-02-07 DOI:10.24875/rmn.m19000055
Leopoldo Rivera-Castaño, H. Sentíes-Madrid, Jesús Berumen-Jaik, I. Martínez-Juárez
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Abstract

The mainstay of treatment in patients with epilepsy is the use of antiepileptic drugs (AEDs). Currently, there are a significant number of AEDs in Mexico. For the pharmacological management of the patient with epilepsy, it is important to know the pharmacokinetics, dosage, mechanism of action, and formulations of the AEDs. 70-80% of patients with either focal or generalized seizures are completely seizure free on AED monotherapy. When, despite the use of AED in monotherapy, seizure freedom is not achieved, a second AED should be used; AEDs with different mechanisms of action are empirically combined el 100% de control; sin embargo, es importante considerar que de un 20 a un 30% no logra esta meta 3 .
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临床指南。成人局灶性和全身性癫痫发作的抗癫痫药物选择
治疗癫痫患者的主要方法是使用抗癫痫药物(AEDs)。目前,墨西哥有相当数量的aed。了解抗癫痫药的药代动力学、剂量、作用机制和处方对癫痫患者的药物管理非常重要。70-80%的局灶性或全面性癫痫患者在AED单药治疗下完全无癫痫发作。当在单药治疗中使用AED后,癫痫发作仍未得到缓解时,应使用第二台AED;不同作用机制的抗癫痫药经经验组合,达到100%脱毒;在禁运中,重要的是要考虑到联合国20年的规定,联合国30年的规定没有任何意义。
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来源期刊
Revista Mexicana de Neurociencia
Revista Mexicana de Neurociencia CLINICAL NEUROLOGY-
自引率
0.00%
发文量
28
审稿时长
28 weeks
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