Long-term assessment of oxcarbazepine in a naturalistic setting: a retrospective study

Acta Neurol Scand. 2008 May;117(5):367-9. doi: 10.1111/j.1600-0404.2007.00951.x. Epub 2007 Nov 19.

Abstract

Background: New antiepileptics seem to be better tolerated by patients. The retention rate of an antiepileptic would be a useful indicator of its practical usefulness.

Aims: To assess the long-term outcome of oxcarbazepine (OXC) in a naturalistic setting by determining the retention rate.

Methods: This is a retrospective study. All epilepsy patients treated with OXC at a tertiary care epilepsy center during a period of 3.5 years were included in this study. Retention rates of OXC at 1 and 3 years were estimated for each cohort group using Kaplan-Meier estimates and corresponding 95% confidence intervals.

Results: A total of 98 patients were studied. OXC was used as monotherapy in 14 (14.3%) and as add-on therapy in 84 (85.7%). The mean daily dose was 947 +/- 492 mg and 60% received < or = 900 mg/day. Using the Kaplan-Meier survival analysis, the retention rates of OXC at 1 and 3 years were estimated to be 0.853 (0.749-0.956) and 0.737 (0.570-0.904), respectively.

Conclusions: OXC is well tolerated by patients as both monotherapy and add-on therapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anticonvulsants / therapeutic use*
  • Carbamazepine / analogs & derivatives*
  • Carbamazepine / therapeutic use
  • Epilepsy / drug therapy*
  • Epilepsy / epidemiology*
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Oxcarbazepine
  • Patient Dropouts / statistics & numerical data
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Anticonvulsants
  • Carbamazepine
  • Oxcarbazepine