Table 5.
Carbamazepine | Gabapentin | Lamotrigine | Oxcarbazepine | Topiramate | Total | |
---|---|---|---|---|---|---|
Number randomised | 378 | 377 | 378 | 210 | 378 | 1721 |
Total number (%) of patients with at least one adverse event | 183 (48%) | 178 (47%) | 169 (45%) | 100 (48%) | 200 (53%) | 830 (48%) |
Tiredness/drowsiness/fatigue/lethargy | 48 [36] | 46 [34] | 31 [17] | 22 [16] | 43 [33] | 190 [136] |
Depression | 14 [8] | 18 [10] | 20 [13] | 7 [5] | 29 [24] | 88 [60] |
Headache | 21 [9] | 20 [15] | 21 [13] | 9 [6] | 17 [11] | 88 [54] |
Allergic rash | 38 [32] | 13 [4] | 17 [15] | 20 [16] | 17 [8] | 105 [75] |
Memory problems | 20 [12] | 22 [19] | 13 [10] | 13 [8] | 26 [19] | 94 [68] |
Dizziness/vertigo | 14 [10] | 23 [15] | 15 [9] | 13 [12] | 15 [8] | 80 [54] |
Other psychiatric | 16 [7] | 17 [9] | 11 [7] | 7 [5] | 37 [31] | 88 [59] |
Worsening of seizures | 17 [5] | 22 [13] | 17 [12] | 3 [1] | 17 [8] | 76 [39] |
Other neurological | 9 [6] | 21 [14] | 15 [9] | 8 [5] | 18 [12] | 71 [46] |
Other general | 13 [6] | 19 [11] | 19 [13] | 9 [6] | 16 [12] | 76 [48] |
Behaviour/personality change/aggression | 12 [4] | 9 [6] | 12 [7] | 2 [1] | 24 [19] | 59 [37] |
Ataxia | 9 [6] | 24 [12] | 14 [9] | 8 [6] | 9 [3] | 64 [36] |
Confusion/difficulty thinking/disoriented | 9 [9] | 16 [15] | 8 [4] | 8 [6] | 22 [19] | 63 [53] |
Anxiety/agitation/nervousness | 7 [7] | 15 [11] | 8 [5] | 7 [6] | 15 [12] | 52 [41] |
Weight loss | 2 [1] | 4 [2] | 4 [2] | 3 [1] | 29 [27] | 42 [33] |
Diplopia | 5 [2] | 11 [4] | 4 [2] | 8 [6] | 6 [3] | 34 [17] |
Nausea | 9 [6] | 7 [3] | 9 [6] | 15 [13] | 4 [4] | 44 [32] |
Weight gain | 9 [7] | 15 [12] | 4 [1] | 1 [0] | 5 [4] | 34 [24] |
Accidental injury | 7 [2] | 11 [6] | 12 [8] | 3 [1] | 8 [3] | 41 [20] |
Pins and needles/dysaesthesia | 4 [1] | 5 [1] | 3 [1] | 0 [0] | 26 [24] | 38 [27] |
Sleep disturbance | 5 [2] | 4 [4] | 9 [8] | 4 [2] | 9 [8] | 31 [24] |
Other events* | 108 [71] | 113 [73] | 110 [70] | 46 [38] | 103 [64] | 480 [316] |
For adverse events, data outside brackets are intention to treat and inside brackets are per protocol.
Sorted by descending total frequency: other cardiac or vascular; other skin and appendages; abdominal pain, dyspepsia; other gastrointestinal; other visual disturbance; other renal tract or genital; diarrhoea; tremor; aches and pains; constipation; infection; mouth or gum problem; other respiratory or pulmonary; ischaemic heart disease or myocardial infarct; other haematological; other musculoskeletal; vomiting; impotence or libido problems; alopecia; word finding difficulty; status epilepticus; stroke—infarction; diabetes mellitus; hearing problem or tinnitus; hypertension; anorexia; bruising; flu like symptoms; haemorrhage; malignancy; short of breath; vaginal bleeding; arthritis; eczema; peptic ulceration; asthma; other hepatobiliary; urinary retention; abnormal liver function tests; anaemia; child birth; myalgia; other endochrine; psoriasis; upper respiratory tract infection, catarrh, sinusitis, rhinorrhoea; urinary tract infection; faints; hallucinations; hepatitis; pancreatitis; psychosis; transient ischaemic attack; tachycardia; thyroid disease; venous thrombosis.