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. Author manuscript; available in PMC: 2007 Nov 19.
Published in final edited form as: Lancet. 2007 Mar 24;369(9566):1000–1015. doi: 10.1016/S0140-6736(07)60460-7

Table 5.

Frequency of clinically important adverse events

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.