Table 1.
AED | Oral bioavailability | t1/2 (hour) | Clearance | Active metabolites | Enzymes involved in the metabolism of the compound |
---|---|---|---|---|---|
Carbamazepine | 75–85% | 12–24 | >95% Hepatic | Carbamazepine-10,11-epoxide | CYP3A4/5, CYP2C8, mEH, UGTs |
Clobazam | 87% | 22–30 | >95% Hepatic | N-desmethylclobazam | CYP3A4 and CYP2C19 |
Clonazepam | >80% | 19–60 | >95% Hepatic | — | CYP3A4 |
Ethosuximide | <100% | 36–60 | 65% Hepatic | — | CYP3A4 |
35% Renal | |||||
Felbamate | 90% | 14–23 | 50% Hepatic | — | CYP2C19?, UGTs |
50% Renal | |||||
Gabapentin | 45–70% | 5–7 | 100% Renal | — | None |
Lamotrigine | <100% | 24–36 | 90% Hepatic | — | UGTs |
10% Renal | |||||
Levetiracetam | <100% | 6–8 | 66% Renal | — | Nonhepatic hydrolysis (in blood) |
34% Hepatic | |||||
Oxcarbazepine | > 95% | 1–2 | 45% Hepatic | MHD | UGTs |
65% Renal | |||||
Phenobarbital | 80–100% | 72–96 | 75% Hepatic | — | CYP2C19, CYP2C9 |
25% Renal | |||||
Phenytoin | 95% | 20–50 | >90% Hepatic | — | CYP2C9, CYP2C19 |
Primidone | <100% | 10–20 | 50% Hepatic | Phenobarbital | CYP2C9 (for phenobarbital) |
50% Renal | Phenylethylmalonamide | ||||
Topiramate | 80% | 20–30 | 30–50% Hepatic | — | CYP3A4, UGTs |
50–70% Renal | |||||
Valproic acid | <100% | 8–16 | >95% Hepatic | — | UGTs, CYP2C9, CYP2C19 |
Zonisamide | <100% | 50–70 | >90% Hepatic | — | CYP3A4, CYP2C19, UGTs |