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. 2010 Aug 20;3(8):2709–2732. doi: 10.3390/ph3082709

Table 1.

Pharmacokinetic characteristics of antiepileptic drugs.

AED Oral bioavailability t1/2 (hour) Clearance Active metabolites Enzymes involved in the metabolism of the compound
Carbamazepine 7585% 1224 >95% Hepatic Carbamazepine-10,11-epoxide CYP3A4/5, CYP2C8, mEH, UGTs
Clobazam 87% 2230 >95% Hepatic N-desmethylclobazam CYP3A4 and CYP2C19
Clonazepam >80% 1960 >95% Hepatic CYP3A4
Ethosuximide <100% 3660 65% Hepatic CYP3A4
35% Renal
Felbamate 90% 1423 50% Hepatic CYP2C19?, UGTs
50% Renal
Gabapentin 4570% 57 100% Renal None
Lamotrigine <100% 2436 90% Hepatic UGTs
10% Renal
Levetiracetam <100% 68 66% Renal Nonhepatic hydrolysis (in blood)
34% Hepatic
Oxcarbazepine > 95% 12 45% Hepatic MHD UGTs
65% Renal
Phenobarbital 80100% 7296 75% Hepatic CYP2C19, CYP2C9
25% Renal
Phenytoin 95% 2050 >90% Hepatic CYP2C9, CYP2C19
Primidone <100% 1020 50% Hepatic Phenobarbital CYP2C9 (for phenobarbital)
50% Renal Phenylethylmalonamide
Topiramate 80% 2030 3050% Hepatic CYP3A4, UGTs
5070% Renal
Valproic acid <100% 816 >95% Hepatic UGTs, CYP2C9, CYP2C19
Zonisamide <100% 5070 >90% Hepatic CYP3A4, CYP2C19, UGTs

This table is prepared based on the previous review articles [7,22,25,26] with modifications. AED, antiepileptic drug; t1/2, elimination half-life; CYP, cytochrome P450; mEH, microsomal epoxide hydrolase; UGTs, UDP-glucuronosyltransferases; MHD, monohydroxylated active metabolite of oxycarbazepin.