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. Author manuscript; available in PMC: 2017 Sep 1.
Published in final edited form as: Clin Neuropharmacol. 2016 Sep-Oct;39(5):232–240. doi: 10.1097/WNF.0000000000000172

Table 2.

Representative range of antiepileptic drug (AED) doses in studies with successful monotherapy.

Number of subjects Outcome measure Efficacy results Dose range
Carbamazepine
30014 Seizure-free at 26 weeks 75% 400–1200 mg
23017 Withdrawn from treatment at <52 weeks 42% 200–1400 mg
12918 Seizure-free at 48 weeks 38% 300–1400 mg
23620 Seizure-free at 48–96 weeks 34% Mean: 722 mg
10121 Withdrawn from treatment at <36 months 45% 600 mg
Lamotrigine
24942 Seizure-free at 12 months 61% 25–600 mg
22619 Seizure-free at 7 weeks 60% 100–200 mg
15637 Remaining on monotherapy 56% 100–500 mg
22243 Seizure-free at 1 year 89% 50–150 mg
13118 Seizure-free at 40 weeks 26% 100–300 mg
Phenobarbital
12453 Resolution of all clinical and electrical evidence of seizure activity within 20 minutes of start of infusion 58% 15 mg/kg
1854 Resolution of status epilepticus 61% 5–23 mg/kg
856 Fewer seizures than clorazepate comparator 50% 148 ± 21. 8 mg/day
Phenytoin
114e-ref 61 >50% seizure reduction 57% 200–300 mg
50e-ref 64 Seizure-free at 6 months 53% 3–5 mg/kg
26e-ref 65 Seizure-free at 12–41 months 76% 200–300 mg
37e-ref 66 >50% reduction in seizure frequency at 14–24 months 82% 300 mg
95e-ref 67 Seizure-free at 10 months 24% 300 mg (mode)
Valproate
238e-ref 75 Time to treatment failure Valproate significantly better than topiramate, but no significant difference between valproate and lamotrigine 200–3000 mg
16e-ref 77 Seizure-free at 12 months 25% 1000–2000 mg
6430 >50% reduction in seizure frequency at >3 months 80% 600 mg (adults); 5–10 mg/kg (children)
13e-ref 78 Reduction in seizure frequency A statistically significant difference was observed between VPA levels and seizure frequency. The relationship was curvilinear. 300–4000 mg
10e-ref 79 >50% reduction in seizure frequency at 12 weeks 50% 900 mg