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Withdrawn from treatment at 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Withdrawn from treatment at 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 |