Table 1.
AED | Inhibitory Transmission | Excitatory Transmission | Concentration of Oxidants under Normal Conditions (Preclinical Studies) |
Concentration of Oxidants during Oxidative Stress (Preclinical Studies) |
Concentration of Oxidants during Oxidative Stress (Clinical Studies) |
Comments | References |
---|---|---|---|---|---|---|---|
VGB | ↑↑↑ | — | ↑↑↑ | ↓↓↓ | No data available | Animal studies have shown efficacy in FXS or in spinal cord injury. Clinical trials are needed. | [11,13,15,24] |
LTG | — | ↓↓↓ | No data available |
↓↓↓ | ↓↓↓ as compared to conventional AEDs | LTG effectively reduces oxidant levels, which may result in a reduction of cardiovascular risk and an increase in serum albumin concentration in patients with epilepsy. | [26,27,29,30,31] |
TGB | ↑↑↑ | — | ↑↑↑ when administered in high doses | ↓↓↓ | No data available | Results obtained in an animal model of HD indicate the possibility of using TGB in the treatment of HD. Clinical trials are required. | [32,33,35] |
GBP | ↑↑↑ | ↓↓↓ | ↑↑↑ when administered in high doses | ↓↓↓ | No data available | There are prospects of using GBP in treatment of HD, diabetic neuropathy, spinal cord injury. | [37,38,40,48,51,52,53,54,55,56,57,58,60,61,63] |
OXC | — | — | No data available | ↑ | ↑ in epileptic patients | Further research is needed due to conflicting data. | [7,27,71] |
TPM | ↑↑↑ | ↓↓↓ | ↑↑↑ | ↓↓↓ [72,73] ↑↑↑ [71] |
No data available | Further research is needed due to conflicting data. | [27,71,72,73] |
FBM | ↑↑↑ | ↓↓↓ | No data available |
↓↓↓ | No data available | [75,77] | |
LEV | ↓ in healthy tissue [90] ↑ in post-epileptic tissue [91] |
↓ | ↑ | ↑ [88] ↓ [77] |
↑ | [81,82,83,84,88,89] |
↑↑↑ Increases; ↓↓↓ Decreases; ↑ Probably increased; ↓ Probably decreased; — No effect. FBM—Felbamate; GBP—Gabapentin; LTG—Lamotrigine; LEV—Levetiracetam; OXC—Oxcarbazepine; TPM—Topiramate; TGB—Tiagabine; VGB—Vigabatrin; LTG—Lamotrigine.