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. 2023 Feb 15;24(4):3873. doi: 10.3390/ijms24043873

Table 1.

Newer AEDs and oxidative stress.

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.