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2015 ; 79
(6
): 1010-9
Nephropedia Template TP
gab.com Text
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English Wikipedia
Indications of newer and older anti-epileptic drug use: findings from a southern
Italian general practice setting from 2005-2011
#MMPMID25556909
Italiano D
; Capuano A
; Alibrandi A
; Ferrara R
; Cannata A
; Trifirņ G
; Sultana J
; Ferrajolo C
; Tari M
; Tari DU
; Perrotta M
; Pagliaro C
; Rafaniello C
; Spina E
; Arcoraci V
Br J Clin Pharmacol
2015[Jun]; 79
(6
): 1010-9
PMID25556909
show ga
AIMS: The aim of the study was to analyze the prescribing pattern of both newer
and older AEDs. METHODS: A population of almost 150 000 individuals registered
with 123 general practitioners was included in this study. Patients who received
at least one AED prescription over 2005-2011 were identified. The 1 year
prevalence and cumulative incidence of AED use, by drug class and individual
drug, were calculated over the study period. Potential predictors of starting
therapy with newer AEDs were also investigated. RESULTS: The prevalence of use
per 1000 inhabitants of older AEDs increased from 10.7 (95% CI10.1, 11.2) in 2005
to 13.0 (95% CI12.4, 13.6) in 2011, while the incidence remained stable. Newer
AED incidence decreased from 9.4 (95% CI 8.9, 9.9) in 2005 to 7.0 (95% CI 6.6,
7.5) in 2011, with a peak of 15.5 (95% CI 14.8, 16.1) in 2006. Phenobarbital and
valproic acid were the most commonly prescribed AEDs as starting therapy for
epilepsy. Gabapentin and pregabalin accounted for most new pain-related
prescriptions, while valproic acid and lamotrigine were increasingly used for
mood disorders. Female gender (OR 1.36, 95% CI 1.20, 1.53), age ranging between
45-54 years (OR 1.39, 95% CI 1.16, 1.66) and pain as an indication (OR 16.7, 95%
CI, 13.1, 21.2) were associated with newer AEDs starting therapy. CONCLUSIONS:
Older AEDs were mainly used for epileptic and mood disorders, while newer drugs
were preferred for neuropathic pain. Gender, age, indication of use and year of
starting therapy influenced the choice of AED type. The decrease of newer AED use
during 2007 is probably related to the restricted reimbursement criteria for
gabapentin and pregabalin.
|Adolescent
[MESH]
|Adult
[MESH]
|Age Factors
[MESH]
|Aged
[MESH]
|Analgesics/therapeutic use
[MESH]
|Anticonvulsants/economics/*therapeutic use
[MESH]