دورية أكاديمية

Patient reported adverse events among epileptic patients taking antiepileptic drugs.

التفاصيل البيبلوغرافية
العنوان: Patient reported adverse events among epileptic patients taking antiepileptic drugs.
المؤلفون: Ayalew MB; Department of Clinical Pharmacy, School of Pharmacy, College of Medicine & Health Sciences, University of Gondar, Gondar, Ethiopia., Muche EA; Department of Clinical Pharmacy, School of Pharmacy, College of Medicine & Health Sciences, University of Gondar, Gondar, Ethiopia.
المصدر: SAGE open medicine [SAGE Open Med] 2018 May 04; Vol. 6, pp. 2050312118772471. Date of Electronic Publication: 2018 May 04 (Print Publication: 2018).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: SAGE Publications Country of Publication: England NLM ID: 101624744 Publication Model: eCollection Cited Medium: Print ISSN: 2050-3121 (Print) Linking ISSN: 20503121 NLM ISO Abbreviation: SAGE Open Med Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: London : SAGE Publications
مستخلص: Objective: The aim of this study was to assess patient reported adverse events and associated factors among epileptic patients taking antiepileptic drugs on follow-up at University of Gondar Referral Hospital.
Methods: Cross-sectional study was done on 354 adult epileptic patients. Patients who were on antiepileptic drugs for epilepsy treatment for less than a year, those who were below 18 years old, patients with incomplete information on the chart and those who were involuntary or uncooperative were excluded from the study. Data were entered in to SPSS version 20.0 for analysis. Bivariate and multivariate binary logistic regression analysis was done to see factors associated with antiepileptic drugs adverse effect. Level of statistical significance was declared at p ≤ 0.05.
Result: Generalized tonic clonic seizure was the most common (86.2%) type of epilepsy. A total of 79 adverse events were reported. The most frequently encountered adverse events were fatigue (5.08%), gastrointestinal disturbance (4.24%) and sedation/depression (4.24%). Adverse drug effect of antiepileptic drugs was significantly associated with illiterate educational status, increased number of antiepileptic drugs, no seizure during last follow-up and last year, and 1-5 seizures for the last year.
Conclusion: About one-sixth of epileptic patients reported adverse drug effects. Adverse drug effects were more commonly seen in patients with low educational status, increased number of antiepileptic drugs, absence of seizure during last follow-up and last year, and 1-5 seizures for the last year. So clinicians should give emphasis for patients with these characteristics to counsel on how to minimize or prevent adverse drug events from antiepileptic drugs or giving reassurance about it if it is minor.
Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
References: Epilepsy Behav. 2010 Dec;19(4):627-30. (PMID: 20937569)
Epilepsia. 1997 May;38(5):541-6. (PMID: 9184599)
Seizure. 2014 Mar;23(3):184-90. (PMID: 24315662)
N Engl J Med. 2008 Jul 10;359(2):166-76. (PMID: 18614784)
Neurology. 2004 Jan 13;62(1):23-7. (PMID: 14718691)
Epilepsia. 1998;39 Suppl 7:S27-32. (PMID: 9798759)
Behav Neurol. 2016;2016:3189108. (PMID: 28053370)
N Engl J Med. 1985 Jul 18;313(3):145-51. (PMID: 3925335)
Epilepsy Res. 2009 Jul;85(1):31-45. (PMID: 19369037)
Epilepsy Curr. 2011 Jan;11(1):9-11. (PMID: 21461260)
Neurology. 2009 Apr 7;72(14):1223-9. (PMID: 19349601)
Epileptic Disord. 2016 Dec 1;18(4):356-366. (PMID: 27965182)
Epilepsy Behav. 2016 Jan;54:150-7. (PMID: 26709103)
Neurology. 2017 Jan 17;88(3):296-303. (PMID: 27986877)
Value Health Reg Issues. 2015 May;6:1-6. (PMID: 29698179)
Lancet. 2012 Dec 15;380(9859):2197-223. (PMID: 23245608)
Seizure. 2006 Jun;15(4):242-8. (PMID: 16551504)
Lancet Neurol. 2004 Oct;3(10 ):618-21. (PMID: 15380158)
Seizure. 2009 Jun;18(5):327-31. (PMID: 19110447)
Arq Neuropsiquiatr. 2006 Jun;64(2A):198-201. (PMID: 16791355)
Int J Psychiatry Med. 2006;36(4):469-81. (PMID: 17408000)
Epilepsy Res Treat. 2016;2016:5362806. (PMID: 27069681)
Epilepsia. 2001 Nov;42(11):1387-94. (PMID: 11879339)
Expert Rev Neurother. 2010 Jun;10(6):885-91. (PMID: 20518605)
Seizure. 2015 Jul;29:34-40. (PMID: 26076842)
Neuropsychiatr Dis Treat. 2016 Dec 16;12 :3213-3219. (PMID: 28053533)
Seizure. 2012 Oct;21(8):610-3. (PMID: 22795388)
Seizure. 2005 Apr;14(3):198-206. (PMID: 15797355)
Epilepsia. 1997 Mar;38(3):353-62. (PMID: 9070599)
Epilepsy Res. 2009 Oct;86(2-3):191-9. (PMID: 19632095)
Epilepsy Behav. 2009 Jun;15 Suppl 1:S46-50. (PMID: 19303947)
فهرسة مساهمة: Keywords: Adverse event; antiepileptic drug; epilepsy; seizure; side effect
تواريخ الأحداث: Date Created: 20180516 Latest Revision: 20220317
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC5946606
DOI: 10.1177/2050312118772471
PMID: 29760918
قاعدة البيانات: MEDLINE
الوصف
تدمد:2050-3121
DOI:10.1177/2050312118772471