Ethotoin Use in Pediatric Seizure Patients

Autor: Barbara H. Korberly, Thomas J. Mrazik, Leonard J. Graziani
Rok vydání: 1981
Předmět:
Zdroj: Archives of Pediatrics & Adolescent Medicine. 135:1139
ISSN: 1072-4710
DOI: 10.1001/archpedi.1981.02130360043015
Popis: Ethotoin (Peganone), 3-ethyl, 5-phenylhydantoin, reportedly had less anticonvulsant activity in epileptic patients than the two more commonly used anticonvulsants, phenytoin sodium and phenobarbital.1Phenytoin, an effective drug for treatment of generalized seizures other than absence, has several side effects, including gingival hyperplasia and hirsutism, which may reduce patient acceptance and compliance, especially in children and adolescents. Phenobarbital, with comparative anticonvulsant activity to phenytoin, is reported to cause behavioral disturbance, especially hyperactivity, in up to 42% of pediatric patients who receive the drug.2By contrast, ethotoin has minimal side effects,1but since its introduction in 1956 for the control of generalized seizures other than absence, it has not been studied extensively in epileptic children.3-5These previous studies did not report therapeutic blood levels for ethotoin, and the dosage that was used ranged from 500 mg to 5 g daily. In this communication, we review our experience with
Databáze: OpenAIRE