Lamotrigine therapeutic thresholds

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Presentation transcript:

Lamotrigine therapeutic thresholds Marianne Søndergaard Khinchi, Kirsten Annette Nielsen, Marit Dahl, Peter Wolf  Seizure - European Journal of Epilepsy  Volume 17, Issue 5, Pages 391-395 (July 2008) DOI: 10.1016/j.seizure.2007.11.023 Copyright © 2007 British Epilepsy Association Terms and Conditions

Figure 1 Distribution of therapeutic thresholds (TTs) in 48 patients who became seizure free during stepwise up-titration of LTG monotherapy in response to seizures, TTs were defined as mean of the highest subtherapeutic and the lowest therapeutic plasma level. Seizure - European Journal of Epilepsy 2008 17, 391-395DOI: (10.1016/j.seizure.2007.11.023) Copyright © 2007 British Epilepsy Association Terms and Conditions

Figure 2 Level–dose ratio of the therapeutic levels (not thresholds) of 48 patients with known TTs and 34 patients who became seizure free with the first chosen dose of LTG in monotherapy. Seizure - European Journal of Epilepsy 2008 17, 391-395DOI: (10.1016/j.seizure.2007.11.023) Copyright © 2007 British Epilepsy Association Terms and Conditions

Figure 3 Comparison of therapeutic levels of the groups with and without identified TT. The patients responding to the first dose seem as a group to require lower plasma levels to be seizure free, but the difference is not significant due to large interindividual variability with some overlap of standard deviations. Seizure - European Journal of Epilepsy 2008 17, 391-395DOI: (10.1016/j.seizure.2007.11.023) Copyright © 2007 British Epilepsy Association Terms and Conditions