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Staying on Course: Optimizing Antiepileptic Medication Regimens

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Presentation on theme: "Staying on Course: Optimizing Antiepileptic Medication Regimens"— Presentation transcript:

1 Staying on Course: Optimizing Antiepileptic Medication Regimens

2

3 Program Overview

4 The Burden of Epilepsy

5 AEDs and Switching

6 MHRA Safety Update in the United Kingdom: Risk-Based Categories for Switching Products

7 AEDs: Different Preparations

8 Adverse Effects of AEDs

9 Pharmacologic Factors

10 Bioequivalence vs Therapeutic Equivalence: Regulations Covering Licensing of Generic Products

11 Issues of Concern About Generic Substitution of AEDs Identified in a Literature Review

12 Survey of Neurologists on Experience With Switching Patients to a Generic AED

13 Breakthrough Seizures Can Affect Patient QoL

14 Consequences of Generic AED Substitution: Survey of Neurologists

15 Design of AED Switching Studies

16 Comparative Effectiveness of Brand vs Generic AEDs

17 Meta-analysis of 7 RCTs of Brand vs Generic AEDs: Odds of Uncontrolled Seizure

18 Odds of a Seizure-Related Event Higher in Patients Switching Between Bioequivalent AEDs

19 Association Between AED Refill and Switch and Seizure-Related Events

20 Studies of Switching Back From a Generic to a Brand AED

21 Evidence for 2 Seizure-Free Years Before Withdrawing AEDs in Children

22 AED Substitution: International Experience

23 Factors Affecting Seizure Control

24 Take-Home Messages

25 Abbreviations


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