Improved quality of life in patients with partial seizures after conversion to oxcarbazepine monotherapy

Epilepsy Behav. 2006 Nov;9(3):457-63. doi: 10.1016/j.yebeh.2006.04.021. Epub 2006 Aug 24.

Abstract

Objective: Quality of life (QOL) was assessed in patients who switched to oxcarbazepine monotherapy because of the lack of efficacy or poor tolerability of their current antiepileptic drug (AED).

Method: This open-label, single-arm study consisted of patients aged 12 >or= years with partial onset seizures. Oxcarbazepine (8-10mg/kg/day for children, 600 mg/day for adults) was titrated up over 4 weeks while the existing AED was tapered off. QOL was evaluated at baseline and end of study (Week 16) using the validated-in-epilepsy QOLIE-31 questionnaire.

Results: For all patients who completed the QOLIE-31 at baseline and completion, a statistically significant improvement was noted for both the composite and multi-item subscale QOL scores (P<0.05 vs baseline). Statistically significant mean percentage improvements of >or=10% from baseline (range=10.8-50.1%) were also noted. Significant improvements were seen in health-related QOL for patients who experienced seizure freedom or >or=50% reductions in seizure frequency with oxcarbazepine monotherapy.

Conclusions: Patients with partial seizures who switched to oxcarbazepine monotherapy showed statistically significant, clinically relevant improvements in QOL.

Publication types

  • Clinical Trial
  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anticonvulsants / therapeutic use*
  • Carbamazepine / analogs & derivatives*
  • Carbamazepine / therapeutic use
  • Child
  • Epilepsies, Partial / drug therapy*
  • Epilepsies, Partial / psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Oxcarbazepine
  • Quality of Life*
  • Surveys and Questionnaires

Substances

  • Anticonvulsants
  • Carbamazepine
  • Oxcarbazepine