Antiepileptics and Drug Interactions

Abstract

Antiepileptici (AEL) lijekovi su u kliničkoj primjeni dugi niz godina, a osim u liječenju epilepsija, rabe se i u drugim stanjima poput migrene, neuropatske boli ili psihijatrijskih poremećaja, uglavnom kao kronična terapija. Iako se njihova primjena preporučuje u obliku monoterapije, zbog karaktera bolesti često se primjenjuju i kao politerapija. Rabe se u svim dobnim skupinama, a često i u bolesnika s komorbiditetom, odnosno komedikacijom, što znatno povećava mogućnost interakcija s drugim lijekovima, a time i rizik od nuspojava. Stoga je, s obzirom na široku primjenu u kliničkoj praksi, osim o indikacijskom području i učinkovitosti, nužno voditi računa i o njihovim interakcijama s drugim lijekovima.Antiepileptic drugs (AEDs) have been used in clinical practice for many years. They have also been used for the treatment of conditions other than epilepsy, such as migraine, neuropathic pain and psychiatric conditions, mostly as chronic therapy. Although AED monotherapy is recommended, the character of the disease often requires that AEDs be used as part of polytherapy. AEDs are used in all age groups, frequently in patients with comorbidities requiring co-medication, which significantly increases the possibility of drug interactions and the risk of side effects. Thus, given the widespread use in clinical practice, it is highly important to consider not only the range of indications and the efficacy of AEDs, but also their possible interactions with other drugs

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