Modern aspects of anticonvulsant pharmacotherapy in newborns

Proper treatment of neonatal seizures is crucial for reducing long-term neurological disorders. None of the currently used drugs to treat neonatal seizures has sufficient evidentiary base to make an unambiguous conclusion about its effectiveness. There are no results of large-scale studies that allo...

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Main Authors: V. Yu. Perfil’ev, A. G. Miroshnichenko, V. A. Zhelev, E. V. Devald
Format: Article
Language:Russian
Published: Ltd. “The National Academy of Pediatric Science and Innovation” 2022-04-01
Series:Rossijskij Vestnik Perinatologii i Pediatrii
Subjects:
Online Access:https://www.ped-perinatology.ru/jour/article/view/1573
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author V. Yu. Perfil’ev
A. G. Miroshnichenko
V. A. Zhelev
E. V. Devald
author_facet V. Yu. Perfil’ev
A. G. Miroshnichenko
V. A. Zhelev
E. V. Devald
author_sort V. Yu. Perfil’ev
collection DOAJ
description Proper treatment of neonatal seizures is crucial for reducing long-term neurological disorders. None of the currently used drugs to treat neonatal seizures has sufficient evidentiary base to make an unambiguous conclusion about its effectiveness. There are no results of large-scale studies that allow choosing an anticonvulsant drug for starting therapy and an alternative to it, in case the drug of choice is ineffective. The review summarizes the data on the effectiveness of anticonvulsants of different pharmacologic classes and considers their benefits, drawbacks, and possible mechanisms of variability in effectiveness when used in newborns. The review also analyzes approaches to the duration of the anticonvulsant therapy and discusses the problems and prospects of clinical trials for increasing the effectiveness and safety of anticonvulsant therapy in newborns.
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spelling doaj.art-37f5941028ec401183a5b81bfec9fd632023-03-13T09:12:52ZrusLtd. “The National Academy of Pediatric Science and Innovation”Rossijskij Vestnik Perinatologii i Pediatrii1027-40652500-22282022-04-01671142010.21508/1027-4065-2022-67-1-14-201150Modern aspects of anticonvulsant pharmacotherapy in newbornsV. Yu. Perfil’ev0A. G. Miroshnichenko1V. A. Zhelev2E. V. Devald3ФГБОУ ВО «Сибирский государственный медицинский университет» Минздрава РоссииФГБОУ ВО «Сибирский государственный медицинский университет» Минздрава РоссииФГБОУ ВО «Сибирский государственный медицинский университет» Минздрава РоссииФГБОУ ВО «Сибирский государственный медицинский университет» Минздрава РоссииProper treatment of neonatal seizures is crucial for reducing long-term neurological disorders. None of the currently used drugs to treat neonatal seizures has sufficient evidentiary base to make an unambiguous conclusion about its effectiveness. There are no results of large-scale studies that allow choosing an anticonvulsant drug for starting therapy and an alternative to it, in case the drug of choice is ineffective. The review summarizes the data on the effectiveness of anticonvulsants of different pharmacologic classes and considers their benefits, drawbacks, and possible mechanisms of variability in effectiveness when used in newborns. The review also analyzes approaches to the duration of the anticonvulsant therapy and discusses the problems and prospects of clinical trials for increasing the effectiveness and safety of anticonvulsant therapy in newborns.https://www.ped-perinatology.ru/jour/article/view/1573новорожденныесудорогилечениепротивосудорожная терапия
spellingShingle V. Yu. Perfil’ev
A. G. Miroshnichenko
V. A. Zhelev
E. V. Devald
Modern aspects of anticonvulsant pharmacotherapy in newborns
Rossijskij Vestnik Perinatologii i Pediatrii
новорожденные
судороги
лечение
противосудорожная терапия
title Modern aspects of anticonvulsant pharmacotherapy in newborns
title_full Modern aspects of anticonvulsant pharmacotherapy in newborns
title_fullStr Modern aspects of anticonvulsant pharmacotherapy in newborns
title_full_unstemmed Modern aspects of anticonvulsant pharmacotherapy in newborns
title_short Modern aspects of anticonvulsant pharmacotherapy in newborns
title_sort modern aspects of anticonvulsant pharmacotherapy in newborns
topic новорожденные
судороги
лечение
противосудорожная терапия
url https://www.ped-perinatology.ru/jour/article/view/1573
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AT evdevald modernaspectsofanticonvulsantpharmacotherapyinnewborns