Perampanel: New drug for treatment of refractory partial onset seizures

Perampanel (2-[2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl] benzonitrile hydrate) is the latest antiepileptic drugs for treatment of refractory partial onset seizures. Perampanel inhibits α-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid (AMPA)-induced increase in intracellular Ca 2+ a...

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Main Authors: Santosh Kumar Singh, Dick B. S. Brashier
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Muller Journal of Medical Sciences and Research
Subjects:
Online Access:http://www.mjmsr.net/article.asp?issn=0975-9727;year=2014;volume=5;issue=2;spage=195;epage=199;aulast=Singh
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author Santosh Kumar Singh
Dick B. S. Brashier
author_facet Santosh Kumar Singh
Dick B. S. Brashier
author_sort Santosh Kumar Singh
collection DOAJ
description Perampanel (2-[2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl] benzonitrile hydrate) is the latest antiepileptic drugs for treatment of refractory partial onset seizures. Perampanel inhibits α-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid (AMPA)-induced increase in intracellular Ca 2+ and selectively blocks AMPA receptor-mediated synaptic trans-mission, thus reducing neuronal excitation. Three Phase III multicenter, randomized, double-blind, placebo-controlled trials demonstrated the efficacy and good tolerability of perampanel as adjunctive treatment in patients with refractory partial-onset seizures. The drug is approved for use in the European Union and United States. The pharmacology of perampanel offers potential as more than just another new antiepileptic drug. This first-in-class drug will provide another option for practitioners of rational polytherapy.
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spelling doaj.art-3aac09965abf449fa2b4c800834cfbdf2022-12-21T22:37:11ZengWolters Kluwer Medknow PublicationsMuller Journal of Medical Sciences and Research0975-97272014-01-015219519910.4103/0975-9727.135796Perampanel: New drug for treatment of refractory partial onset seizuresSantosh Kumar SinghDick B. S. BrashierPerampanel (2-[2-oxo-1-phenyl-5-pyridin-2-yl-1,2-dihydropyridin-3-yl] benzonitrile hydrate) is the latest antiepileptic drugs for treatment of refractory partial onset seizures. Perampanel inhibits α-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid (AMPA)-induced increase in intracellular Ca 2+ and selectively blocks AMPA receptor-mediated synaptic trans-mission, thus reducing neuronal excitation. Three Phase III multicenter, randomized, double-blind, placebo-controlled trials demonstrated the efficacy and good tolerability of perampanel as adjunctive treatment in patients with refractory partial-onset seizures. The drug is approved for use in the European Union and United States. The pharmacology of perampanel offers potential as more than just another new antiepileptic drug. This first-in-class drug will provide another option for practitioners of rational polytherapy.http://www.mjmsr.net/article.asp?issn=0975-9727;year=2014;volume=5;issue=2;spage=195;epage=199;aulast=SinghAMPAantiepilepticsperampanelrefractory partial onset seizures
spellingShingle Santosh Kumar Singh
Dick B. S. Brashier
Perampanel: New drug for treatment of refractory partial onset seizures
Muller Journal of Medical Sciences and Research
AMPA
antiepileptics
perampanel
refractory partial onset seizures
title Perampanel: New drug for treatment of refractory partial onset seizures
title_full Perampanel: New drug for treatment of refractory partial onset seizures
title_fullStr Perampanel: New drug for treatment of refractory partial onset seizures
title_full_unstemmed Perampanel: New drug for treatment of refractory partial onset seizures
title_short Perampanel: New drug for treatment of refractory partial onset seizures
title_sort perampanel new drug for treatment of refractory partial onset seizures
topic AMPA
antiepileptics
perampanel
refractory partial onset seizures
url http://www.mjmsr.net/article.asp?issn=0975-9727;year=2014;volume=5;issue=2;spage=195;epage=199;aulast=Singh
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