Difficulties in Treatment and Management of Epilepsy and Challenges in New Drug Development

Epilepsy is a serious neurological disorder that affects around 50 million people worldwide. Almost 30% of epileptic patients suffer from pharmacoresistance, which is associated with social isolation, dependent behaviour, low marriage rates, unemployment, psychological issues and reduced quality of...

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Main Author: Abdul Wahab
Format: Article
Language:English
Published: MDPI AG 2010-07-01
Series:Pharmaceuticals
Subjects:
Online Access:http://www.mdpi.com/1424-8247/3/7/2090/
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author Abdul Wahab
author_facet Abdul Wahab
author_sort Abdul Wahab
collection DOAJ
description Epilepsy is a serious neurological disorder that affects around 50 million people worldwide. Almost 30% of epileptic patients suffer from pharmacoresistance, which is associated with social isolation, dependent behaviour, low marriage rates, unemployment, psychological issues and reduced quality of life. Currently available antiepileptic drugs have a limited efficacy, and their negative properties limit their use and cause difficulties in patient management. Antiepileptic drugs can provide only symptomatic relief as these drugs suppress seizures but do not have ability to cure epileptogenesis. The long term use of antiepileptic drugs is limited due to their adverse effects, withdrawal symptoms, deleterious interactions with other drugs and economic burden, especially in developing countries. Furthermore, some of the available antiepileptic drugs may even potentiate certain type of seizures. Several in vivo and in vitro animal models have been proposed and many new antiepileptic drugs have been marketed recently, but large numbers of patients are still pharmacoresistant. This review will highlight the difficulties in treatment and management of epilepsy and the limitations of available antiepileptic drugs and animal seizure models.
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spelling doaj.art-a297ac8c73564c5fa0107378f9442b752022-12-22T03:05:08ZengMDPI AGPharmaceuticals1424-82472010-07-01372090211010.3390/ph3072090Difficulties in Treatment and Management of Epilepsy and Challenges in New Drug DevelopmentAbdul WahabEpilepsy is a serious neurological disorder that affects around 50 million people worldwide. Almost 30% of epileptic patients suffer from pharmacoresistance, which is associated with social isolation, dependent behaviour, low marriage rates, unemployment, psychological issues and reduced quality of life. Currently available antiepileptic drugs have a limited efficacy, and their negative properties limit their use and cause difficulties in patient management. Antiepileptic drugs can provide only symptomatic relief as these drugs suppress seizures but do not have ability to cure epileptogenesis. The long term use of antiepileptic drugs is limited due to their adverse effects, withdrawal symptoms, deleterious interactions with other drugs and economic burden, especially in developing countries. Furthermore, some of the available antiepileptic drugs may even potentiate certain type of seizures. Several in vivo and in vitro animal models have been proposed and many new antiepileptic drugs have been marketed recently, but large numbers of patients are still pharmacoresistant. This review will highlight the difficulties in treatment and management of epilepsy and the limitations of available antiepileptic drugs and animal seizure models.http://www.mdpi.com/1424-8247/3/7/2090/antiepilepticanticonvulsantseizurepharmacoresistancerefractory seizures
spellingShingle Abdul Wahab
Difficulties in Treatment and Management of Epilepsy and Challenges in New Drug Development
Pharmaceuticals
antiepileptic
anticonvulsant
seizure
pharmacoresistance
refractory seizures
title Difficulties in Treatment and Management of Epilepsy and Challenges in New Drug Development
title_full Difficulties in Treatment and Management of Epilepsy and Challenges in New Drug Development
title_fullStr Difficulties in Treatment and Management of Epilepsy and Challenges in New Drug Development
title_full_unstemmed Difficulties in Treatment and Management of Epilepsy and Challenges in New Drug Development
title_short Difficulties in Treatment and Management of Epilepsy and Challenges in New Drug Development
title_sort difficulties in treatment and management of epilepsy and challenges in new drug development
topic antiepileptic
anticonvulsant
seizure
pharmacoresistance
refractory seizures
url http://www.mdpi.com/1424-8247/3/7/2090/
work_keys_str_mv AT abdulwahab difficultiesintreatmentandmanagementofepilepsyandchallengesinnewdrugdevelopment