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primidone and Abdominal Epilepsy

primidone has been researched along with Abdominal Epilepsy in 35 studies

Primidone: A barbiturate derivative that acts as a GABA modulator and anti-epileptic agent. It is partly metabolized to PHENOBARBITAL in the body and owes some of its actions to this metabolite.
primidone : A pyrimidone that is dihydropyrimidine-4,6(1H,5H)-dione substituted by an ethyl and a phenyl group at position 5. It is used as an anticonvulsant for treatment of various types of seizures.

Research Excerpts

ExcerptRelevanceReference
"We report a patient with focal epilepsy and latent hereditary coproporphyria who had exacerbation of clinical symptoms of porphyria under treatment with valproate and primidone and was then treated with levetiracetam without exacerbation of clinically latent porphyria."5.32Levetiracetam in focal epilepsy and hepatic porphyria: a case report. ( Meencke, HJ; Paul, F, 2004)
"Patients, aged 8-58 years, with partial epilepsy who did not become seizure free on CBZ were randomized to either VPA add-on or PRM add-on."2.74Comparison of add-on valproate and primidone in carbamazepine-unresponsive patients with partial epilepsy. ( Deckers, CL; Liu, YX; Sun, MZ; Wang, W, 2009)
"Gabapentin was started at 400 mg/day and was individually titrated to effective tolerable dose up to 2400 mg/day."2.69Outcome evaluation of gabapentin as add-on therapy for partial seizures. "NEON" Study Investigators Group. Neurontin Evaluation of Outcomes in Neurological Practice. ( Bruni, J, 1998)
"Pretreatment with phenobarbital can minimize the occurrence of intolerable adverse events associated with the introduction of primidone."2.69The "forgotten" cross-tolerance between phenobarbital and primidone: it can prevent acute primidone-related toxicity. ( Frey, M; Kanner, AM; Parra, J, 2000)
"The treatment with primidone alone of 53 epileptic patients with generalized tonic-clonic seizures, partial attacks with elementary symptomatology, and partial fits with complex symptomatology removed them completely in 75, 64."2.67[Therapeutic and pharmacological monitoring of individual monotherapy of epilepsy with hexamidine]. ( Gromov, SA; Gusel', VA; Khorshev, SK; Smirnov, DP, 1991)
"Decreased libido and impotence were more common in patients given primidone."2.66Comparison of carbamazepine, phenobarbital, phenytoin, and primidone in partial and secondarily generalized tonic-clonic seizures. ( Browne, TR; Collins, JF; Cramer, JA; Delgado-Escueta, AV; Mattson, RH; McCutchen, CB; McNamara, JO; Smith, DB; Treiman, DM; Williamson, PD, 1985)
"We report a patient with focal epilepsy and latent hereditary coproporphyria who had exacerbation of clinical symptoms of porphyria under treatment with valproate and primidone and was then treated with levetiracetam without exacerbation of clinically latent porphyria."1.32Levetiracetam in focal epilepsy and hepatic porphyria: a case report. ( Meencke, HJ; Paul, F, 2004)
" Pharmacokinetic data and occurrence of AE were compared between the two groups at the time of the single-dose kinetic study, at the completion of the switchover to CBZ, and 4 weeks after discontinuation of the previous AED."1.30Rapid switchover to carbamazepine using pharmacokinetic parameters. ( Bourgeois, BF; Hasegawa, H; Hutson, P; Kanner, AM, 1998)
"Carbamazepine has no effect on the EEG, in epilepsies with atypical course (atypical benign partial epilepsy, Landau-Kleffner syndrome, epilepsy with continuous spikes and waves during slow sleep [CSWS]) carbamazepine usually has no effect either on the seizures or on the EEG, on the contrary, in some cases both may even get worse."1.29Treatment of "benign" partial epilepsies of childhood, including atypical forms. ( Gross-Selbeck, G, 1995)
"Phenytoin continues to be a very popular drug for most types of seizures, but carbamazepine, used adjunctively until recently, is effective as monotherapy for the control of partial seizures, particularly those of the complex partial variety."1.27Treatment of the nonconvulsive epilepsies. ( Dreifuss, FE, 1983)
"Only when the epilepsy is uncontrolled despite high plasma concentrations which cannot be raised because of side effects, a second drug should be given."1.27[Pharmacotherapy of epilepsy--current problems and controversies]. ( Schmidt, D, 1983)
" (3) Use of well-standardized, yet simplified, mental performance tests in combination with changes in the dosage of medication can help in reaching a compromise between acceptable seizure control and avoidance of excessive slowing of mental activity."1.25Effects of different dosages of anticonvulsant drugs on mental performance in patients with chronic epilepsy. ( Dekaban, AS; Lehman, EJ, 1975)
" Reduction in antiepileptic drug dosage should be carried out as a stepwise procedure over a period of about 2 years."1.25[A discussion of the curability of childhood epilepsies (author's transl)]. ( Groh, C, 1975)

Research

Studies (35)

TimeframeStudies, this research(%)All Research%
pre-199026 (74.29)18.7374
1990's4 (11.43)18.2507
2000's5 (14.29)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Sun, MZ1
Deckers, CL1
Liu, YX1
Wang, W1
Galimberti, CA1
Ossola, M1
Colnaghi, S1
Arbasino, C1
Paul, F1
Meencke, HJ1
Itomi, S1
Okumura, A1
Ikuta, T1
Negoro, T1
Watanabe, K1
Rowan, AJ1
Dreifuss, FE1
Schmidt, D1
Gross-Selbeck, G1
Kanner, AM2
Bourgeois, BF1
Hasegawa, H1
Hutson, P1
Bruni, J1
Parra, J1
Frey, M1
Hosokawa, K1
Kugoh, T1
Otsuki, S1
Sutton, G1
Kupferberg, HJ1
Dekaban, AS1
Lehman, EJ1
Groh, C1
Thomas, JA1
Knotts, GR1
Gromov, SA1
Gusel', VA1
Khorshev, SK1
Smirnov, DP1
Cornaggia, CM1
Canevini, MP1
Giuccioli, D1
Pruneri, C1
Canger, R1
Klepel, H1
Donat, H1
Köppe, I1
Coulter, DL1
Mattson, RH2
Cramer, JA2
Collins, JF2
Smith, DB1
Delgado-Escueta, AV1
Browne, TR1
Williamson, PD1
Treiman, DM1
McNamara, JO1
McCutchen, CB1
Reynolds, EH1
Laitinen, L1
Toivakka, E1
Sibley, WA1
Deisenhammer, E1
Billinghurst, JR1
German, GA1
Orley, JH1
Cereghino, JJ1
Brock, JT1
Van Meter, JC1
Penry, JK1
Smith, LD1
Fisher, P1
Ellenberg, J1
Gibberd, FB1
Jannasch, R1
Kutt, H1
Louis, S1
Dvilansky, A1
Lehman, E1
Brunia, CH1
Buyze, G1
Borkowska, Z1
Mazurkowa, K1
Wojakowski, A1
Popielarska, A1
Suffczyńska-Kotowska, M1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
An Open Prospective Randomised Long-Term Effectiveness Study, Comparing Best Medical Practice With or Without Adjunctive VNS Therapy in Patients 16 Years and Older With Pharmaco-resistant Partial Epilepsy[NCT00522418]Phase 4122 participants (Actual)Interventional2006-02-28Terminated (stopped due to Insufficient enrollment)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in Adverse Event Profile (AEP) Score

Adverse Events Profile (AEP) is a 19-item scale used as a systematic measure of adverse effects from antiepileptic drugs (AEDs). Scores range from 19-76; higher scores indicate high prevelance and severity of adverse events. (NCT00522418)
Timeframe: Mean change from baseline AEP Score at 12 months

InterventionUnits on a scale (Mean)
VNS Therapy-6.0
Best Medical Practice-3.2

Change From Baseline in Center for Epidemiologic Studies Depression Scale (CES-D) Score

The Center for Epidemiologic Studies Depression Scale (CES-D) includes 20 items comprising six scales reflecting major dimensions of depression: depressed mood, feelings of guilt and worthlessness, feelings of helplessness and hopelessness, psychomotor retardation, loss of appetite, and sleep disturbance. Possible range of scores is 0 to 60, higher scores indicate more depressive symptoms. (NCT00522418)
Timeframe: Mean change from baseline CES-D Score at 12 months

InterventionUnits on a Scale (Mean)
VNS Therapy-2.2
Best Medical Practice0.5

Change From Baseline in Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) Score

The Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) is a 6-item questionnaire validated to screen for depression in people with epilepsy. Scores range from 6 to 24, with higher scores indicating more depressive symptoms. (NCT00522418)
Timeframe: Mean change from baseline NDDI-E Score at 12 months

InterventionUnits on a Scale (Mean)
VNS Therapy-1.0
Best Medical Practice-0.2

Changes in Anti-epileptic Drugs (AEDs)

Change from baseline in number of AED medications by visit (NCT00522418)
Timeframe: Change from baseline in number of AEDs at 12 months

InterventionNumber of AEDs Taken (Median)
VNS Therapy0
Best Medical Practice0

Mean Change From Beginning of Intervention Clinical Global Impression-Improvement Scale (CGI-I) Score at 12 Months

The Clinical Global Impression scale (CGI-I) is a 7 point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention Scores range from 1-7: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. (NCT00522418)
Timeframe: Mean change from baseline CGI-I Score at 12 months

InterventionUnits on a Scale (Mean)
VNS Therapy-0.8
Best Medical Practice-0.3

Mean Percent Change in Seizure Frequency

Percent change in total seizuires per week from baseline at 12 months (NCT00522418)
Timeframe: Mean percent change from baseline in seizure frequency at 12 months

InterventionPercent Change (Mean)
VNS Therapy-19.1
Best Medical Practice-1.0

Overall Quality of Life in Epilepsy-89 (QOLIE-89) Score in Patients With Baseline & at Least One Post-baseline QOLIE Assessment

QOLIE-89 contains 17 multi-item measures of overall quality of life, emotional well-being, role limitations due to emotional problems, social support, social isolation, energy/fatigue, worry about seizure, medication effects, health discouragement, work/driving/social function, attention/concentration, language, memory, physical function, pain, role limitations due to physical problems, and health perceptions. Range of values 0-100. Higher scores reflect better quality of life; lower ones, worse quality of life. (NCT00522418)
Timeframe: Mean change from baseline QOLIE-89 Overall Score at 12 months

Interventionunits on a scale (Mean)
VNS Therapy5.5
Best Medical Practice1.2

Response Rate

Response Rate is defined as the percent of participants who are responders. A Responder is defined as participants with a reduction of at least 50% or 75% in seizure frequency from baseline to the seizure count evaluation period. (NCT00522418)
Timeframe: Number of Responders at 12 Months

Interventionparticipants (Number)
VNS Therapy10
Best Medical Practice7

Change From Baseline in QOLIE-89 Measures: Subgroup Analysis of Population With Baseline Adverse Event Profile Score < 40

QOLIE-89 contains 17 multi-item measures of overall quality of life. Range of values 0-100. Higher scores reflect better quality of life; lower ones, worse quality of life. Adverse Events Profile (AEP) is a 19-item scale used as a systematic measure of adverse effects from antiepileptic drugs (AEDs). Scores range from 19-76; higher scores indicate high prevelance and severity of adverse events. (NCT00522418)
Timeframe: Change from baseline up to 12 months

Interventionunits on a scale (Least Squares Mean)
VNS TherapyBest Medical Practice
Baseline Adverse Event Profile Score < 403.30.5

Change From Baseline in QOLIE-89 Measures: Subgroup Analysis of Population With Baseline Adverse Event Profile Score >= 40

QOLIE-89 contains 17 multi-item measures of overall quality of life. Range of values 0-100. Higher scores reflect better quality of life; lower ones, worse quality of life. Adverse Events Profile (AEP) is a 19-item scale used as a systematic measure of adverse effects from antiepileptic drugs (AEDs). Scores range from 19-76; higher scores indicate high prevelance and severity of adverse events. (NCT00522418)
Timeframe: Change from baseline up to 12 months

InterventionUnits on a Scale (Least Squares Mean)
VNS TherapyBest Medical Practice
Baseline Adverse Event Profile Score >= 403.30.7

Reviews

4 reviews available for primidone and Abdominal Epilepsy

ArticleYear
Diagnosis and treatment of epilepsy.
    Hospital & community psychiatry, 1983, Volume: 34, Issue:6

    Topics: Automatism; Benzodiazepines; Carbamazepine; Electroencephalography; Epilepsies, Partial; Epilepsy; E

1983
Anticonvulsants, folic acid, and epilepsy.
    Lancet (London, England), 1973, Jun-16, Volume: 1, Issue:7816

    Topics: Anemia, Macrocytic; Animals; Anticonvulsants; Blood-Brain Barrier; Chemical Phenomena; Chemistry; Ep

1973
Diagnosis and treatment of epilepsy: overview and general principles.
    Pediatrics, 1974, Volume: 53, Issue:4

    Topics: Adolescent; Adult; Age Factors; Anticonvulsants; Child; Child, Preschool; Drug Therapy, Combination;

1974
[Antiepileptics. 39].
    Pharmazeutische Praxis, 1969, Volume: 10

    Topics: Acetazolamide; Adrenocorticotropic Hormone; Aminoglutethimide; Anticonvulsants; Barbiturates; Carbam

1969

Trials

7 trials available for primidone and Abdominal Epilepsy

ArticleYear
Comparison of add-on valproate and primidone in carbamazepine-unresponsive patients with partial epilepsy.
    Seizure, 2009, Volume: 18, Issue:2

    Topics: Adolescent; Adult; Anticonvulsants; Carbamazepine; Child; Drug Therapy, Combination; Epilepsies, Par

2009
Outcome evaluation of gabapentin as add-on therapy for partial seizures. "NEON" Study Investigators Group. Neurontin Evaluation of Outcomes in Neurological Practice.
    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 1998, Volume: 25, Issue:2

    Topics: Acetates; Adolescent; Adult; Aged; Aged, 80 and over; Amines; Anti-Anxiety Agents; Anticonvulsants;

1998
The "forgotten" cross-tolerance between phenobarbital and primidone: it can prevent acute primidone-related toxicity.
    Epilepsia, 2000, Volume: 41, Issue:10

    Topics: Adolescent; Adult; Aged; Ambulatory Care; Child; Child, Preschool; Dizziness; Dose-Response Relation

2000
[Therapeutic and pharmacological monitoring of individual monotherapy of epilepsy with hexamidine].
    Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova (Moscow, Russia : 1952), 1991, Volume: 91, Issue:6

    Topics: Adolescent; Adult; Anticonvulsants; Benzamidines; Dose-Response Relationship, Drug; Drug Monitoring;

1991
Aspects of compliance: taking drugs and keeping clinic appointments.
    Epilepsy research. Supplement, 1988, Volume: 1

    Topics: Adolescent; Adult; Anticonvulsants; Appointments and Schedules; Carbamazepine; Clinical Trials as To

1988
Comparison of carbamazepine, phenobarbital, phenytoin, and primidone in partial and secondarily generalized tonic-clonic seizures.
    The New England journal of medicine, 1985, Jul-18, Volume: 313, Issue:3

    Topics: Adolescent; Adult; Aged; Carbamazepine; Clinical Trials as Topic; Double-Blind Method; Epilepsies, P

1985
Evaluation of albutoin as an antiepileptic drug.
    Clinical pharmacology and therapeutics, 1974, Volume: 15, Issue:4

    Topics: Adolescent; Adult; Allyl Compounds; Analysis of Variance; Anticonvulsants; Appetite; Biopharmaceutic

1974

Other Studies

24 other studies available for primidone and Abdominal Epilepsy

ArticleYear
Focal epileptic seizures mimicking sleep paralysis.
    Epilepsy & behavior : E&B, 2009, Volume: 14, Issue:3

    Topics: Anticonvulsants; Carbamazepine; Diagnosis, Differential; Electroencephalography; Epilepsies, Partial

2009
Levetiracetam in focal epilepsy and hepatic porphyria: a case report.
    Epilepsia, 2004, Volume: 45, Issue:5

    Topics: Acute Disease; Adult; Anticonvulsants; Comorbidity; Epilepsies, Partial; Female; Humans; Levetiracet

2004
Phenytoin desensitization in a child with symptomatic localization-related epilepsy.
    Brain & development, 2007, Volume: 29, Issue:2

    Topics: Anticonvulsants; Child; Drug Therapy, Combination; Epilepsies, Partial; Humans; Male; Phenytoin; Pri

2007
Treatment of the nonconvulsive epilepsies.
    Epilepsia, 1983, Volume: 24 Suppl 1

    Topics: Anticonvulsants; Carbamazepine; Epilepsies, Partial; Epilepsy; Epilepsy, Absence; Humans; Phenobarbi

1983
[Pharmacotherapy of epilepsy--current problems and controversies].
    Fortschritte der Neurologie-Psychiatrie, 1983, Volume: 51, Issue:11

    Topics: Adolescent; Adult; Carbamazepine; Child; Child, Preschool; Epilepsies, Partial; Epilepsy; Epilepsy,

1983
Treatment of "benign" partial epilepsies of childhood, including atypical forms.
    Neuropediatrics, 1995, Volume: 26, Issue:1

    Topics: Adrenocorticotropic Hormone; Anti-Anxiety Agents; Anticonvulsants; Benzodiazepines; Benzodiazepinone

1995
Rapid switchover to carbamazepine using pharmacokinetic parameters.
    Epilepsia, 1998, Volume: 39, Issue:2

    Topics: Adult; Anticonvulsants; Carbamazepine; Dose-Response Relationship, Drug; Drug Administration Schedul

1998
[Clinical study of serum level of dipropylacetic acid sodium (Depakene) by gaschromatography (author's transl)].
    No to shinkei = Brain and nerve, 1977, Volume: 29, Issue:8

    Topics: Adolescent; Adult; Child; Child, Preschool; Chromatography, Gas; Drug Therapy, Combination; Epilepsi

1977
Isoniazid as an inhibitor of primidone metabolism.
    Neurology, 1975, Volume: 25, Issue:12

    Topics: Depression, Chemical; Drug Therapy, Combination; Epilepsies, Partial; Female; Humans; Isoniazid; Mid

1975
Effects of different dosages of anticonvulsant drugs on mental performance in patients with chronic epilepsy.
    Acta neurologica Scandinavica, 1975, Volume: 52, Issue:4

    Topics: Adolescent; Adult; Anticonvulsants; Child; Chronic Disease; Dose-Response Relationship, Drug; Epilep

1975
[A discussion of the curability of childhood epilepsies (author's transl)].
    Wiener klinische Wochenschrift. Supplementum, 1975, Volume: 40

    Topics: Barbiturates; Benzodiazepines; Carbamazepine; Child; Drug Therapy, Combination; Epilepsies, Partial;

1975
Epilepsy and other seizure disorders in children: drug management.
    The Journal of school health, 1976, Volume: 46, Issue:8

    Topics: Acetazolamide; Anticonvulsants; Child; Epilepsies, Partial; Epilepsy; Epilepsy, Absence; Epilepsy, T

1976
Carbamazepine, phenytoin and phenobarbital in drug-resistant partial epilepsies.
    Italian journal of neurological sciences, 1986, Volume: 7, Issue:1

    Topics: Adolescent; Adult; Carbamazepine; Drug Evaluation; Drug Resistance; Epilepsies, Partial; Epilepsy, T

1986
[Prenatal growth of children of epileptic mothers].
    Psychiatrie, Neurologie, und medizinische Psychologie, 1986, Volume: 38, Issue:2

    Topics: Anticonvulsants; Birth Weight; Cephalometry; Drug Therapy, Combination; Epilepsies, Partial; Epileps

1986
Withdrawal of barbiturate anticonvulsant drugs: prospective controlled study.
    American journal of mental retardation : AJMR, 1988, Volume: 93, Issue:3

    Topics: Adolescent; Adult; Aged; Anticonvulsants; Child; Drug Therapy, Combination; Epilepsies, Partial; Epi

1988
Clonazepam (Ro 5-4023) in the treatment of myoclonus epilepsy. Four case reports.
    Acta neurologica Scandinavica. Supplementum, 1973, Volume: 53

    Topics: Adult; Anticonvulsants; Benzodiazepinones; Chlorobenzenes; Diazepam; Drug Therapy, Combination; Elec

1973
[Use of primidone in symptomatic awakening epilepsies].
    Wiener medizinische Wochenschrift (1946), 1973, Jun-30, Volume: 123, Issue:26

    Topics: Adolescent; Barbiturates; Child; Electroencephalography; Epilepsies, Partial; Epilepsy; Epilepsy, To

1973
The pattern of epilepsy in Uganda.
    Tropical and geographical medicine, 1973, Volume: 25, Issue:3

    Topics: Adolescent; Adult; Age Factors; Black People; Child; Child, Preschool; Electroencephalography; Epile

1973
Epilepsy.
    British medical journal, 1969, Nov-01, Volume: 4, Issue:5678

    Topics: Adult; Child; Epilepsies, Partial; Epilepsy; Epilepsy, Absence; Epilepsy, Temporal Lobe; Epilepsy, T

1969
Anticonvulsant drugs. I. Patho-physiological and pharmacological aspects.
    Drugs, 1972, Volume: 4, Issue:3

    Topics: Acetates; Acetazolamide; Anticonvulsants; Carbamazepine; Diazepam; Dibenzazepines; Electroencephalog

1972
Megaloblastic anemia after anticonvulsive therapy.
    The New England journal of medicine, 1972, Nov-09, Volume: 287, Issue:19

    Topics: Adult; Anemia, Macrocytic; Anticonvulsants; Epilepsies, Partial; Humans; Male; Phenobarbital; Phenyt

1972
Serum copper levels and epilepsy.
    Epilepsia, 1972, Volume: 13, Issue:5

    Topics: Acetazolamide; Adolescent; Adult; Age Factors; Amphetamine; Anticonvulsants; Caffeine; Ceruloplasmin

1972
[Results of treatment of epilepsy in children up to 14 years of age].
    Neurologia i neurochirurgia polska, 1971, Volume: 5, Issue:3

    Topics: Adolescent; Age Factors; Barbiturates; Child; Child, Preschool; Diazepam; Drug Synergism; Electroenc

1971
[Clinical and electroencephalographic evaluation of therapeutic results in post-traumatic epilepsy in children].
    Neurologia i neurochirurgia polska, 1971, Volume: 5, Issue:3

    Topics: Adolescent; Age Factors; Ambulatory Care; Anticonvulsants; Child; Child, Preschool; Electroencephalo

1971