Concerns with AED Conversion: Comparison of Patient and Physician Perspectives

Author(s): Brien J. Smith, Erik K. St. Louis, John M. Stern, Chad Green, Thomas Bramley.

Journal Name: Current Neuropharmacology

Volume 7 , Issue 2 , 2009

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Abstract:

When discussing AED conversion in the clinic, both the patient and physician perspectives on the goals and risks of this change are important to consider. To identify patient-reported and clinician-perceived concerns, a panel of epilepsy specialists was questioned about the topics discussed with patients and the clinicians perspective of patient concerns. Findings of a literature review of articles that report patient-expressed concerns regarding their epilepsy and treatment were also reviewed. Results showed that the specialist panel appropriately identified patient-reported concerns of driving ability, medication cost, seizure control, and medication side effects. Additionally, patient-reported concerns of independence, employment issues, social stigma, medication dependence, and undesirable cognitive effects are important to address when considering and initiating AED conversion.

Keywords: Epilepsy, antiepileptic drugs, conversion, patient preferences

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Article Details

VOLUME: 7
ISSUE: 2
Year: 2009
Page: [120 - 124]
Pages: 5
DOI: 10.2174/157015909788848947
Price: $58