Pharmacy World and Science

, Volume 27, Issue 5, pp 403–406 | Cite as

The Use of Lamotrigine and Other Antiepileptic Drugs in Paediatric Patients at a Malaysian Hospital

  • Ab Fatah Ab RahmanEmail author
  • Mohamed Izham Mohamed Ibrahim
  • Hussain Imam Mohamed Ismail
  • Tan Boon Seng


Objective: (1) To determine the effect of lamotrigine add-on therapy on the seizure frequency and cost in paediatric patients. (2) To determine the prescribing pattern of other antiepileptic drugs (AEDs).

Method: A retrospective study of medical records was carried out from October 2000 to June 2001 at the paediatric clinic, Hospital Pulau Pinang.

Main outcome measure: Seizure frequency, cost of drug and types of AED prescribed.

Results: A total of 209 medical records were retrieved during the study period. Lamotrigine (LTG) was prescribed in 29 patients as add-on therapy. In 18 patients, there was a significant reduction in seizure frequency after the addition of LTG. Approximately 70% experienced a reduction in seizure frequency of more than 50%. Side effects of LTG were considered mild and manageable. However, drug cost after the addition of LTG increased by 103%. In the remaining 180 patients, the most common AED prescribed was sodium valproate (VPA). Only 15% of the patients received combination therapy. Mean monthly cost of monotherapy was found to be RM 24.4 while monthly cost of combination therapy was RM 45.4 (1 Euro–RM 5.00).

Conclusion: The majority of paediatric patients in the study are on AED monotherapy and only a small percentage was prescribed lamotrigine. The use of lamotrigine is associated with better seizure control but with an increase in drug cost.


Anti-epileptic drugs Children Drug costs Epilepsy Lamotrigine Malaysia Prescribing pattern 


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Copyright information

© Springer 2005

Authors and Affiliations

  • Ab Fatah Ab Rahman
    • 1
    Email author
  • Mohamed Izham Mohamed Ibrahim
    • 1
  • Hussain Imam Mohamed Ismail
    • 2
  • Tan Boon Seng
    • 1
  1. 1.School of Pharmaceutical SciencesUniversiti Sains MalaysiaUSM Pulau PinangMalaysia
  2. 2.Department of PaediatricHospital Pulau PinangPulau PinangMalaysia

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