Correlation of Serum Ethosuximide Levels with Clinical Effect
Correlation of clinical control with the serum concentration of phenobarbitone and phenytoin was reported for a group of patients by Buchthal and Svensmark (1959/ 1960) but wide use of serum concentrations did not begin until 1969 when Pippenger and Gillen reported the simultaneous, multiple determination of anti-epileptic drugs by gas-liquid chromatography. Subsequent to their report, the empirical improvement of seizure control by determining serum concentrations of anti-epileptic drugs has been widely used (Solow and Green, 1972; Green et al., 1973; Sherwin, Robb and Lechter, 1973). Nevertheless, skepticism remains among some physicians concerning the relationship of serum concentration to clinical effect because seizure frequency does not decrease in certain patients with high serum concentrations, even in the toxic range. Such patients are said to be refractory to the drug.
KeywordsSerum Concentration Average Duration Seizure Frequency Seizure Control Absence Seizure
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