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Expert Opinion: Brivaracetam in Management of Epilepsy

Received: 24 August 2021    Accepted: 16 September 2021    Published: 19 November 2021
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Abstract

Epilepsy is prevalent with about 50 million patients affected worldwide. There are many treatment gaps in the management of epilepsy in India. Within Anti-epileptic drugs (AED), Brivaracetam, which is a high-affinity, selective, and reversible ligand for synaptic vesicle 2A is approved by the Food and Drug Administration for monotherapy as well as adjunctive treatment of focal seizures. A series of meeting occurring during April 2020 inviting neurologist across India as panel members, reviewed the efficacy and safety of brivaracetam and discussed the use of brivaracetam in clinical settings and the drivers and barriers for the use of brivaracetam in the management of epilepsy. Brivaracetam has good efficacy and tolerability as adjunctive therapy in the treatment of focal (partial onset) seizures in patients 16 years of age and older. Brivaracetam is safe for prolonged use in patients with epilepsy and in children with epilepsy. The most common adverse events with brivaracetam are related to central nervous system and include fatigue, dizziness, and somnolence; these may improve or resolve during treatment. A consensus was sought for the use of brivaracetam in epilepsy management in routine neurology practices Brivaracetam is a safer AED with lesser behavioral AEs, lack of cognitive impairment, and no clinically relevant drug-drug interactions or dose adjustment for renal patients.

Published in European Journal of Clinical and Biomedical Sciences (Volume 7, Issue 6)
DOI 10.11648/j.ejcbs.20210706.11
Page(s) 86-93
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Brivaracetam, Epilepsy, Fecal-onset Seizures, Adjunctive Therapy, Antiepileptic Drugs

References
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Cite This Article
  • APA Style

    A. V. Srinivasan, Kumar Gaurav, Arundhati Ghosh, Sukhpreet Singh. (2021). Expert Opinion: Brivaracetam in Management of Epilepsy. European Journal of Clinical and Biomedical Sciences, 7(6), 86-93. https://doi.org/10.11648/j.ejcbs.20210706.11

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    ACS Style

    A. V. Srinivasan; Kumar Gaurav; Arundhati Ghosh; Sukhpreet Singh. Expert Opinion: Brivaracetam in Management of Epilepsy. Eur. J. Clin. Biomed. Sci. 2021, 7(6), 86-93. doi: 10.11648/j.ejcbs.20210706.11

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    AMA Style

    A. V. Srinivasan, Kumar Gaurav, Arundhati Ghosh, Sukhpreet Singh. Expert Opinion: Brivaracetam in Management of Epilepsy. Eur J Clin Biomed Sci. 2021;7(6):86-93. doi: 10.11648/j.ejcbs.20210706.11

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  • @article{10.11648/j.ejcbs.20210706.11,
      author = {A. V. Srinivasan and Kumar Gaurav and Arundhati Ghosh and Sukhpreet Singh},
      title = {Expert Opinion: Brivaracetam in Management of Epilepsy},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {7},
      number = {6},
      pages = {86-93},
      doi = {10.11648/j.ejcbs.20210706.11},
      url = {https://doi.org/10.11648/j.ejcbs.20210706.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20210706.11},
      abstract = {Epilepsy is prevalent with about 50 million patients affected worldwide. There are many treatment gaps in the management of epilepsy in India. Within Anti-epileptic drugs (AED), Brivaracetam, which is a high-affinity, selective, and reversible ligand for synaptic vesicle 2A is approved by the Food and Drug Administration for monotherapy as well as adjunctive treatment of focal seizures. A series of meeting occurring during April 2020 inviting neurologist across India as panel members, reviewed the efficacy and safety of brivaracetam and discussed the use of brivaracetam in clinical settings and the drivers and barriers for the use of brivaracetam in the management of epilepsy. Brivaracetam has good efficacy and tolerability as adjunctive therapy in the treatment of focal (partial onset) seizures in patients 16 years of age and older. Brivaracetam is safe for prolonged use in patients with epilepsy and in children with epilepsy. The most common adverse events with brivaracetam are related to central nervous system and include fatigue, dizziness, and somnolence; these may improve or resolve during treatment. A consensus was sought for the use of brivaracetam in epilepsy management in routine neurology practices Brivaracetam is a safer AED with lesser behavioral AEs, lack of cognitive impairment, and no clinically relevant drug-drug interactions or dose adjustment for renal patients.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Expert Opinion: Brivaracetam in Management of Epilepsy
    AU  - A. V. Srinivasan
    AU  - Kumar Gaurav
    AU  - Arundhati Ghosh
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    T2  - European Journal of Clinical and Biomedical Sciences
    JF  - European Journal of Clinical and Biomedical Sciences
    JO  - European Journal of Clinical and Biomedical Sciences
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    AB  - Epilepsy is prevalent with about 50 million patients affected worldwide. There are many treatment gaps in the management of epilepsy in India. Within Anti-epileptic drugs (AED), Brivaracetam, which is a high-affinity, selective, and reversible ligand for synaptic vesicle 2A is approved by the Food and Drug Administration for monotherapy as well as adjunctive treatment of focal seizures. A series of meeting occurring during April 2020 inviting neurologist across India as panel members, reviewed the efficacy and safety of brivaracetam and discussed the use of brivaracetam in clinical settings and the drivers and barriers for the use of brivaracetam in the management of epilepsy. Brivaracetam has good efficacy and tolerability as adjunctive therapy in the treatment of focal (partial onset) seizures in patients 16 years of age and older. Brivaracetam is safe for prolonged use in patients with epilepsy and in children with epilepsy. The most common adverse events with brivaracetam are related to central nervous system and include fatigue, dizziness, and somnolence; these may improve or resolve during treatment. A consensus was sought for the use of brivaracetam in epilepsy management in routine neurology practices Brivaracetam is a safer AED with lesser behavioral AEs, lack of cognitive impairment, and no clinically relevant drug-drug interactions or dose adjustment for renal patients.
    VL  - 7
    IS  - 6
    ER  - 

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Author Information
  • Department of Neurology, MGR Medical University, Tamilnadu, India

  • Medical Affairs, Dr. Reddy’s Laboratories Ltd, Hyderabad, India

  • Medical Affairs, Dr. Reddy’s Laboratories Ltd, Hyderabad, India

  • Medical Affairs, Dr. Reddy’s Laboratories Ltd, Hyderabad, India

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