Comparison of methods of carbamazepine dosage, individualization in epileptic patients. 1988

M J Garcia, and A C Alonso, and A Maza, and D Santos, and C Matesanz, and A Dominguez-Gil
Department of Pharmacy, School of Pharmacy, University of Salamanca, Spain.

The aim of the present work was to analyse the predictive capacity of different optimization methods for carbamazepine dosage regimens according to population pharmacokinetic parameters and/or serum levels data. Calculations were performed using a multiple non-linear regression program (MULTI 2 BAYES) with two different options: (a) using the ordinary least squares methods and (b) the least squares method based on the Bayesian algorithm. The predictive capacity of the three methods was analysed comparing the serum levels values in patients predicted by each method and those observed later. The performance obtained was poor and even unacceptable when dosage prediction was based on the mean parameters of the population studied (Method A) and when only one data point relating to the serum carbamazepine levels was available (Method B). When two serum levels data were used the standard deviation of the mean prediction error was only clinically acceptable when Bayesian non-linear regression was applied (Method C). When the number of serum levels data points was 3 or 4 the errors were acceptable from a clinical point of view and no significant differences could be found between the use of the simple and Bayesian version at the same level of information.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D002220 Carbamazepine A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. Amizepine,Carbamazepine Acetate,Carbamazepine Anhydrous,Carbamazepine Dihydrate,Carbamazepine Hydrochloride,Carbamazepine L-Tartrate (4:1),Carbamazepine Phosphate,Carbamazepine Sulfate (2:1),Carbazepin,Epitol,Finlepsin,Neurotol,Tegretol
D004827 Epilepsy A disorder characterized by recurrent episodes of paroxysmal brain dysfunction due to a sudden, disorderly, and excessive neuronal discharge. Epilepsy classification systems are generally based upon: (1) clinical features of the seizure episodes (e.g., motor seizure), (2) etiology (e.g., post-traumatic), (3) anatomic site of seizure origin (e.g., frontal lobe seizure), (4) tendency to spread to other structures in the brain, and (5) temporal patterns (e.g., nocturnal epilepsy). (From Adams et al., Principles of Neurology, 6th ed, p313) Aura,Awakening Epilepsy,Seizure Disorder,Epilepsy, Cryptogenic,Auras,Cryptogenic Epilepsies,Cryptogenic Epilepsy,Epilepsies,Epilepsies, Cryptogenic,Epilepsy, Awakening,Seizure Disorders
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D015233 Models, Statistical Statistical formulations or analyses which, when applied to data and found to fit the data, are then used to verify the assumptions and parameters used in the analysis. Examples of statistical models are the linear model, binomial model, polynomial model, two-parameter model, etc. Probabilistic Models,Statistical Models,Two-Parameter Models,Model, Statistical,Models, Binomial,Models, Polynomial,Statistical Model,Binomial Model,Binomial Models,Model, Binomial,Model, Polynomial,Model, Probabilistic,Model, Two-Parameter,Models, Probabilistic,Models, Two-Parameter,Polynomial Model,Polynomial Models,Probabilistic Model,Two Parameter Models,Two-Parameter Model

Related Publications

M J Garcia, and A C Alonso, and A Maza, and D Santos, and C Matesanz, and A Dominguez-Gil
June 2006, Journal of clinical pharmacy and therapeutics,
M J Garcia, and A C Alonso, and A Maza, and D Santos, and C Matesanz, and A Dominguez-Gil
January 1983, European journal of clinical pharmacology,
M J Garcia, and A C Alonso, and A Maza, and D Santos, and C Matesanz, and A Dominguez-Gil
February 1990, Journal of clinical pharmacy and therapeutics,
M J Garcia, and A C Alonso, and A Maza, and D Santos, and C Matesanz, and A Dominguez-Gil
January 1981, Acta medica Scandinavica,
M J Garcia, and A C Alonso, and A Maza, and D Santos, and C Matesanz, and A Dominguez-Gil
January 1983, Acta neurologica Scandinavica. Supplementum,
M J Garcia, and A C Alonso, and A Maza, and D Santos, and C Matesanz, and A Dominguez-Gil
January 1981, Pharmatherapeutica,
M J Garcia, and A C Alonso, and A Maza, and D Santos, and C Matesanz, and A Dominguez-Gil
January 1984, Pediatric infectious disease,
M J Garcia, and A C Alonso, and A Maza, and D Santos, and C Matesanz, and A Dominguez-Gil
September 1974, The Medical clinics of North America,
M J Garcia, and A C Alonso, and A Maza, and D Santos, and C Matesanz, and A Dominguez-Gil
April 1982, Neurology,
M J Garcia, and A C Alonso, and A Maza, and D Santos, and C Matesanz, and A Dominguez-Gil
January 1977, Folia psychiatrica et neurologica japonica,
Copied contents to your clipboard!