2000
DOI: 10.1053/seiz.2000.0428
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A double-blind comparison of lamotrigine and carbamazepine in newly diagnosed epilepsy with health-related quality of life as an outcome measure

Abstract: The aim of this study was to compare the effect of treatment with lamotrigine (LTG) or carbamazepine (CBZ) on health-related quality of life (HRQOL) and to demonstrate the use of the SEALS Inventory as a comparative tool in clinical trials. Two hundred and sixty patients with newly diagnosed epilepsy were randomized to 48 weeks of treatment with LTG (n = 131) or CBZ (n = 129). HRQOL was measured at baseline and weeks 4, 12, 24, and 48 using the modified Side Effect and Life Satisfaction (SEALS) Inventory-a 38-… Show more

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Cited by 89 publications
(45 citation statements)
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References 7 publications
(10 reference statements)
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“…1C, D and Supplementary Fig. S1), an autophagy inducer that was approved by the FDA to treat epilepsy and bipolar disorder (18,22). Based upon these preliminary findings, we performed experiments by using various short-term exposure models; we maintained the understanding that measurement of reference compounds will need to be conducted in media preparations to validate consistency of doses, requiring the standardization and evaluation of such compounds for future longitudinal studies.…”
Section: Discussionmentioning
confidence: 99%
“…1C, D and Supplementary Fig. S1), an autophagy inducer that was approved by the FDA to treat epilepsy and bipolar disorder (18,22). Based upon these preliminary findings, we performed experiments by using various short-term exposure models; we maintained the understanding that measurement of reference compounds will need to be conducted in media preparations to validate consistency of doses, requiring the standardization and evaluation of such compounds for future longitudinal studies.…”
Section: Discussionmentioning
confidence: 99%
“…45 Previous randomised studies comparing different drugs for epilepsy have either focused on clinical outcomes only or included only limited assessments of QoL. For example, Gillham and colleagues examined QoL in a 48-week study comparing LTG and CBZ 46 using the SEALS (Side Effects and Life Satisfaction) inventory, a 38-item questionnaire covering five QoL domains: worry, temper, cognition, dysphoria and tiredness. Overall, SEALS scores in the LTG group decreased significantly from baseline, with improvement across all five domains; patients taking CBZ experienced more short-term side-effects (first 4 weeks of treatment).…”
Section: Assessment Of Qol Outcomesmentioning
confidence: 99%
“…One compared LTG with CBZ, 77 one with PHT, 75 two with VPA 122,126 and two with conventional therapy. 114,118 Three studies used monotherapy OXC.…”
Section: Quality Of Lifementioning
confidence: 99%
“…Three of the six LTG trials were in newly diagnosed patients with either partial or generalised seizure types. 75,77,118 Two trials included patients with either refractory partial or generalised seizures. 114,122 One trial included both refractory and newly diagnosed patients who experienced either partial or generalised seizure types.…”
Section: Quality Of Lifementioning
confidence: 99%