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뇌전증약을 복용 중인 뇌전증 환자에서 코로나바이러스감염증-19 치료제를 사용할 때 고려사항Consideration for Coronavirus Disease 2019 Drug Treatment in Patients with Epilepsy on Antiepileptic Drugs

Other Titles
Consideration for Coronavirus Disease 2019 Drug Treatment in Patients with Epilepsy on Antiepileptic Drugs
Authors
변정익선우준상강경욱김근태김대영김동욱김세윤김세희김우준문혜진박혜리서종근황경진서대원
Issue Date
May-2022
Publisher
대한신경과학회
Keywords
COVID-19; Epilepsy; Anticonvulsants; Drug interactions
Citation
대한신경과학회지, v.40, no.2, pp 121 - 126
Pages
6
Journal Title
대한신경과학회지
Volume
40
Number
2
Start Page
121
End Page
126
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/20691
ISSN
1225-7044
2288-985X
Abstract
Several medications are approved to treat coronavirus disease 2019 (COVID-19) in Korea including nirmatrelvir/ritonavir, remdesivir, and regdanvimab. There is potential drug-drug interaction between antiepileptic drugs (AEDs) and the medications used to treat COVID-19. Several AEDs such as phenytoin, carbamazepine, phenobarbital, and primidone are strong cytochrome P450 inducers and can inhibit the drugs used for COVID-19. Particularly, these drugs are contraindicated with nirmatrelvir/ritonavir (Paxlovid® ). There is a weaker drug-drug interaction between the AEDs and remdesivir. No significant interaction has been reported between the AEDs and molnupiravir. Pharmacokinetic interactions of the AEDs are important in effective management of COVID-19 in patients with epilepsy
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