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Published Online, 24 August 2004, www.theannals.com, DOI 10.1345/aph.1E068.
The Annals of Pharmacotherapy: Vol. 38, No. 10, pp. 1631-1634. DOI 10.1345/aph.1E068
© 2004 Harvey Whitney Books Company.
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OBJETIVO: La sobreexpresión de glucoproteína-P en el sistema nervioso central puede ser un mecanismo de farmacoresistencia en pacientes con epilepsia. El calcio antagonista, verapamil, es un inhibidor conocido de glucoproteína-P, de drogas anticonvulsivantes del cerebro. Este bloqueo elevaría la concentración intracelular de las drogas anticonvulsivantes y últimamente disminuiría las convulsiones en pacientes con epilepsia refractaria.

RESUMEN DEL CASO: Después de la adición de verapamil al régimen antiepiléptico de una paciente de 24 años de edad con epilepsia refractaria, aumentó al doble el tiempo promedio entre sus hospitalizaciones para convulsiones parciales con sintomatología compleja. La adición de verapamil mejoró significativamente el control de las convulsiones y la calidad de vida en esta paciente con epilepsia farmacoresistente.

DISCUSIÓN: Después de la adición de verapamil al régimen antiepiléptico, aumentó al doble el tiempo promedio entre hospitalizaciones para convulsiones parciales con sintomatología compleja.

CONCLUSIONES: El verampamil ofece a los pacientes con epilepsia resistente a los medicamentos la esperanza de mejoramiento en el control de las convulsiones gracias a su posible efecto inhibitorio sobre la glucoproteína-P.

www.theannals.com, DOI 10.1345/aph.1E068


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This Article
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Right arrow Articles by Summers, M. A
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Right arrow Articles by Summers, M. A
Right arrow Articles by McAuley, J. W


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Copyright © 2004 by Harvey Whitney Books Company.