Cb. Dodrill et al., Tiagabine versus phenytoin and carbamazepine as add-on therapies: effects on abilities, adjustment, and mood, EPILEPSY R, 42(2-3), 2000, pp. 123-132
The effects of tiagabine (TGB) on abilities and on adjustment and mood are
as yet incompletely understood. These effects were compared with those of p
henytoin (PHT) and carbamazepine (CBZ) in an add-on study. Patients include
d in the analysis were adults with uncontrolled partial seizures who at stu
dy entry were on CBZ alone (n = 153) or on PHT alone (n = 124). Of the pati
ents receiving CBZ, 82 were randomized to add-on TGB and 71 were randomized
to add-on PHT during the double-blind period. Of the patients receiving PH
T, 58 were randomized to add-on TGB and 66 were randomized to add-on CBZ. E
ight tests of mental abilities and three of mood and adjustment were given
prior to assignment of add-on treatment and after up to 16 weeks of add-on
treatment. For the baseline CBZ group, analyses were done to search for dif
ferential changes from baseline in the test scores of the add-on TGB and ad
d-on PHT groups, and for the baseline PHT group in the add-on TGB and add-o
n CBZ groups. In the baseline CBZ group, no differences in test scores were
found between PHT and TGB. In the baseline PHT group for the area of abili
ties, patients treated with TGB had improved verbal fluency, as well as qui
cker responses on a test of perceptual/motor speed compared with patients t
reated with CBZ, For the baseline PHT group in the area of adjustment and m
ood, patients treated with TGB reported less positive mood and more financi
al concerns compared to patients treated with CBZ. Overall, add-on TGB show
ed few or no differences in comparison with add-on CBZ and add-on PHT. (C)
2000 Elsevier Science B.V. All rights reserved.