作者
Simona Lattanzi,Valentina Chiesa,Giancarlo Di Gennaro,Edoardo Ferlazzo,Angelo Labate,Angela La Neve,Stefano Meletti,Carlo Di Bonaventura,Daniela Azzollini,B Frisoni Giovanni,Vittoria Cianci,Christopher J. Mario,Cumbo Eduardo,Dainese Filippo,Daniela Di Giuseppe,Fallica Elisa,Graciela Alfonso,Le Piane Emilio,Mariangela Panebianco,Marta Piccioli,P. Di Pietro,P. Della Monica,Pulitano Patrizia,Ranzato Federica,Rosaria Renna,Rosati Eleonora,Vergine Stella
摘要
Antiseizure medications remain the cornerstone of treatment for epilepsy, although a proportion of individuals with the condition will continue to experience seizures despite appropriate therapy. Treatment choices for epilepsy are based on variables related to both the individual patient and the available medications. Brivaracetam is a third-generation agent antiseizure medication.We carried out a Delphi consensus exercise to define the role of brivaracetam in clinical practice and to provide guidance about its use as first add-on ASM and in selected clinical scenarios. A total of 15 consensus statements were drafted by an expert panel following review of the literature and all were approved in the first round of voting by panelists. The consensus indicated different clinical scenarios for which brivaracetam can be a good candidate for treatment, including first add-on use.Overall, brivaracetam was considered to have many advantageous characteristics that render it a suitable option for patients with focal epilepsy, including a fast onset of action, favorable pharmacokinetic profile with few drug-drug interactions, broad-spectrum activity, and being well tolerated across a range of doses. Brivaracetam is also associated with sustained clinical response and good tolerability in the long term.These characteristics also make it suitable as an early add-on for the elderly and for patients with post-stroke epilepsy or status epilepticus as highlighted by the present Delphi consensus.