Monday, April 19, 2010

Epilepsy a Special Problem in Nursing Homes from MedPage Today

By John Gever, Senior Editor, MedPage Today

Blood levels of epilepsy drugs in nursing home residents can fluctuate wildly for no apparent reason, a researcher said here.

Serum concentrations of carbamazepine within individual patients varied from one measurement to the next by as much as 260%, and valproate levels showed swings of up to 460%, according Ilo Leppik, MD, of the University of Minnesota.

He reported the findings of a study of 44 nursing home residents at the American Academy of Neurology annual meeting.

In a separate presentation, Leppik also reported data indicating that new-onset seizures are twelve times as common in nursing home residents as in the community-dwelling elderly.

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