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Determination of antiepileptics in breast milk with chromatographic methods
Ernestová, Viktoria ; Hložek, Tomáš (advisor) ; Kubíčková, Anna (referee)
The present thesis is devoted to the development of a new method for the determination of a selected group of antiepileptic drugs (brivaracetam, eslicarbazepine, felbamate, gabapentin, lacosamide, perampanel, pregabalin, rufinamide) in human breast milk. The rationale for identifying antiepileptic drugs in this rather complex matrix is to assess and optimize the use of these drugs in breastfeeding mothers to avoid unnecessary and risky exposure of infants. The aforementioned drugs have various undesirable side effects that can have a negative impact not only on the mother but also on the breastfed infant. The protein precipitation method using acetonitrile/methanol mixture was used for sample preparation. A method based on liquid chromatography with tandem mass detection was developed and tested for the determination of the concentrations of these drugs. In the course of testing, different chromatographic columns with different stationary phases were tested to achieve optimal separation conditions and experimental set-ups for the full range of antiepileptic drugs tested.The whole methodology will be subsequently validated according to the general guidelines for clinical and toxicological method validation according to international standards and its use in routine laboratory practice will be intended.
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Treatment of epilepsy
Chaloupková, Lucie ; Hrdina, Radomír (advisor) ; Tilšer, Ivan (referee)
Charles University in Prague Faculty of Pharmacy in Hradec Králové Department of Pharmacology & Toxicology Student: Lucie Chaloupková Supervisor: Prof. MUDr. Radomír Hrdina, CSc. Title of diploma thesis: Treatment of epilepsy Epilepsy is a serious chronic disease affecting all ages which can be characterized by recurrent epileptic attacks. It affects about 1,3-4 % of the population and endangers the patient's life at every incoming attack. Long-term treatment must be preceded by thorough diagnosis and classification of the disease, which can be very difficult. The aim of the treatment is to prevent recurrent epileptic attacks, or at least mitigate them while minimizing the side effects of the treatment and reducing the negative impact on the quality of life. When choosing a suitable drug for an adult, the doctor usually decides individually depending on the type of epileptic attack. In children, the choice of the treatment often depends on the diagnosed type of syndrome, which appears more in the lower age category than in adult patients. The doctor should follow expert standards of the treatment of epilepsy, and also their own most recent experience and knowledge gained during the course of lifelong learning. The therapy begins with monotherapy, and only when not successful, it is necessary to...
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Analysis of spontaneous adverse events reports of antiepileptic drugs
Šoborová, Ivana ; Zimčíková, Eva (advisor) ; Malá, Kateřina (referee)
Analysis of spontaneous adverse events reports of antiepileptic drugs Author: Ivana Šoborová Supervisor: PharmDr. Eva Zimčíková, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction: Epilepsy is one of the most common neurological diseases, which occurs worldwide. Antiepileptic drugs (AED) suppress the onset of an epileptic seizure. Analysis of spontaneous adverse drug reactions (ADRs) analysis is important data source for generating the potential risks signals in pharmacotherapy. Objective: The aim of this work was to analyse spontaneous reports of ADRs from the Czech Central Database of ADRs of the State Institute for Drug Control (SÚKL) in the period from June 2004 to October 2017. The analyses of potential drug interactions of all medicinal products mentioned in the reports and the assessment of the reported ADRs expectability was the secondary goal. Methods: Retrospective analyses of the spontaneous ADR reports of antiepileptic drugs obtained from the SÚKL in the given period. Anonymized data was processed using the descriptive statistics in MS Excel. For example, the patient characteristics or seriousness and expectability of the ADRs were evaluated. The specific adverse drug reactions were divided according to the system...
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The quality of life in patients with epilepsy
Duchoň, Jan ; Javůrková, Alena (advisor) ; Jirkovský, Daniel (referee)
Background: The bachelor's thesis deals with the subjective assessment of the quality of life in people with epilepsy by the screening questionnaire Patient Weighted Quality Of Life In Epilepsy Inventory (QOLIE-10-P) in the Czech Republic. Objectives: The aim of this quantitative study was to assess the psychometric properties of the Czech version of the QOLIE-10-P questionnaire, to validate it on a sample of patients in the Czech Republic, to assess the influence of individual sociodemo- graphic and clinical variables on the quality of life of these patients, to determine, which of these variables predict quality of life and perform McCall's area transformation of Mean score and Final score QOLIE-10-P for clinical screening use in nursing practice. Methods: The study population comprised 608 patients from the Center for Epilepsy of the Neurological Department 2nd Medical Faculty Charles University and the Motol University Hospital, who met inclusive and exclusive criteria. All patients underwent neurological and neuropsychological examination and a QOLIE-10-P questionnaire was administered to them. For statistical data processing were used parametric and non- parametric tests, determination of internal consistency, test-retest reliability, factor analysis, linear regression and multiregression...
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Antiepileptic drug utilisation
Stuchlíková, Kateřina ; Zimčíková, Eva (advisor) ; Horký, Pavel (referee)
Antiepileptic drug utilization Author: Kateřina Stuchlíková Supervisor: PharmDr. Eva Zimčíková, Ph.D. Department of Social and Clinical Pharmacy Faculty of Pharmacy in Hradec Králové, Charles University, Czech Republic Introduction: Antiepileptics (AEDs) are drugs that prevent the development of epileptic seizures. Objective: The objective of this diploma thesis was to evaluate the utilization of AEDs in the Czech Republic in the period from 01. 01. 2004 to 31. 12. 2018 using data from the State Institute for Drug Control (SIDC). Methods: Retrospective analysis of drug utilization data. Data on the utilization of antiepileptic drugs were received from the SIDC database and included all AEDs that were distributed to medical facilities during the reporting period. The relative comparative unit DID was calculated - the number of defined daily doses per 1000 inhabitants per day. The data on the number of residents were obtained from the Czech Statistical Office. Results: Consumption of antiepileptics has increasing trend. During the period it increased from 7.43 DID to 15.87 DID. Especially in the group of new antiepileptics an increase was observed, where 1.15 DID raised to 10.59 DID, while in the classical antiepileptic group this value decreased from 6.28 DID to 5.28 DID. The most frequently used...
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Analysis of spontaneous adverse events reports of antiepileptic drugs
Šoborová, Ivana ; Zimčíková, Eva (advisor) ; Malá, Kateřina (referee)
Analysis of spontaneous adverse events reports of antiepileptic drugs Author: Ivana Šoborová Supervisor: PharmDr. Eva Zimčíková, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction: Epilepsy is one of the most common neurological diseases, which occurs worldwide. Antiepileptic drugs (AED) suppress the onset of an epileptic seizure. Analysis of spontaneous adverse drug reactions (ADRs) analysis is important data source for generating the potential risks signals in pharmacotherapy. Objective: The aim of this work was to analyse spontaneous reports of ADRs from the Czech Central Database of ADRs of the State Institute for Drug Control (SÚKL) in the period from June 2004 to October 2017. The analyses of potential drug interactions of all medicinal products mentioned in the reports and the assessment of the reported ADRs expectability was the secondary goal. Methods: Retrospective analyses of the spontaneous ADR reports of antiepileptic drugs obtained from the SÚKL in the given period. Anonymized data was processed using the descriptive statistics in MS Excel. For example, the patient characteristics or seriousness and expectability of the ADRs were evaluated. The specific adverse drug reactions were divided according to the system...
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The hypothalamic-pituitary-gonadal axis and epilepsy: mutual relationships
Čuchalová, Marcela ; Herink, Josef (advisor) ; Semecký, Vladimír (referee)
Charles University in Prague Faculty of Pharmacy in Hradec Králové Department of Biological and Medical Science Author: Marcela Čuchalová Supervisor: doc. MUDr. Josef Herink, DrSc. Title of diploma thesis: The hypothalamic - pituitary - gonadal axis and epilepsy: mutual relationships The content of the diploma thesis is an overview of the anatomy and physiology of the hypothalamic-pituitary-gonadal axis (HHG). Further chapters are devoted to the influence of epilepsy on HHG function, the effect of HHG hormones on epileptic activity itself. The effect of anti-epileptics on HHG functions will also be elucidated. The second part of the diploma thesis deals with separate chapters - catamenial epilepsy and epilepsy during pregnancy. Keywords: antiepileptic drugs, gonadotropin, hypothalamic-pituitary-gonadal axis, prolactin, sex hormones, temporal lobe epilepsy.
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Treatment of epilepsy
Chaloupková, Lucie ; Hrdina, Radomír (advisor) ; Tilšer, Ivan (referee)
Charles University in Prague Faculty of Pharmacy in Hradec Králové Department of Pharmacology & Toxicology Student: Lucie Chaloupková Supervisor: Prof. MUDr. Radomír Hrdina, CSc. Title of diploma thesis: Treatment of epilepsy Epilepsy is a serious chronic disease affecting all ages which can be characterized by recurrent epileptic attacks. It affects about 1,3-4 % of the population and endangers the patient's life at every incoming attack. Long-term treatment must be preceded by thorough diagnosis and classification of the disease, which can be very difficult. The aim of the treatment is to prevent recurrent epileptic attacks, or at least mitigate them while minimizing the side effects of the treatment and reducing the negative impact on the quality of life. When choosing a suitable drug for an adult, the doctor usually decides individually depending on the type of epileptic attack. In children, the choice of the treatment often depends on the diagnosed type of syndrome, which appears more in the lower age category than in adult patients. The doctor should follow expert standards of the treatment of epilepsy, and also their own most recent experience and knowledge gained during the course of lifelong learning. The therapy begins with monotherapy, and only when not successful, it is necessary to...
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Mental and social problematic of patients with epilepsy
ŠIŠKOVÁ, Lenka
This bachelor paper deals with a disease which admittedly belongs among the most frequent neurologic diseases but which the general public have little sympathy for and which often arouses fears and worries. These concerns are caused by bad or insufficient awareness of this disease. Epilepsy brings the sick person a certain stigma and cause psychosocial problems.
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