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Table 6 Details of number of dogs, 95 % CI affected cases, AED doses and serum levels, treatment period and adverse effects

From: Antiepileptic drugs’ tolerability and safety – a systematic review and meta-analysis of adverse effects in dogs

Studies

AED

No of dogs treated

Prevalence

95 % CI affected cases

Doses of AEDs

Serum levels of AEDs

Treatment period

Body system affected and adverse effects

Most common adverse effects

Adverse effect type

Schwartz-Porsche et al. 1982

Prim

30

NA

NA

range, 13–100 mg/kg PO SID

range, 6–37 μg/ml

range 6–96 m

Neurological (sedation, hind limb weakness), GI (PP), PU, PD, ClinPath (ALP, SGPT)

sedation, PU, PD

I

Schwartz-Porsche et al. 1985

Prim

20

NA

NA

range, 17–107 mg/kg PO SID

range, 0.5–58 μg/ml

mean, 14; range, 6.0–35 m

Neurological (sedation, hind limb weakness, ataxia), GI (PP), PD, ClinPath (ALT, ALP, GLDH)

sedation, PU, increased ALT, ALP and GLDH

I

Farnbach et al. 1984

Prim

23

4.3 %

−4.0 %–12.6 %

range, 15.2–82 mg/kg PO SID

range, 4.8–70.7 μg/ml

NA

Neurological (sedation, ataxia)

sedation, ataxia

I

Cunningham et al. 1983

Prim

15

NA

NA

10.6–39.4 mg/kg PO TID

mean, 2.4 μg/ml

9 m

Neurological (disorientation, ataxia, hyperactivity, pacing), GI (PP), PU, PD

PU, PD, PP, drowsiness, ataxia

I

Poffenbarger et al. 1985

Prim (monotherapy or as an adjunct to PHB)

3

NA

NA

Varied

NA

8–84 m

GI (chronic hepatopathy/toxicity-hepatic chirosis)

chronic hepatopathy/toxicity

I

Bunch et al. 1987

Prim

1

NA

NA

13 mg/kg PO BID

NA

4 d

Neurological (hyperactivity)

NA

I

Bunch et al. 1984

Prim

22

93 %

82.3 %–103.6 %

Prim: 33+/−19 mg/kg PO SID

Other AEDs: NA

NA

range, 6–120 m

GI (chronic hepatopathy/toxicity), ClinPath (increased ALP, ALT, AST, γ-GT, bile acids)

chronic hepatoxicity, increased ALP, ALT, AST, bile acids

I

Bunch et al. 1982

Prim

2

NA

NA

Case 1: 750 mg in total PO BID

Case 2: 250 mg in total PO BID

NA

24 m

GI (chronic hepatopathy/toxicity)

chronic hepatoxicity

I

EPAR (US field trial)

Prim

110

NA

NA

NA

NA

NA

Neurological (ataxia, hyperactivity, anxiety, disorientation), ClinPath (increased enzymes-unclear which) tachypnoea, PD

ataxia, PD, increased liver enzymes

I

Raw and Gaskell 1985

Prim

52

35 %

22.0 %–48.0 %

NA

NA

48 m

Neurological (ataxia), GI (PP), PD

ataxia, PD, PP

 

Meyer and Noonan 1981

Prim

6

100 %

100 %

30–40 mg/kg PO BID

NA

3 m

ClinPath (increased ALP, ALT)

increased ALT, ALP

I

Sturtevant et al. 1977

Prim

2

100 %

100 %

17.6 mg/kg POTID

NA

1 m

ClinPath (anemia, increased ALP)

increased ALP

I & II

Jacobs et al. 1998

Prim

1

NA

NA

25 mg/kg PO BID

NA

2 m

Blood dyscrasias (neutropenia, anemia, thrombocytopenia), ClinPath (decreased albumin, increased ALP)

NA

II

Henricks 1987

Prim

1

NA

NA

62 mg in total PO BID

NA

2 m

Dermatitis

NA

II

Balazs et al. 1978

Prim

4

0 %

0 %

40–80 mg/kg PO SID

NA

1.75 m

No adverse effects

NA

NA

Bunch et al. 1985

Prim

6

0 %

0 %

NA

NA

NA

No adverse effects

NA

NA

  1. Abbreviations: AED(s) anti-epileptic drug(s), BID bis in die (twice daily), Chloraz Chlorazepate, CSF cerebrospinal fluid, CL confidence level, Gaba Gabapentin, IE idiopathic epilepsy, LEV Levetiracetam, m month(s), NA Not Available, PHB phenobarbital, PD polydipsia, PU polyuria, PP polyphagia, PBr potassium bromide, Prim primidone, PO per os, SID semel in die (once daily), TID ter in die (three times daily), TPM Topiramate, w week(s), y year(s)