Evidence map›Paper›PMID 27630862›Full record

ArticleJournal of clinical and diagnostic research : JCDR2016

Valproic Acid versus Lamotrigine as First-line Monotherapy in Newly Diagnosed Idiopathic Generalized Tonic -Clonic Seizures in Adults - A Randomized Controlled Trial.

Vishal Prakash Giri, Om Prakash Giri, Farhan Ahmad Khan, Narendra Kumar, Ajay Kumar, Ataul Haque

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical and diagnostic research : JCDR, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Sex differences in characteristics of idiopathic generalized epilepsies.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  10. Intractable Generalized Epilepsy: Therapeutic Approaches.Current neurology and neuroscience reports · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Vishal Prakash GiriAssistant Professor, Department of Pharmacology, Teerthanker Mahaveer Medical College and Research Centre , Moradabad, U.P, India .
Om Prakash GiriProfessor and Head, Department of Pulmonary Medicine, Darbhanga Medical College and Hospital , Darbhanga, Bihar, India .
Farhan Ahmad KhanProfessor, Department of Pharmacology, Teerthanker Mahaveer Medical College and Research Centre , Moradabad, U.P, India .
Narendra KumarAssistant Professor, Department of Neurosurgery, Teerthanker Mahaveer Medical College and Research Centre , Moradabad, U.P, India .
Ajay KumarAssociate Professor, Department of Medicine, Teerthanker Mahaveer Medical College and Research Centre , Moradabad, U.P, India .
Ataul HaquePost-Graduate Student, Department of Pharmacology, Teerthanker Mahaveer Medical College and Research Centre , Moradabad, U.P, India .
Teerthanker Mahaveer Medical College & Research Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIdiopathic Generalized Tonic-Clonic Seizures (GTCS) are frequently encountered in adults. Their successful control is necessary to improve the quality of life of these patients. Valproic acid is a simple branched-chain carboxylic acid and lamotrigine is a phenyltriazine derivative. Opinions differ in regards to their effectiveness in idiopathic GTCS.

aimTo compare the effectiveness of valproic acid and lamotrigine in newly diagnosed adults with idiopathic generalized tonic-clonic seizures. MATERIALS AND

methodsThe present prospective randomized study was conducted on 60 patients suffering from idiopathic GTCS. Thirty patients received valproic acid and rest 30 patients received lamotrigine. All patients were followed regularly monthly for one year for treatment response and adverse effects.

resultsAfter 12 months follow-up, 76.67% patients taking valproic acid and 56.67% patients taking lamotrigine were seizure-free. Common adverse effects recorded were nausea, dyspepsia, headache and skin rash.

conclusionValproic acid is more effective than lamotrigine as first-line drug in the treatment of adults with newly diagnosed idiopathic generalized tonic-clonic seizures.

Indexed as

Antiepileptic drugsClinical trialEffectivenessEpilepsyMonotherapy

Identifiers

PMID27630862
PMCPMC5020233
OpenAlexW2514703777

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.