Preparat: Apydan, Apydan Extent, Oxcarbazepin Mylan, Oxcarbazepine STADA, Trileptal, Trileptal®
ATC kod: N03AF02
Inga könsrelaterade skillnader i effekt eller farmakokinetik har observerats för oxkarbazepin.
According to the original manufacturer, no sex-related pharmacokinetic differences have been observed in children, adults or the elderly [1, 2]. No studies with a clinically relevant sex analysis regarding the dosing of oxcarbazepine have been found.
No studies with a clinically relevant sex analysis regarding the effects of oxcarbazepine have been found.
For the common adverse event hyponatremia, no difference between men and women has been shown . There is one study indicating that treatment with oxcarbazepine (as well as carbamazepine and valproic acid) is associated with sperm abnormalities in men with epilepsy. The clinical relevance of this finding is unclear .
The plasma concentrations of estrogens and progestogens may be decreased by coadministration of oxcarbazepine. The effect of hormones may be impaired. Regarding drug-drug interactions aspects, please consult Janusmed Interactions (in Swedish, Janusmed interaktioner).
Regarding teratogenic aspects, please consult Janusmed Drugs and Birth Defects (in Swedish, Janusmed fosterpåverkan).
Slightly more men than women were treated in inpatient care with the main diagnosis epilepsy (ICD-10 G40) i Sweden during 2011, totally 3389 men and 2921 women. The prevalence was highest amon the elderly in both sexes. In the age group 45 year and older, the diagnos was on average 1.4 times more common among men. In the younger age groups, the prevalence was similar in both women and men . In a Swedish study, the incidence of unprovoked epileptic seizures/epilepsy was generally higher among men than women, especially in the age group 60 years and older. In the age group 1-9 year, the incidence was higher among girls .
Något fler män än kvinnor hämtade ut läkemedel innehållande oxkarbazepin (ATC-kod N03AF02) på recept i Sverige år 2015, totalt 1 854 män och 1 591 kvinnor. Det motsvarar 0,4 respektive 0,3 personer per tusen invånare. Andelen som hämtat ut läkemedel var högst i åldersgruppen 5-14 år hos båda könen .
Faktagranskat av: Expertrådet för neurologiska sjukdomar, Ellen Vinge
Godkänt av: Mia von Euler