title: Analysis of anticonvulsant and neurotoxic responses to combination therapy with carbamazepine, felbamate and phenytoin by response-surface modeling.
abstract: Various combinations of carbamazepine (CAS 298-46-4), felbamate (CAS 25451-15-4), and phenytoin (CAS 57-41-0) were evaluated in mice (i.p.) for anticonvulsant activity (maximal electroshock seizure test) and minimal neurotoxicity (rotarod test). The results obtained from these studies were analyzed using response surface methodologies (RSM). The outcomes of these analyses in regard to anticonvulsant activity suggest that, under these experimental study conditions, at 0.5 h post treatment there is a significant carbamazepine/phenytoin synergism even though none of the drugs has a significant dose-response by that time when given alone, and that at 1.0 h post treatment, the combination dose-response is additive. Thus, there appears to be an important dose/time relationship. In regard to the neurotoxic response, the results suggest a significant carbamazepine/phenytoin synergism at 0.25 h post treatment and an additive neurotoxic effect due to the combination of felbamate/carbamazepine/phenytoin at 0.5, 1.0 and 2.0 h post exposure.
authors.affiliation: Department of Biostatistics, Medical College of Virginia/Virginia Commonwealth University, Richmond, USA.
authors.forename: C
authors.initials: C
authors.lastname: Gennings
authors.forename: R D
authors.initials: RD
authors.lastname: Sofia
authors.forename: R A
authors.initials: RA
authors.lastname: Carchman
authors.forename: W H
authors.initials: WH
authors.lastname: Carter
authors.forename: E A
authors.initials: EA
authors.lastname: Swinyard
mesh_terms: D000818:Animals; D000927:Anticonvulsants / Q000008:administration & dosage* / Q000633:toxicity; D002220:Carbamazepine / Q000008:administration & dosage* / Q000633:toxicity; D004305:Dose-Response Relationship, Drug; D004357:Drug Synergism; D004359:Drug Therapy, Combination; D004597:Electroshock; D000078328:Felbamate; D008297:Male; D051379:Mice; D048448:Phenylcarbamates; D010672:Phenytoin / Q000008:administration & dosage* / Q000633:toxicity; D004856:Postural Balance / Q000187:drug effects; D011409:Propylene Glycols / Q000008:administration & dosage* / Q000633:toxicity; D012044:Regression Analysis
chemical_list: D000927:Anticonvulsants; D048448:Phenylcarbamates; D011409:Propylene Glycols; D002220:Carbamazepine; D010672:Phenytoin; D000078328:Felbamate