title: Intranasal anticonvulsive treatment: a prospective management of intractable epilepsy?
abstract: As a common human disorder, epilepsy affects about 0.5% of the population. In many patients with epilepsy, seizures are well-controlled with currently available anti-epileptic drugs, but around 35% of patients with epilepsy continue to have seizures despite carefully optimized drug treatment. Recently, intrinsic or acquired overexpression of multidrug transporters in the blood-brain barrier has been suggested to result in producing pharmacoresistance in epilepsy, for anti-epileptic drugs concentrations would be reduced to the level that is insufficient to cause anti-epileptic activity. Intranasal administration provides a direct transport pathway to brain tissue that circumvents the blood-brain barrier for many drugs and neuropeptides. These significant conditions support the hypothesis that intranasal anticonvulsive treatment may be a prospective management of intractable epilepsy. Unfortunately, there are few studies on intranasal anticonvulsive treatment conducted in the field of intractable epilepsy. Our hypothesis provides not only a new alternative treatment for intractable epilepsy but also has potential for investigating the mechanisms underlying the development of pharmacoresistance in epilepsy.
authors.affiliation: College of Medicine and Pharmaceutics, Ocean University of China, Qingdao 266003, Shandong Province, PR China. dr.tanlan@163.com
authors.forename: Lan
authors.initials: L
authors.lastname: Tan
authors.forename: Jin-Tai
authors.initials: JT
authors.lastname: Yu
authors.forename: Hua-Shi
authors.initials: HS
authors.lastname: Guan
mesh_terms: D000281:Administration, Intranasal; D000927:Anticonvulsants / Q000008:administration & dosage* / Q000627:therapeutic use; D004827:Epilepsy / Q000188:drug therapy*; D006801:Humans; D008962:Models, Theoretical; D011446:Prospective Studies
chemical_list: D000927:Anticonvulsants