Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Sultiam

Generic name
Sultiam
Brand name
ATC Code
N03AX03

Pharmacokinetics in children

The study of  May et al. (n=10, 2-17 years) shows a halflife varying between 4.7 and 10.9 hours. Young children have a decreased halflife compared with older children.  

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

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Available formulations

No information is present at this moment.

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Dosages

Epilepsy
  • Oral
    • 1 month up to 18 years
      • Initial dose: 1 - 2 mg/kg/day in 2 doses.
      • Maintenance dose: if needed, increase initital dose weekly up to  3 - 6 mg/kg/day in 2 doses. Max: 10mg/kg/day, but not exceeding 600 mg/day.

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Renal impaiment in children > 3 months

No information available on dose adjustment in renal impairment.

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects in children

Hypocalcemia is reported in 5 out of 11 users of sultiam (ages 1-18 years). In 4 out of 11 users a hypophosphatemia was reported [Borusiak 2013].

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions

No information available on specific warnings and precautions in children.

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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References

  1. Tacke M, et al, Effects of Levetiracetam and Sulthiame on EEG in benign epilepsy with centrotemporal spikes: A randomized controlled trial, Seizure, 2018, 56, 115-250
  2. Borggraefe I, et al, Levetiracetam vs. sulthiame in benign epilepsy with centrotemporal spikes in childhood: a double-blinded, randomized, controlled trial (German HEAD Study),, Eur J Paediatr Neurol., 2013, 17, 507-14
  3. Shamdeen MG, et al, Effect of sulthiame on EEG pathology, behavior and school performance in children with Rolandic epileptiform discharges, Pediatr Int, 2012, 54, 98-800.
  4. Swiderska N, et al, Sulthiame in refractory paediatric epilepsies: an experience of an ‘old’ antiepileptic drug in a tertiary paediatric neurology unit, Seizure, 2011, 20, 805-8
  5. Ben-Zeev B, et al, Sulthiame in childhood epilepsy, Pediatr Int., 2004, 46, 521-4
  6. Debus OM, et al, Sulthiame in the primary therapy of West syndrome: a randomized double-blind placebo-controlled add-on trial on baseline pyridoxine medication, 2004, 45, 103-8
  7. Bast T, et al, The influence of sulthiame on EEG in children with benign childhood epilepsy with centrotemporal spikes (BECTS), Epilepsia, 2003, 44, 215-20
  8. Engler F, et al, Treatment with Sulthiame (Ospolot) in benign partial epilepsy of childhood and related syndromes: an open clinical and EEG study, Neuropediatrics, 2003, 34, 105-9
  9. Debus OM, et al, Add-on treatment with pyridoxine and sulthiame in 12 infants with West syndrome: an open clinical study, 2002, 11, 381-3
  10. Kramer U, et al, Carbamazepine versus sulthiame in treating benign childhood epilepsy with centrotemporal spikes, J Child Neurol, 2002, 17, 914-6
  11. Rating D, et al, Sulthiame as monotherapy in children with benign childhood epilepsy with centrotemporal spikes: a 6-month randomized, double-blind, placebo-controlled study, Epilepsia, 2000, 41, 1284-8
  12. Borusiak MG, et al, Antiepileptic drugs and bone metabolism in children: data from 128 patietnts, J Child Neurol, 2013, 28, 176-83.
  13. May TW, et al, Pharmcokinetics of sulthiame in epileptics patients, Ther Drug Monit, 1994, 16, 251-7
  14. Neuraxpharm, Fachinformation sultiam, Deutschland, 03-2019
  15. Phebra Pty Ltd, Product information Ospolot, Australia, 21-11-2013
  16. Borggraefe I, et al, Levetiracetam vs. sulthiame in benign epilepsy with centrotemporal spikes in childhood: a double-blinded, randomized, controlled trial (German HEAD Study),, Eur J Paediatr Neurol., 2013, 17, 507-14

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Changes

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