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vol.56 issue4Anti-epileptic drug intake adherence: the value of the blood drug level measurement and the clinical approachGreater occipital nerve blockade in cervicogenic headache author indexsubject indexarticles search
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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282XOn-line version ISSN 1678-4227

Abstract

GOMES, MARLEIDE DA MOTA  and  MAIA FILHO, HEBER DE SOUZA. Medication-taking behavior and drug self regulation in people with epilepsy. Arq. Neuro-Psiquiatr. [online]. 1998, vol.56, n.4, pp.714-719. ISSN 0004-282X.  http://dx.doi.org/10.1590/S0004-282X1998000500003.

OBJECTIVE: To study the most important characteristics of antiepileptic drug (AED) taking behavior in epileptic people. METHODS: In a crosssectional study, 45 consecutively seen patients answered a standardized questionnaire including questions about drug intake behavior. RESULTS: Both genders were equally represented (22M x 23F). The mean age was 30.2 years. No specific characteristic were presented in all patients. The self-reported non-use of the drug at any moment one week before (self-reported non-adherence) was 40.0%. Patients took the drug more than once in most cases (75.0%), and the only precipitating factor of seizures more frequently avoided was alcohol intake (66.7%). Forty-four percent said to be afraid of becoming addicted to the medicine, 61.4% reduced or stopped the medicine just to see what would happen, and 47.7% changed the prescription with the same purpose. There is no relationship among socio-demographic, behavior aspects or treatment characteristics, and self-reported non-adherence. CONCLUSIONS: Several patient's aspects do not seem to be strongly correlated with self-reported adherence. Nevertheless, drug self-regulation is probably related to the drug-intake behavior, and it is important for the physician to understand this parallel influence on treatment for a more realistic approach

Keywords : epilepsy; adherence; antiepileptic drug.

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