<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">epilepsia</journal-id><journal-title-group><journal-title xml:lang="en">Epilepsy and paroxysmal conditions</journal-title><trans-title-group xml:lang="ru"><trans-title>Эпилепсия и пароксизмальные состояния</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2077-8333</issn><issn pub-type="epub">2311-4088</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">epilepsia-136</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group></article-categories><title-group><article-title>EXPERIENCE REPLACEMENT DRUGS OF VALPROIC ACID IN CHILDREN OUTPATIENT CLINIC</article-title><trans-title-group xml:lang="ru"><trans-title>ОПЫТ ЗАМЕНЫ ПРЕПАРАТОВ ВАЛЬПРОЕВОЙ КИСЛОТЫ В ДЕТСКОЙ АМБУЛАТОРНОЙ ПРАКТИКЕ</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Щедеркина</surname><given-names>И. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Schederkina</surname><given-names>I. O.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Заваденко</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Zavadenko</surname><given-names>N. N.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Колтунов</surname><given-names>И. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Koltunov</surname><given-names>I. E.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Морозовская детская городская клиническая больница, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Morozov Children’s Clinical Hospital, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Российский национальный исследовательский медицинский университет имени Н. И. Пирогова, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>08</day><month>06</month><year>2016</year></pub-date><volume>5</volume><issue>4</issue><fpage>49</fpage><lpage>53</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Schederkina I.O., Zavadenko N.N., Koltunov I.E., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Щедеркина И.О., Заваденко Н.Н., Колтунов И.Е.</copyright-holder><copyright-holder xml:lang="en">Schederkina I.O., Zavadenko N.N., Koltunov I.E.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.epilepsia.su/jour/article/view/136">https://www.epilepsia.su/jour/article/view/136</self-uri><abstract><p>Abstract: the article presents the clinical observation of outpatients with a diagnosis of epilepsy in the children’s neurological department Morozovsky Children Hospital translation from the original on generic drug valproic acid. Such changes in anticonvulsant therapy in patients quarter led to a deterioration of the disease in the form of clinical remission failure, impairment at lectroencephalography, as well as the emergence of side effects from the gastrointestinal tract and deterioration of cognitive functions. On the basis of this observation can be confirmed by the fact that patients with epilepsyin remission is not recommended translated from the original drug to a generic.</p></abstract><trans-abstract xml:lang="ru"><p>Представлено клиническое наблюдение за амбулаторными пациентами с диагнозом эпилепсия на базе детского неврологического отделения Морозовской ДГКБ при переводе с оригинального на генерический препарат вальпроевой кислоты. Подобные изменения в противосудорожной терапии у четверти больных приводили к ухудшению течения заболевания в виде срыва клинической ремиссии, ухудшения на электроэнцефалографии, а также появлению побочных эффектов со стороны желудочно-кишечного тракта и ухудшения когнитивных функций. На основе данного наблюдения можно подтвердить тот факт, что у пациентов с эпилепсией, находящихся в ремиссии не рекомендован перевод с оригинального препарата на генерик.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>эпилепсия</kwd><kwd>вальпроевая кислота</kwd><kwd>генерики</kwd><kwd>изменение противосудорожной терапии</kwd></kwd-group><kwd-group xml:lang="en"><kwd>epilepsy</kwd><kwd>valproic acid</kwd><kwd>generics change anticonvulsant therapy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Верткин А.Л., Талибов О.Б. Генерики и эквивалентность – что стоит за терминами. Неотложная терапия. 2004; 1-2: 16-17.</mixed-citation><mixed-citation xml:lang="en">Верткин А.Л., Талибов О.Б. Генерики и эквивалентность – что стоит за терминами. Неотложная терапия. 2004; 1-2: 16-17.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Власов П.Н., Шафова Н.В. Эффективность и переносимость терапии эпилепсии при вынужденной замене противоэпилептических препаратов. Лечащий врач. 2007; 8: 75-77.</mixed-citation><mixed-citation xml:lang="en">Власов П.Н., Шафова Н.В. Эффективность и переносимость терапии эпилепсии при вынужденной замене противоэпилептических препаратов. Лечащий врач. 2007; 8: 75-77.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Карлов В.А. Стратегия и тактика лечения эпилепсии сегодня. Журнал неврология и психиатрия. 2004; 8: 28-34.</mixed-citation><mixed-citation xml:lang="en">Карлов В.А. Стратегия и тактика лечения эпилепсии сегодня. Журнал неврология и психиатрия. 2004; 8: 28-34.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Соколов Ю.Б. Сравнительная фармакокинетика препаратов вальпроевой кислоты с контролируемым высвобождением. Ремедиум. 2006; 4: 2-7.</mixed-citation><mixed-citation xml:lang="en">Соколов Ю.Б. Сравнительная фармакокинетика препаратов вальпроевой кислоты с контролируемым высвобождением. Ремедиум. 2006; 4: 2-7.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Тарловская Е.И. Генерики и оригинальные препараты: взгляд практического врача. РМЖ. 2008; 16 (5): 333-336.</mixed-citation><mixed-citation xml:lang="en">Тарловская Е.И. Генерики и оригинальные препараты: взгляд практического врача. РМЖ. 2008; 16 (5): 333-336.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Besag F.M.C. Is generic prescribing acceptabl in epilepsy? Drug safety. 2000; 23 (23): 173-182.</mixed-citation><mixed-citation xml:lang="en">Besag F.M.C. Is generic prescribing acceptabl in epilepsy? Drug safety. 2000; 23 (23): 173-182.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Bialer M., Yacobi A., Moros D. et al. Criteria to assess in vivo performance and bioequivalence of generic controlled-release formulations of carbamazepine. Epilepsia. 1998; 39: 513-519.</mixed-citation><mixed-citation xml:lang="en">Bialer M., Yacobi A., Moros D. et al. Criteria to assess in vivo performance and bioequivalence of generic controlled-release formulations of carbamazepine. Epilepsia. 1998; 39: 513-519.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Argumosa A., Herranz J.L. The clinical and economic impact of generic drugs in the treatment of epilepsy. Rev. Neurol. 2005; 41: 45-9.</mixed-citation><mixed-citation xml:lang="en">Argumosa A., Herranz J.L. The clinical and economic impact of generic drugs in the treatment of epilepsy. Rev. Neurol. 2005; 41: 45-9.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Crawford P., Feely M., Guberman A., Kramer G. Are there potential problems with generic substitution of antiepileptic drugs: a review of issues. Seizure. 2006; 15: 165-76.</mixed-citation><mixed-citation xml:lang="en">Crawford P., Feely M., Guberman A., Kramer G. Are there potential problems with generic substitution of antiepileptic drugs: a review of issues. Seizure. 2006; 15: 165-76.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Perucca E., Gram L., Avanzini G., Dulac Q. Antiepileptic drugs as a cause of worsering seizures. Epilepsia. 1998; 39: 5-17.</mixed-citation><mixed-citation xml:lang="en">Perucca E., Gram L., Avanzini G., Dulac Q. Antiepileptic drugs as a cause of worsering seizures. Epilepsia. 1998; 39: 5-17.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Simeons S., De Coster S. Sustaining generic medicines markets in Europe. – Leuven: Research Centre for Pharmaceutical Care and Pharmaco-economics, Katholieke Universitiet Leuven, 2006.</mixed-citation><mixed-citation xml:lang="en">Simeons S., De Coster S. Sustaining generic medicines markets in Europe. – Leuven: Research Centre for Pharmaceutical Care and Pharmaco-economics, Katholieke Universitiet Leuven, 2006.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Vadney V.J., Kraushaar K.W. Effects of switchin from Depakene to generic valproic acid on individuals with mental retardation. Ment. Retard. 1997; 35: 468-472.</mixed-citation><mixed-citation xml:lang="en">Vadney V.J., Kraushaar K.W. Effects of switchin from Depakene to generic valproic acid on individuals with mental retardation. Ment. Retard. 1997; 35: 468-472.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Wilner A.N. Therapeutic equivalency of generic antiepileptic drugs: results of a survey. Epilepsy &amp;Bahavior. 2004; www.scien-cedirect.com.</mixed-citation><mixed-citation xml:lang="en">Wilner A.N. Therapeutic equivalency of generic antiepileptic drugs: results of a survey. Epilepsy &amp;Bahavior. 2004; www.scien-cedirect.com.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
