The role of angiotensin receptor blockers in treating epilepsy: a review.
Taha Gul ShaikhSyeda Fatima Saba HasanHiba AhmedAmal Iqbal KaziRuhma MansoorPublished in: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology (2023)
Epilepsy is a chronic brain disease with a global prevalence of 70 million people. According to the World Health Organization, roughly 5 million new cases are diagnosed every year. Anti-seizure drugs are the treatment of choice. However, in roughly one third of the patients, these drugs fail to produce the desired effect. As a result, finding novel treatments for epilepsy becomes inevitable. Recently, angiotensin receptor blockers have been proposed as a treatment to reduce the over-excitation of neurons in epilepsy. For this purpose, we conducted a review using Medline/PubMed and Google Scholar using the relevant search terms and extracted the relevant data in a table. Our review suggests that this novel approach has a very high potential to treat epilepsy, especially in those patients who fail to respond to conventional treatment options. However, more extensive and human-based trials should be conducted to reach a decisive conclusion. Nevertheless, the use of ARBs in patients with epilepsy should be carefully monitored keeping the adverse effects in mind.
Keyphrases
- angiotensin converting enzyme
- temporal lobe epilepsy
- end stage renal disease
- angiotensin ii
- newly diagnosed
- spinal cord
- risk factors
- peritoneal dialysis
- spinal cord injury
- multiple sclerosis
- prognostic factors
- climate change
- resting state
- functional connectivity
- artificial intelligence
- patient reported outcomes
- quantum dots
- decision making
- cerebral ischemia
- binding protein
- pluripotent stem cells
- smoking cessation