Comparative analysis of brivaracetam and levetiracetam in epilepsy treatment

Epilepsy affects millions of people worldwide, necessitating effective and safe treatment options. Brivaracetam (BRV) and levetiracetam (LEV) are antiepileptic drugs that target the synaptic vesicle protein 2A (SV2A). Despite the similarities in their chemical structure, BRV and LEV exhibit distinct...

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Main Authors: Ming-Yuan Hsu, Shu-Wei Hu, Hueng-Chuen Fan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Tungs’ Medical Journal
Subjects:
Online Access:https://doi.org/10.4103/ETMJ.ETMJ-D-24-00027
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author Ming-Yuan Hsu
Shu-Wei Hu
Hueng-Chuen Fan
author_facet Ming-Yuan Hsu
Shu-Wei Hu
Hueng-Chuen Fan
author_sort Ming-Yuan Hsu
collection DOAJ
description Epilepsy affects millions of people worldwide, necessitating effective and safe treatment options. Brivaracetam (BRV) and levetiracetam (LEV) are antiepileptic drugs that target the synaptic vesicle protein 2A (SV2A). Despite the similarities in their chemical structure, BRV and LEV exhibit distinct pharmacological profiles. This study provides a detailed comparative analysis of BRV and LEV, focusing on their mechanisms of action, preclinical profiles, and pharmacokinetic and pharmacodynamic properties. Clinical trial data highlight the efficacy and safety of both drugs, with BRV showing a higher affinity for SV2A and greater potency in certain seizure models. Additionally, emerging treatment strategies and future directions in epilepsy research are discussed, highlighting the potential for BRV and LEV in advancing epilepsy care.
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publisher Wolters Kluwer Medknow Publications
record_format Article
series Tungs’ Medical Journal
spelling doaj-art-d23ca1090b5b4807bd30d6ebc61bab152025-08-20T03:49:56ZengWolters Kluwer Medknow PublicationsTungs’ Medical Journal2071-35922949-97202025-01-01191273110.4103/ETMJ.ETMJ-D-24-00027Comparative analysis of brivaracetam and levetiracetam in epilepsy treatmentMing-Yuan HsuShu-Wei HuHueng-Chuen FanEpilepsy affects millions of people worldwide, necessitating effective and safe treatment options. Brivaracetam (BRV) and levetiracetam (LEV) are antiepileptic drugs that target the synaptic vesicle protein 2A (SV2A). Despite the similarities in their chemical structure, BRV and LEV exhibit distinct pharmacological profiles. This study provides a detailed comparative analysis of BRV and LEV, focusing on their mechanisms of action, preclinical profiles, and pharmacokinetic and pharmacodynamic properties. Clinical trial data highlight the efficacy and safety of both drugs, with BRV showing a higher affinity for SV2A and greater potency in certain seizure models. Additionally, emerging treatment strategies and future directions in epilepsy research are discussed, highlighting the potential for BRV and LEV in advancing epilepsy care.https://doi.org/10.4103/ETMJ.ETMJ-D-24-00027antiepileptic drugsbrivaracetamlevetiracetam
spellingShingle Ming-Yuan Hsu
Shu-Wei Hu
Hueng-Chuen Fan
Comparative analysis of brivaracetam and levetiracetam in epilepsy treatment
Tungs’ Medical Journal
antiepileptic drugs
brivaracetam
levetiracetam
title Comparative analysis of brivaracetam and levetiracetam in epilepsy treatment
title_full Comparative analysis of brivaracetam and levetiracetam in epilepsy treatment
title_fullStr Comparative analysis of brivaracetam and levetiracetam in epilepsy treatment
title_full_unstemmed Comparative analysis of brivaracetam and levetiracetam in epilepsy treatment
title_short Comparative analysis of brivaracetam and levetiracetam in epilepsy treatment
title_sort comparative analysis of brivaracetam and levetiracetam in epilepsy treatment
topic antiepileptic drugs
brivaracetam
levetiracetam
url https://doi.org/10.4103/ETMJ.ETMJ-D-24-00027
work_keys_str_mv AT mingyuanhsu comparativeanalysisofbrivaracetamandlevetiracetaminepilepsytreatment
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AT huengchuenfan comparativeanalysisofbrivaracetamandlevetiracetaminepilepsytreatment