The Medical Letter on Drugs and Therapeutics
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1447
A Responsive Neurostimulator Device (RNS System) for Epilepsy
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The FDA has approved the use of a responsive neurostimulator device (RNS System – NeuroPace) for adjunctive treatment of adults with partial-onset seizures that are not controlled with ≥2 antiepileptic drugs and who have frequent and disabling seizures and no more than 2 epileptogenic foci.

TREATMENT OF EPILEPSY — Treatment of epilepsy should begin with a single drug, gradually increasing the dosage until seizures are controlled or adverse effects become unacceptable. If seizures persist, expert clinicians generally prescribe at least one and sometimes a second alternative drug as monotherapy before considering use of two drugs at the same time.1

About 30-40% of patients with epilepsy continue to have seizures despite treatment with antiepileptic drugs or have intolerable side effects.2 Vagus nerve stimulation, which ... more      

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Title: A Responsive Neurostimulator Device (RNS System) for Epilepsy
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