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September 1, 1984

Treatment of seizures with medroxyprogesterone acetate
Preliminary report

September 1984 issue
34 (9) 1255

Abstract

Medroxyprogesterone acetate (MPA), a synthetic progesterone, was added to the antiepileptic drug regimen of 14 women who had uncontrolled seizures. Of the 11 women who developed amenorrhea, 7 reported fewer seizures during MPA therapy. Overall reductions in seizure frequency averaged 30% (n = 11), declining from a baseline 8.3 ± 5.8 seizures per month to 5.1 ± 4.1 seizures per month (p = 0.02). No serious side effects were encountered, but spotting was common. These preliminary data suggest further evaluation of MPA for catamenial seizures.

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Information

Published In

Neurology®
Volume 34Number 9September 1984
Pages: 1255
PubMed: 6540415

Publication History

Published online: September 1, 1984
Published in print: September 1984

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Affiliations & Disclosures

Richard H. Mattson
From the Department of Neurology, Yale University School of Medicine, New Haven, CT. and the Epilepsy Center, VA Medical Center, West Haven, CT (Dr. Mattson, Ms. Cramer, and Ms. Siconolfi), and the Department of Internal Medicine (Dr. Caldwell), Yale University School of Medicine, New Haven, CT.
Joyce A. Cramer
From the Department of Neurology, Yale University School of Medicine, New Haven, CT. and the Epilepsy Center, VA Medical Center, West Haven, CT (Dr. Mattson, Ms. Cramer, and Ms. Siconolfi), and the Department of Internal Medicine (Dr. Caldwell), Yale University School of Medicine, New Haven, CT.
Burton V. Caldwell
From the Department of Neurology, Yale University School of Medicine, New Haven, CT. and the Epilepsy Center, VA Medical Center, West Haven, CT (Dr. Mattson, Ms. Cramer, and Ms. Siconolfi), and the Department of Internal Medicine (Dr. Caldwell), Yale University School of Medicine, New Haven, CT.
Barbara C. Siconolfi
From the Department of Neurology, Yale University School of Medicine, New Haven, CT. and the Epilepsy Center, VA Medical Center, West Haven, CT (Dr. Mattson, Ms. Cramer, and Ms. Siconolfi), and the Department of Internal Medicine (Dr. Caldwell), Yale University School of Medicine, New Haven, CT.

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Cited By
  1. Issues of Women with Epilepsy and Suitable Antiseizure Drugs, Journal of Epilepsy Research, 13, 2, (23-35), (2023).https://doi.org/10.14581/jer.23005
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  2. A scoping review of hormonal clinical trials in menstrual cycle-related brain disorders: Studies in premenstrual mood disorder, menstrual migraine, and catamenial epilepsy, Frontiers in Neuroendocrinology, 71, (101098), (2023).https://doi.org/10.1016/j.yfrne.2023.101098
    Crossref
  3. Progesterone and its derivatives for the treatment of catamenial epilepsy: A systematic review, Seizure: European Journal of Epilepsy, 109, (52-59), (2023).https://doi.org/10.1016/j.seizure.2023.05.004
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  4. Gender Issues in Epileptic Patients, Neurologic Clinics, 41, 2, (249-263), (2023).https://doi.org/10.1016/j.ncl.2022.10.003
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  5. Caregiver goals and satisfaction for menstrual suppression in adolescent females with developmental disabilities: A prospective cohort study, Disability and Health Journal, 16, 4, (101484), (2023).https://doi.org/10.1016/j.dhjo.2023.101484
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  6. Treatment approach to a patient with catamenial epilepsy. Case report, Case reports, 8, 1, (105-115), (2022).https://doi.org/10.15446/cr.v8n1.91649
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  7. Women’s Issues in Epilepsy, CONTINUUM: Lifelong Learning in Neurology, 28, 2, (399-427), (2022).https://doi.org/10.1212/CON.0000000000001126
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  8. Hormonal Contraception, Oxford Textbook of Endocrinology and Diabetes 3e, (1384-1392), (2022).https://doi.org/10.1093/med/9780198870197.003.0166
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  9. Sex and gender differences in epilepsy, Sex and Gender Differences in Neurological Disease, (235-276), (2022).https://doi.org/10.1016/bs.irn.2022.06.012
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  10. The interactions between reproductive hormones and epilepsy, The Human Hypothalamus: Neuropsychiatric Disorders, (155-174), (2021).https://doi.org/10.1016/B978-0-12-819973-2.00011-3
    Crossref
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