Obat antiepilepsi yang paling sering diresepkan ditinjau dari segi efektivitas

The most commonly prescribed antiepileptic drugs reviewed from an effectiveness perspective

Authors

  • Risha Meidian Shabirah Universitas Pendidikan Indonesia
  • Prima Rahayu Ningtyas
  • Laily Nurul Latifah
  • Lenni Rahmadani
  • Raisha Risdiansyah Putri
  • Nys. Faradilla Salsabila
  • Heri Ridwan

DOI:

https://doi.org/10.33023/jikep.v12i1.3007

Keywords:

Obat Antiepilepsi, Resep dokter, Efektivitas

Abstract

Epilepsi merupakan gangguan neurologis kronis yang membutuhkan terapi obat antiepilepsi (OAE) untuk mencapai kontrol kejang yang optimal. Studi ini bertujuan mengeksplorasi dan membandingkan pola peresepan serta efektivitas OAE pada kejang umum maupun kejang fokal. Metode yang digunakan adalah literature review sistematis. Pencarian dilakukan melalui PubMed, Google Scholar, dan OpenAlex dengan kriteria inklusi berupa artikel full text, open access, berbahasa Indonesia atau Inggris, serta dipublikasikan pada tahun 2015–2025. Kata kunci meliputi “jenis obat antiepilepsi”, “diresepkan dokter”, dan “efektivitas”. Tahap awal pencarian menemukan 210 jurnal (Google Scholar 158, PubMed 20, OpenAlex 32). Setelah seleksi diperoleh 8 jurnal yang sesuai dengan tujuan penelitian. Hasil kajian menunjukkan bahwa obat antiepilepsi yang paling sering diresepkan adalah natrium valproat, diikuti oleh carbamazepine dan levetiracetam. Natrium valproat umumnya digunakan pada kejang umum, sedangkan carbamazepine lebih banyak diresepkan pada kejang fokal. Levetiracetam dilaporkan memiliki spektrum penggunaan yang luas pada berbagai tipe kejang dengan profil keamanan yang relatif lebih baik. Selain monoterapi, penggunaan politerapi terutama kombinasi berbasis valproat atau carbamazepine dengan benzodiazepine sering ditemukan pada pasien dengan kontrol kejang yang belum optimal. Penelitian ini menggambarkan pola peresepan obat antiepilepsi serta implikasinya terhadap efektivitas dan keamanan terapi.

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References

Adrian Kevin. (2025, April 30). Beragam Jenis Kejang Epilepsi yang Perlu untuk Diketahui. Retrieved 30 November 2025, from https://www.alodokter.com/beragam-jenis-kejang-epilepsi-yang-perlu-untuk-diketahui

Appleton, R. E., Freeman, A., & Cross, J. H. (2012). Diagnosis and management of the epilepsies in children: a summary of the partial update of the 2012 NICE epilepsy guideline. Archives of Disease in Childhood, 97(12), 1073–1076. doi:10.1136/archdischild-2012-302822

Arifputra A. (2014). Kapita Selekta Kedokteran Edisi II. (4th ed.). Jakarta : Media Aesculapius. .

Ariyanti Gita Suci, Maulina Devi, & Lakoan Milda Rianty. (2024). Gambaran Peresepan Obat Antiepilepsi Pada Pasien Rawat Jalan di Poli Aanak RS X Periode Mei – Juli 2023. Indonesian Journal of Health Science, 4(6), 731–737.

Beydoun, A., DuPont, S., Zhou, D., Matta, M., Nagire, V., & Lagae, L. (2020). Current role of carbamazepine and oxcarbazepine in the management of epilepsy. Seizure, 83, 251–263. doi:10.1016/j.seizure.2020.10.018

CDC. (2024, May 15). Sudden unexpected death in epilepsy. CDC.

Devinsky, O., Vezzani, A., O’Brien, T. J., Jette, N., Scheffer, I. E., de Curtis, M., & Perucca, P. (2018). Epilepsy. Nature Reviews Disease Primers, 4(1), 18024. doi:10.1038/nrdp.2018.24

Dewi Niluh Puspita. (2020). Analisis Pola Penggunaan Obat Antiepilepsi di Instalasi Rawat Inap Rumah Skit Umum Daerah Madani Propinsi Sulawesi Tengah. Jurnal Farmasi Muhammadiyah Kuningan , 5(1), 12–18.

Dodson, W. E. (1987). Carbamazepine efficacy and utilization in children. Epilepsia, 28 Suppl 3, S17-24. doi:10.1111/j.1528-1157.1987.tb05773.x

Dragoumi, P., Tzetzi, O., Vargiami, E., Pavlou, E., Krikonis, K., Kontopoulos, E., & Zafeiriou, D. I. (2013). Clinical course and seizure outcome of idiopathic childhood epilepsy: determinants of early and long-term prognosis. BMC Neurology, 13(1), 206. doi:10.1186/1471-2377-13-206

El Sabaa, R. M., Ghoz, E. H., Hamdy, N. A., & Sarhan, H. A. (2020).

Effects of Levetiracetam Compared to Valproate on Cognitive Functions of Patients with Epilepsy

. Neuropsychiatric Disease and Treatment, Volume 16, 1945–1953. doi:10.2147/NDT.S256117

George, I. C., Bartolini, L., Ney, J., & Singhal, D. (2019). Differences in treatment of epilepsy in pregnancy: A worldwide survey. Neurology. Clinical Practice, 9(3), 201–207. doi:10.1212/CPJ.0000000000000642

Ghodke-Puranik, Y., Thorn, C. F., Lamba, J. K., Leeder, J. S., Song, W., Birnbaum, A. K., … Klein, T. E. (2013). Valproic acid pathway. Pharmacogenetics and Genomics, 23(4), 236–241. doi:10.1097/FPC.0b013e32835ea0b2

Goldenberg, M. M. (2010). Overview of drugs used for epilepsy and seizures: etiology, diagnosis, and treatment. P & T?: A Peer-Reviewed Journal for Formulary Management, 35(7), 392–415.

Groth, A., Wilke, T., Borghs, S., Gille, P., & Joeres, L. (2017). Real life pharmaceutical treatment patterns for adult patients with focal epilepsy in Germany: a longitudinal and cross-sectional analysis of recently approved anti-epileptic drugs. German Medical Science?: GMS e-Journal, 15, Doc09. doi:10.3205/000250

Hamer, H. M., Dodel, R., Strzelczyk, A., Balzer-Geldsetzer, M., Reese, J.-P., Schöffski, O., … Kostev, K. (2012). Prevalence, utilization, and costs of antiepileptic drugs for epilepsy in Germany--a nationwide population-based study in children and adults. Journal of Neurology, 259(11), 2376–2384. doi:10.1007/s00415-012-6509-3

Helmstaedter, C., & Witt, J.-A. (2008). The effects of levetiracetam on cognition: A non-interventional surveillance study. Epilepsy & Behavior, 13(4), 642–649. doi:10.1016/j.yebeh.2008.07.012

Jin, K. (2015). [Treatment Strategy for Adult Epilepsy: A Current Approach]. Brain and Nerve = Shinkei Kenkyu No Shinpo, 67(8), 1043–1049. doi:10.11477/mf.1416200251

Joshi, R., Tripathi, M., Gupta, P., Gulati, S., & Gupta, Y. K. (2020). Prescription pattern of antiepileptic drugs in a tertiary care center of India. Indian Journal of Pharmacology, 52(4), 283–289. doi:10.4103/ijp.IJP_507_17

Li, Z., Gao, Z., Jin, C., Guo, Q., Wang, L., Wang, S., … Wang, Y. (2014). The Efficacy of Leviteracetam versus Carbamazepine for Epilepsy: A Meta-Analysis. Iranian Journal of Public Health, 43(12), 1616–1626.

Löscher, W. (2016). Fit for purpose application of currently existing animal models in the discovery of novel epilepsy therapies. Epilepsy Research, 126, 157–184. doi:10.1016/j.eplepsyres.2016.05.016

Lukas, A., Harsono, H., & Astuti, A. (2016). GANGGUAN KOGNITIF PADA EPILEPSI. Berkala Ilmiah Kedokteran Duta Wacana, 1(2), 144. doi:10.21460/bikdw.v1i2.10

Monti Guarnieri, N., Pompilio, A., Marini, C., Ortenzi, G. B., Andresciani, E., Garzone, A. M. F., … Polidori, C. (2023). A pharmacovigilance study on antiepileptic medications in a paediatric hospital in Italy. European Journal of Hospital Pharmacy?: Science and Practice, 31(1), 46–49. doi:10.1136/ejhpharm-2021-003053

Mula, M., & Kaufman, K. R. (2020). Double stigma in mental health: epilepsy and mental illness. BJPsych Open, 6(4), e72. doi:10.1192/bjo.2020.58

Nasution, G. T. D., Sobana, S. A., & Lubis, L. (2020). Karakteristik anak epilepsi di Sekolah Luar Biasa Negeri (SLBN) Cileunyi Bandung tahun 2018. Bali Anatomy Journal, 3(1), 1–10. doi:10.36675/baj.v3i1.36

Nevitt, S. J., Sudell, M., Weston, J., Tudur Smith, C., & Marson, A. G. (2017). Antiepileptic drug monotherapy for epilepsy: a network meta-analysis of individual participant data. Cochrane Database of Systematic Reviews, 2017(12). doi:10.1002/14651858.CD011412.pub3

Patsalos, P. N., Spencer, E. P., & Berry, D. J. (2018). Therapeutic Drug Monitoring of Antiepileptic Drugs in Epilepsy: A 2018 Update. Therapeutic Drug Monitoring, 40(5), 526–548. doi:10.1097/FTD.0000000000000546

Perucca, E. (2021). The pharmacological treatment of epilepsy: recent advances and future perspectives. Acta Epileptologica, 3(1), 22. doi:10.1186/s42494-021-00055-z

Rukmansari. (2019). Pandangan Umum Epilepsi. Semarang : Fakultas Kedokteran Universitas Psikologi. .

St. Louis, E., Rosenfeld, W., & Bramley, T. (2009). Antiepileptic Drug Monotherapy: The Initial Approach in Epilepsy Management. Current Neuropharmacology, 7(2), 77–82. doi:10.2174/157015909788848866

Sveberg, L., Svalheim, S., & Taubøll, E. (2015). The impact of seizures on pregnancy and delivery. Seizure, 28, 35–38. doi:10.1016/j.seizure.2015.02.020

Tedyanto, E. H., Chandra, L., & Adam, O. M. (2020). Gambaran Penggunaan Obat Anti Epilepsi (OAE) pada Penderita Epilepsi Berdasarkan Tipe Kejang di Poli Saraf Rumkital DR. Ramelan Surabaya. Jurnal Ilmiah Kedokteran Wijaya Kusuma, 9(1), 77. doi:10.30742/jikw.v9i1.748

Thpanorama. (n.d.). Jenis Kejang Umum vs. Fokal. Retrieved 30 November 2025, from https://id.thpanorama.com/articles/neuropsicologa/tipos-de-convulsiones-generalizadas-vs-focales.html

Tomson, T., Battino, D., & Perucca, E. (2019). Teratogenicity of antiepileptic drugs. Current Opinion in Neurology, 32(2), 246–252. doi:10.1097/WCO.0000000000000659

Tsuji, S. (2014). [Clinical guidelines for epilepsy]. Nihon Rinsho. Japanese Journal of Clinical Medicine, 72(5), 803–808.

Voinescu, P. E., Park, S., Chen, L. Q., Stowe, Z. N., Newport, D. J., Ritchie, J. C., & Pennell, P. B. (2018). Antiepileptic drug clearances during pregnancy and clinical implications for women with epilepsy. Neurology, 91(13), e1228–e1236. doi:10.1212/WNL.0000000000006240

Wanleenuwat, P., Suntharampillai, N., & Iwanowski, P. (2020). Antibiotic-induced epileptic seizures: mechanisms of action and clinical considerations. Seizure, 81, 167–174. doi:10.1016/j.seizure.2020.08.012

WHO. (2024, February 7). Epilepsy.

X, N. D. L., X, S. H., & X, N. A. (2023). Hubungan Lama Pengobatan Dan Jenis Obat Antiepilepsi Dengan Efek Samping Obat Pada Pasien Epilepsi Di Poliklinik Neurologi RSUDZA. Journal of Medical Science, 3(2), 80–87. doi:10.55572/jms.v3i2.98

Published

2026-02-18

How to Cite

Shabirah, R. M., Prima Rahayu Ningtyas, Laily Nurul Latifah, Lenni Rahmadani, Raisha Risdiansyah Putri, Nys. Faradilla Salsabila, & Heri Ridwan. (2026). Obat antiepilepsi yang paling sering diresepkan ditinjau dari segi efektivitas: The most commonly prescribed antiepileptic drugs reviewed from an effectiveness perspective. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 12(1), 105-122. https://doi.org/10.33023/jikep.v12i1.3007