Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

283 questions · 285 findings · 33 reviews · Epilepsy

No studies found 31 · 10.9%GRADE not reported 13 · 4.6%Very low 33 · 11.6%Low 80 · 28.1%Moderate 96 · 33.7%High 32 · 11.2%

Sulthiame vs phenytoin

Rash · participants with epilepsy (GTCS)

Sulthiame showed no clear difference in rash compared with phenytoin (low certainty).

1 finding from 1 review

Sulthiame vs phenytoin

Gingival hyperplasia · participants with epilepsy (GTCS)

Sulthiame may leads to lower gingival hyperplasia compared with phenytoin (low certainty).

1 finding from 1 review

Sulthiame vs phenytoin

Other · participants with epilepsy (GTCS)

Sulthiame showed no clear difference in other compared with phenytoin (low certainty).

1 finding from 1 review

Sulthiame vs levetiracetam

Treatment withdrawal · participants with epilepsy (BECTS)

Sulthiame showed no clear difference in treatment withdrawal compared with levetiracetam (low certainty).

1 finding from 1 review

Sulthiame vs levetiracetam

Seizure freedom · participants with epilepsy (BECTS)

Sulthiame showed no clear difference in seizure freedom compared with levetiracetam (low certainty).

1 finding from 1 review

Sulthiame vs levetiracetam

Adverse effects (general symptoms) · participants with epilepsy (BECTS)

Sulthiame showed no clear difference in adverse effects (general symptoms) compared with levetiracetam (low certainty).

1 finding from 1 review

Sulthiame vs levetiracetam

Adverse effects (central nervous system) · participants with epilepsy (BECTS)

Sulthiame showed no clear difference in adverse effects (central nervous system) compared with levetiracetam (low certainty).

1 finding from 1 review

Sulthiame vs levetiracetam

Adverse effects (behaviour) · participants with epilepsy (BECTS)

Sulthiame showed no clear difference in adverse effects (behaviour) compared with levetiracetam (low certainty).

1 finding from 1 review

Sulthiame vs levetiracetam

Adverse effects (airways) · participants with epilepsy (BECTS)

Sulthiame may leads to higher adverse effects (airways) compared with levetiracetam (low certainty).

1 finding from 1 review

Carisbamate vs placebo

50% or greater reduction in seizure frequency · people with drug‐resistant focal epilepsy

Carisbamate probably leads to higher 50% or greater reduction in seizure frequency (responder rate) compared with placebo (moderate certainty).

1 finding from 1 review

Carisbamate vs placebo

Participants who experienced any adverse event Adverse event regardless of severity · people with drug‐resistant focal epilepsy

Carisbamate showed no clear difference in proportion of participants who experienced atleast 1 adverse event compared with placebo (low certainty).

1 finding from 1 review

Carisbamate vs placebo

Drowsiness/somnolence (Event rate during treatment, length of treatment varied across trials) · people with drug‐resistant focal epilepsy

Carisbamate may leads to higher adverse events: somnolence compared with placebo (low certainty).

1 finding from 1 review

Zonisamide vs placebo

50% responder rate · people with focal epilepsy

Zonisamide probably leads to higher 50% responder rate (whole treatment period; any dose) compared with placebo (moderate certainty).

1 finding from 1 review

Zonisamide vs placebo

Withdrawal rates ‐ Any dose · people with focal epilepsy

Zonisamide probably leads to higher withdrawal rates (whole treatment period; any dose) compared with placebo (moderate certainty).

1 finding from 1 review