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Eslicarbazepine acetate is a sodium channel blocker (IC50 = 138 nM in a radioligand binding assay).1 It inhibits sodium uptake in a dose-dependent manner in rat cortical synaptosomes at concentrations ranging from 30-300 μM. In vivo, oral and i.p. administration of eslicarbazepine acetate is protective against seizures induced by maximal electroshock (MES) in mice with ED50 values of 4.7 and 6.3 mg/kg, respectively, which are well below the median toxic dose (TD50) values of 358.7 and 78.6 mg/kg for oral and i.p. administration respectively. High-dose administration (30 mg/kg) of eslicarbazepine acetate prevents picrotoxin-induced seizures in rats.2 Low-dose administration (10 mg/kg) does not suppress picrotoxin-induced seizures, however, it reduces seizure number and duration. Formulations containing eslicarbazepine acetate have been used for the treatment of partial-onset seizures.3
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1. Anticonvulsant and sodium channel-
2. Anticonvulsant effect of eslicarbazepine acetate (BIA 2-
3. Efficacy and safety of eslicarbazepine acetate monotherapy for partial-