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J Child Neurol ; 38(6-7): 394-406, 2023 05.
Article in English | MEDLINE | ID: mdl-37455396

ABSTRACT

OBJECTIVE: To increase understanding of the impact of cannabidiol (CBD) on outcomes beyond seizure control among individuals with Dravet syndrome or Lennox-Gastaut syndrome. METHODS: Qualitative interviews were conducted with caregivers of individuals with Dravet syndrome or Lennox-Gastaut syndrome treated with plant-derived, highly purified CBD medicine (Epidiolex in the USA; Epidyolex in Europe; 100 mg/mL oral solution). Symptoms and impacts of Dravet syndrome and Lennox-Gastaut syndrome on individuals were explored, as were the effects of CBD. Data were analyzed using thematic analysis. RESULTS: Twenty-one caregivers of individuals with Dravet syndrome (n = 14) and Lennox-Gastaut syndrome (n = 7) aged 4-22 years participated. Health-related quality of life improvements associated with CBD included cognitive function, communication, behavior, mobility, and participation in daily activities. Seizure frequency reduction was commonly reported (n = 12), resulting in caregivers having greater freedom and family life being less disrupted. Adverse events were reported by 10 caregivers. CONCLUSION: In addition to reduced seizure frequency, CBD may have a wide range of beneficial effects beyond seizure control that warrant further investigation.


Subject(s)
Cannabidiol , Caregivers , Epilepsies, Myoclonic , Lennox Gastaut Syndrome , Qualitative Research , Adolescent , Adult , Child , Child, Preschool , Female , Humans , Male , Middle Aged , Young Adult , Behavioral Symptoms/drug therapy , Cannabidiol/administration & dosage , Cannabidiol/therapeutic use , Caregivers/psychology , Cognition/drug effects , Communication , Epilepsies, Myoclonic/drug therapy , Epilepsies, Myoclonic/complications , Interviews as Topic , Lennox Gastaut Syndrome/complications , Lennox Gastaut Syndrome/drug therapy , Quality of Life , Seizures/drug therapy , Seizures/complications , Verbal Behavior/drug effects
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