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Therefore, receptor binding must not be implied until it can be shown that binding is saturable (saturability); the only substances bound are those possessing the same pharmacological mechanism of action (specificity); binding affinity of different substances is correlated with their pharmacological potency.
Only when monotherapy with different agents proves inadequate can changeover to a second-line drug or combined use (“add on”) be recommended (B), provided that the possible risk of pharmacokinetic interactions is taken into account (see below). The precise mode of action of antiepileptic drugs remains unknown. Some agents appear to lower neuronal excitability by several mechanisms of action. |
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