Felbatol

Renal impairment

About 50% of felbamate is cleared via the renal route.47 Diminished renal function is associated with reduced felbamate clearance and lengthened felbamate elimination half-life.47

Hemodialysis

Felbamate is poorly soluble in water, has low plasma protein binding, and has a low volume of distribution. This combination of characteristics does not clearly predict the effect of hemodialysis upon felbamate plasma concentration. There are no reports of the effect of hemodialysis on felbamate plasma concentration.48 Caution should be employed when performing hemodialysis on a patient taking felbamate.

Adapted from: Browne TR. Renal disorders. In: Ettinger AB and Devinsky O, eds. Managing epilepsy and co-existing disorders. Boston: Butterworth-Heinemann; 2002;49-62.
With permission from Elsevier (www.elsevier.com).
Reviewed and revised February 2004 by Steven C. Schachter, MD, epilepsy.com Editorial Board.