People who have been on medication for over a year Longer duration of treatment generally means more metabolic adaptation to the medication, which can make discontinuation more challenging
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In one, multi-clinic, placebo-controlled study employing an add-on design (adjunctive therapy), 144 patients who continued to suffer eight or more CPS per 8 weeks during an 8 week period of monotherapy with doses of either carbamazepine or phenytoin sufficient to assure plasma concentrations within the "therapeutic range" were randomized to receive, in addition to their original antiepilepsy drug (AED), either divalproex sodium or placebo
The role of evidence in the rise and fall of insulin coma therapy', History of Psychiatry , 33/1, 65-71