Introduction

  • Nature and Origin:

    • Bromide is an inorganic ion similar to chloride.
    • Naturally present in the environment, especially in seawater (approximately 65 mg/L).
    • Found in significant amounts in human blood due to seafood consumption.
  • Historical Uses:

    • Widely used in the 19th and early 20th centuries as sedatives and for headaches.
    • Lithium bromide used for bipolar disorder treatment.
    • Current uses include low-concentration antiseptic agents in swimming pools.
  • Relevance in Epilepsy:

    • Potassium bromide (KBr) was the first “modern” anticonvulsant.
    • Introduced in 1857 by Sir Charles Locock for hysterical (catamenial) epilepsy.
    • Remained the primary anticonvulsant until the discovery of phenobarbital in 1912.
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