Document Detail


Serum carnitine levels in epileptic children before and during treatment with valproic acid, carbamazepine, and phenobarbital.
MedLine Citation:
PMID:  9853647     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Serum levels of free, acyl, and total carnitine were determined in 32 patients with seizures, before and after 3, 6, and 12 months of treatment with valproic acid (17 patients), carbamazepine (10 patients), or phenobarbital (5 patients). In all three treated groups, both free and total carnitine levels showed a significant decline with respect to pretreatment levels. This decline was most marked and most consistent in patients treated with valproic acid. In 35% of the patients in this group, carnitine deficiency (ie, total carnitine < 30 micromol/L) was observed by month 12. In none of the three groups were serum carnitine levels significantly correlated with the serum concentration of the drug. These findings suggest a need to monitor serum carnitine levels in children treated with any of these drugs.
Authors:
M Castro-Gago; J Eirís-Puñal; M I Novo-Rodríguez; J Couceiro; F Camiña; S Rodríguez-Segade
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of child neurology     Volume:  13     ISSN:  0883-0738     ISO Abbreviation:  J. Child Neurol.     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1999-03-05     Completed Date:  1999-03-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  546-9     Citation Subset:  IM    
Affiliation:
Departamento de Pediatría, Complejo Hospitalario Universitario de Santiago de Compostela, Hospital General de Galicia, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Animals
Anticonvulsants / therapeutic use*
Carbamazepine / therapeutic use*
Carnitine / blood*
Child
Child, Preschool
Epilepsy / blood*,  drug therapy*
Humans
Infant
Phenobarbital / therapeutic use*
Statistics, Nonparametric
Valproic Acid / therapeutic use*
Chemical
Reg. No./Substance:
0/Anticonvulsants; 298-46-4/Carbamazepine; 50-06-6/Phenobarbital; 541-15-1/Carnitine; 99-66-1/Valproic Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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