Carbamazepine toxicity during combination therapy with levetiracetam: a pharmacodynamic interaction.

Abstract:

:Levetiracetam is a novel antiepileptic drug with an unknown mechanism of action. To-date levetiracetam is not known to be associated with any clinically significant pharmacokinetic interaction. Similarly, levetiracetam has not been associated with any pharmacodynamic interactions. We present four patients with severe refractory epilepsy in whom introduction of levetiracetam led to disabling symptoms compatible with carbamazepine toxicity requiring either carbamazepine dose reduction or levetiracetam withdrawal. As carbamazepine and carbamazepine-epoxide blood levels were not altered during levetiracetam co-medication, a pharmacodynamic interaction is suggested. Therefore, during levetiracetam co-medication with carbamazepine, patients should be monitored closely for symptoms of carbamazepine toxicity.

journal_name

Epilepsy Res

journal_title

Epilepsy research

authors

Sisodiya SM,Sander JW,Patsalos PN

doi

10.1016/s0920-1211(01)00309-6

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

217-9

issue

3

eissn

0920-1211

issn

1872-6844

pii

S0920121101003096

journal_volume

48

pub_type

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