Abstract:
:We investigated the effects of chronic administration of zonisamide, an antiepileptic agent, on bone metabolism in growing rats. Administration of zonisamide at a dose of 80 mg/kg per day, s.c. for 5 weeks significantly decreased bone mineral density (BMD) at the tibial metaphysis and the diaphysis. The percent rate of decrease in BMD at the tibial metaphysis and the tibial diaphysis was 9.2% and 5.0%, respectively. There was no significant difference between these groups in the growth of the rats. Treatment with zonisamide at a dose of 80 mg/kg increased serum pyridinoline level, a marker of bone resorption, while it does not affect the serum intact osteocalcin level, a marker of bone formation. Combined administration of alfacalcidol, an active vitamin D(3) metabolite, at a dose of 0.1 microg/kg per day with zonisamide prevented a decrease in BMD and showed an increase of serum pyridinoline levels. These results suggest that zonisamide may cause bone loss by accelerating bone resorption rather than inhibiting bone formation. Moreover, the bone loss induced by zonisamide could be prevented by combining zonisamide with alfacalcidol.
journal_name
J Pharmacol Scijournal_title
Journal of pharmacological sciencesauthors
Takahashi A,Onodera K,Kamei J,Sakurada S,Shinoda H,Miyazaki S,Saito T,Mayanagi Hdoi
10.1254/jphs.91.313subject
Has Abstractpub_date
2003-04-01 00:00:00pages
313-8issue
4eissn
1347-8613issn
1347-8648journal_volume
91pub_type
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