Lamotrigine-induced carbamazepine toxicity: an interaction with carbamazepine-10,11-epoxide.

Abstract:

:We report an interaction between lamotrigine (LTG), a new antiepileptic drug (AED), and carbamazepine (CBZ) and its primary metabolite CBZ-10,11-epoxide (CBZ-E) in 9 consecutive patients (5 male, 4 female, aged 19-31 years). After introduction of LTG (median daily dose 200 mg, range 100-300 mg) the mean serum CBZ-E concentration increased by 45% (P less than 0.01) and the CBZ-E/CBZ ratio increased by 19% (P less than 0.02). In 4 patients these changes were associated with clinical toxicity (dizziness, nausea, diplopia). The possibility of an increase in serum CBZ-E concentrations needs to be considered if toxicity symptoms develop when LTG is added to CBZ therapy.

journal_name

Epilepsy Res

journal_title

Epilepsy research

authors

Warner T,Patsalos PN,Prevett M,Elyas AA,Duncan JS

doi

10.1016/0920-1211(92)90049-y

subject

Has Abstract

pub_date

1992-04-01 00:00:00

pages

147-50

issue

2

eissn

0920-1211

issn

1872-6844

pii

0920-1211(92)90049-Y

journal_volume

11

pub_type

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