Abstract:
:We report the case of a 50-year-old male patient with idiopathic generalised epilepsy and porphyria cutanea tarda. Valproic acid and phenobarbital monotherapy controlled seizures but exacerbated porphyric symptomatology, while clobazam, clonazepam and lamotrigine monotherapy were well tolerated as regards porphyric disturbances but did not completely control seizures. Tonic- clonic seizures were eventually controlled by a combination of clonazepam (9 mg/day) and lamotrigine (150 mg/day), but absences persisted and this treatment caused significant adverse effects consisting of sedation and memory disturbances. Levetiracetam monotherapy (3 g/day) was accompanied by complete control of seizures; memory disturbances and sedation also resolved, and no porphyrinogenetic activity of levetiracetam was observed. This is the first report of the safe use of levetiracetam in porphyria cutanea tarda.
journal_name
Clin Drug Investigjournal_title
Clinical drug investigationauthors
Bilo L,Meo R,Fulvia de Leva Mdoi
10.2165/00044011-200626060-00007subject
Has Abstractpub_date
2006-01-01 00:00:00pages
357-9issue
6eissn
1173-2563issn
1179-1918pii
2667journal_volume
26pub_type
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更新日期:2015-04-01 00:00:00
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doi:10.2165/00044011-200626110-00005
更新日期:2006-01-01 00:00:00
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更新日期:2006-01-01 00:00:00
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更新日期:2016-09-01 00:00:00
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更新日期:2007-01-01 00:00:00
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更新日期:2007-01-01 00:00:00
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pub_type: 杂志文章
doi:10.2165/11631920-000000000-00000
更新日期:2012-05-01 00:00:00
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更新日期:2012-02-22 00:00:00
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更新日期:2015-09-01 00:00:00
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更新日期:2009-01-01 00:00:00
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更新日期:1998-01-01 00:00:00
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更新日期:1998-01-01 00:00:00
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更新日期:2010-01-01 00:00:00