A child exposed to primidone not prescribed for her.

Abstract:

:A 7.5-year-old girl who was treated with phenobarbital (PHB) for epilepsy was admitted with decreased levels of consciousness. She had been known to have high PHB levels of unknown cause, without symptoms. Her PHB levels were very high, as expected, but primidone levels were also detected although she and her parents denied history of primidone administration. We wished to rule out intentional unprescribed use of primidone. Our retrospective review showed 3 other children with high PHB concentrations where primidone was also detected when PHB levels were over 130 μmol/L. Complementary studies confirmed that high-dose PHB can convert to its prodrug primidone, which has not been reported previously.

journal_name

Ther Drug Monit

authors

Tanoshima R,'t Jong GW,Merlocco A,Simpson J,Friedman JN,Colantonio D,Koren G

doi

10.1097/FTD.0b013e3182843206

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

145-9

issue

2

eissn

0163-4356

issn

1536-3694

pii

00007691-201304000-00001

journal_volume

35

pub_type

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