Metabolic and endocrine effects of valproic acid chronic treatment.

Abstract:

:Treatment of epileptic patients with valproic acid (VPA) may be associated with substantial weight changes that may increase morbidity and impair adherence to the treatment regimen. VPA-induced weight gain seems to be associated with many metabolic disturbances; the most frequent are hyperinsulinemia and insulin resistance, hyperleptinemia and leptin resistance. Patients who gain weight during VPA therapy can develop dyslipidemia and metabolic syndrome that are associated with long-term vascular complications such as hypertension and atherosclerosis. Moreover, an elevation in the levels of uric acid and homocysteine, together with oxidative stress, may contribute to atherosclerotic risk in patients under long-term therapy with VPA. The aim of this review is to discuss the metabolic and endocrine effects of VPA chronic treatment in patients with epilepsy.

journal_name

Epilepsy Res

journal_title

Epilepsy research

authors

Belcastro V,D'Egidio C,Striano P,Verrotti A

doi

10.1016/j.eplepsyres.2013.08.016

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

1-8

issue

1-2

eissn

0920-1211

issn

1872-6844

pii

S0920-1211(13)00221-0

journal_volume

107

pub_type

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