Replacing carbamazepine slow-release tablets with carbamazepine suppositories: a pharmacokinetic and clinical study in children with epilepsy.

Abstract:

:A suppository for rectal administration of carbamazepine has been developed for situations in which it is unsuitable to use the oral route of administration. In an open, controlled, within-patient study, the pharmacokinetics, clinical efficacy, and tolerability of carbamazepine slow-release tablets were compared with those of carbamazepine suppositories in children with epilepsy. The pharmacokinetic part of the study comprised 22 children, and an additional nine children were included in the clinical part of the study. Treatment with slow-release tablets was replaced for 7 days with carbamazepine suppositories in bioequivalent dosage. Clinical factors such as the rate of seizures and the local tolerability were studied, and an overall assessment of efficacy was made. In the pharmacokinetic part, 24-hour plasma concentration curves for carbamazepine and carbamazepine-10,11-epoxide were recorded. The plasma concentration profiles (minimum, maximum, and mean concentrations, fluctuation index, and area under the curve) for carbamazepine and the other metabolites did not show any significant differences between oral and rectal administration when the suppository dose was increased by 25% compared to the tablets. No increase in seizure frequency was detected, and the overall assessment was very good to good in 25 of the 29 epileptic children. Increased flatulence during treatment with suppositories was noted in two children, one had anal irritation, and one had nausea/vomiting. Treatment with carbamazepine slow-release tablets in children with epilepsy can be replaced by carbamazepine suppositories in 25% higher dosage, with good clinical effect and appropriate pharmacokinetic values, when it is unsuitable to use the common oral route of administration.

journal_name

J Child Neurol

authors

Arvidsson J,Nilsson HL,Sandstedt P,Steinwall G,Tonnby B,Flesch G

doi

10.1177/088307389501000209

subject

Has Abstract

pub_date

1995-03-01 00:00:00

pages

114-7

issue

2

eissn

0883-0738

issn

1708-8283

journal_volume

10

pub_type

杂志文章,多中心研究
  • Auditory brainstem evoked potentials in early-treated congenital hypothyroidism.

    abstract::To evaluate the effect of early treatment of congenital hypothyroidism on central nervous system development, auditory brainstem evoked potentials were determined in 32 patients with hyperthyrotropinemia diagnosed during neonatal screening. The patients included 27 with congenital hypothyroidism and 5 with transient h...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307380201700707

    authors: Chou YH,Wang PJ

    更新日期:2002-07-01 00:00:00

  • Executive function and cerebrovascular reactivity in pediatric hypertension.

    abstract::Primary hypertension is associated with decreased performance on neurocognitive testing and a blunted cerebrovascular reactivity to hypercapnia. Parents of 14 children with hypertension and prehypertension completed the Behavior Rating Inventory of Executive Functions. Children underwent 24-hour ambulatory blood press...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073813494264

    authors: Ostrovskaya MA,Rojas M,Kupferman JC,Lande MB,Paterno K,Brosgol Y,Pavlakis SG

    更新日期:2015-04-01 00:00:00

  • A case of neurobrucellosis presenting with isolated intracranial hypertension.

    abstract::Despite being a treatable and preventable zoonosis, brucellosis is still endemic in certain areas of the world. Nervous system involvement is a rare but an important complication of brucellosis in childhood. Neurobrucellosis should be taken into consideration in the differential diagnosis of any kind of neurological s...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073811402205

    authors: Yilmaz S,Serdaroglu G,Gokben S,Tekgul H

    更新日期:2011-10-01 00:00:00

  • Accessory brains (extracerebral heterotopias): unusual prenatal intracranial mass lesions.

    abstract::Prenatal ultrasonographic evidence of intracranial mass lesions generally results in a diagnosis of primary glial or primitive neuroectodermal neoplasm. We describe two infants, one who was stillborn at 25 weeks' estimated gestational age and one term infant who was born live and died shortly after birth with large in...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307389400900410

    authors: Harris CP,Townsend JJ,Klatt EC

    更新日期:1994-10-01 00:00:00

  • The Efficacy of Botulinum Toxin in Pediatric Chronic Migraine: A Literature Review.

    abstract:AIMS:To conduct a review of the literature on the use of botulinum toxin for the treatment of pediatric chronic migraine. METHODS:A review of the literature was performed using EMBASE, PubMed, and Cochrane/Ovid. Using our inclusion and exclusion criteria, we targeted any study, published before April 2020, evaluating ...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073820931256

    authors: Marcelo R,Freund B

    更新日期:2020-10-01 00:00:00

  • Patterns of cerebral arterial injury in children with neurological disabilities.

    abstract::We reviewed the data from 215 consecutively imaged children who were referred because of neurologic disease. We specifically looked for evidence of cerebral arterial infarction in the form of focal brain damage in an arterial vascular distribution. Twenty-eight showed an arterial infarction pattern. All the major cere...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307388700200413

    authors: Baumann RJ,Carr WA,Shuman RM

    更新日期:1987-10-01 00:00:00

  • Electroencephalography in the pediatric emergency department: when is it most useful?

    abstract::This study aimed to identify the indications in which electroencephalography in the pediatric emergency department is most useful. We retrospectively reviewed the influence that the results of the emergent electroencephalogram had on the eventual disposition of patients at our pediatric emergency department. Sixty-eig...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073813483570

    authors: Fernández IS,Loddenkemper T,Datta A,Kothare S,Riviello JJ Jr,Rotenberg A

    更新日期:2014-04-01 00:00:00

  • Aicardi-Goutieres syndrome in siblings.

    abstract::Two siblings with familial encephalopathy, calcification of the basal ganglia, and cerebrospinal fluid lymphocytosis, constituting the triad of Aicardi-Goutieres syndrome, are reported. This syndrome resembles congenital intrauterine infections, which must be meticulously excluded. Aicardi-Goutieres syndrome is extrem...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307380101601009

    authors: Koul R,Chacko A,Joshi S,Sankhla D

    更新日期:2001-10-01 00:00:00

  • Cholesterol ester storage disease with unusual neurological manifestations in two siblings: a report from South India.

    abstract::Cholesterol ester storage disease is a rare autosomal recessive storage disorder resulting from lysosomal acid lipase deficiency. Two siblings manifested with hepatosplenomegaly, ptosis, and bilateral external ophthalmoplegia. Evaluation revealed hyperlipidemia and bilateral adrenal calcifications. Leukocyte acid lipa...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073807307104

    authors: Bindu PS,Taly AB,Christopher R,BharatKumar PV,Panda S,Netravathi M,Ravishankar S,Mahadevan A,Yasha TC,Gayathri N

    更新日期:2007-12-01 00:00:00

  • Current therapy for West syndrome in Japan.

    abstract::We sent questionnaires concerning the current therapy for West syndrome to 208 institutions at which pediatric care members of the Japan Epilepsy Society were working. Of these, 129 (62%) institutions responded. Vitamin B6 was the preferred first-line drug, followed by the combination of vitamin B6 and valproate or mo...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307380001500615

    authors: Ito M,Seki T,Takuma Y

    更新日期:2000-06-01 00:00:00

  • Experience with hyperphenylalaninemia in a developing country: unusual clinical manifestations and a novel gene mutation.

    abstract::We report our experience in a cohort of patients with hyperphenylalaninemia in a tertiary care referral center in Lebanon. Forty-one sequential patients were studied: 34 classical phenylketonuria (PKU), 3 hyperphenylalaninemia (non-PKU), and 4 biopterin metabolism defects. The majority of cases were clinically diagnos...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073810375116

    authors: Karam PE,Daher RT,Moller LB,Mikati MA

    更新日期:2011-02-01 00:00:00

  • Electroencephalographic correlate of juvenile Huntington's disease.

    abstract::The spectrum of clinical disease in juvenile Huntington's disease differs from that seen in adults. Younger patients often present with seizures, dystonia and rigidity. The mechanism and type of seizures, timing of onset and electrographic features have not been well characterized in either adults or children. We desc...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:

    authors: Ullrich NJ,Riviello JJ Jr,Darras BT,Donner EJ

    更新日期:2004-07-01 00:00:00

  • Mental Health of Adolescents With Epilepsy in Enugu, Nigeria: A Cross-Sectional Study.

    abstract::Adolescence is an important period, marked by significant changes in biological and psychosocial domains. Epilepsy is a chronic neurologic disorder associated with social stigma and prejudice. The etiology of depression in epilepsy appears to be a complex interplay between psychosocial and neurobiologic factors. This ...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073820954060

    authors: Nnajekwu CO,Nnajekwu UC,Ikefuna NA,Ojinnaka CN

    更新日期:2021-02-01 00:00:00

  • Insights on chronic-relapsing opsoclonus-myoclonus from a pilot study of mycophenolate mofetil.

    abstract::Opsoclonus-myoclonus syndrome is characterized by abnormal lymphocyte trafficking into brain. The authors hypothesized that mycophenolate mofetil, a lymphocyte proliferation inhibitor, might be therapeutic. The cerebrospinal fluid and blood immunophenotypes of 15 children with predominantly chronic-relapsing opsoclonu...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073808324217

    authors: Pranzatelli MR,Tate ED,Travelstead AL,Baumgardner CA,Gowda NV,Halthore SN,Kerstan P,Kossak BD,Mitchell WG,Taub JW

    更新日期:2009-03-01 00:00:00

  • Diurnal Salivary Cortisol and Regression Status in MECP2 Duplication Syndrome.

    abstract::MECP2 duplication syndrome is an X-linked genomic disorder that is characterized by infantile hypotonia, intellectual disability, and recurrent respiratory infections. Regression affects a subset of individuals, and the etiology of regression has yet to be examined. In this study, alterations in the hypothalamus-pitui...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073815585577

    authors: Peters SU,Byiers BJ,Symons FJ

    更新日期:2016-02-01 00:00:00

  • Treatment of inherited neurometabolic diseases: the future.

    abstract::The past 10 years' experience with bone marrow transplantation from normal, immunologically compatible donors indicates its possible use in various neurometabolic diseases, particularly in a patient who has not suffered irreparable brain damage. This experience may be a prelude to treatment by somatic gene therapy. Th...

    journal_title:Journal of child neurology

    pub_type: 杂志文章,评审

    doi:10.1177/08830738920070011711

    authors: Ozand PT,Gascon GG

    更新日期:1992-04-01 00:00:00

  • Right hemisphere dysfunction in subjects with attention-deficit disorder with and without hyperactivity.

    abstract::The attention-deficit disorder, with and without hyperactivity, is associated with defective attention, response inhibition and, in attention-deficit disorder with hyperactivity, with motor restlessness. In adults, inattention, defective response inhibition, and impersistence are more commonly seen in right hemisphere...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307389701200207

    authors: García-Sánchez C,Estévez-González A,Suárez-Romero E,Junqué C

    更新日期:1997-02-01 00:00:00

  • Neuropathological homology in true Galloway-Mowat syndrome.

    abstract::Galloway-Mowat syndrome is a rare condition that is likely hereditary though the underlying offending gene has not been identified, and is characterized by microcephaly and severe nephrotic syndrome culminating in childhood death. Some of the reported cases have abnormalities in neuronal migration and intractable seiz...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073810383982

    authors: Keith J,Fabian VA,Walsh P,Sinniah R,Robitaille Y

    更新日期:2011-04-01 00:00:00

  • Prospective preliminary analysis of the development of autism and epilepsy in children with infantile spasms.

    abstract::The objective of this study was to compare the efficacy of corticotropin (ACTH) versus vigabatrin in treating infantile spasms and to determine which medication has a more favorable long-term outcome in terms of cognitive function, evolution of epilepsy, and incidence of autism. Patients with infantile spasms were inc...

    journal_title:Journal of child neurology

    pub_type: 临床试验,杂志文章

    doi:10.1177/08830738030180030801

    authors: Askalan R,Mackay M,Brian J,Otsubo H,McDermott C,Bryson S,Boyd J,Snead C 3rd,Roberts W,Weiss S

    更新日期:2003-03-01 00:00:00

  • Ataxia with oculomotor apraxia type 1 (AOA1): clinical and neuropsychological features in 2 new patients and differential diagnosis.

    abstract::Ataxia with oculomotor apraxia type 1 (AOA1) is an autosomal recessive disease characterized by early-onset and slowly progressive cerebellar ataxia, areflexia, and peripheral neuropathy. Ocular apraxia is most prominent in the early stage of the disease, by contrast, hypoalbuminemia, hypercholesterolemia, and cogniti...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073808314959

    authors: D'Arrigo S,Riva D,Bulgheroni S,Chiapparini L,Castellotti B,Gellera C,Pantaleoni C

    更新日期:2008-08-01 00:00:00

  • Respiratory sinus arrhythmia in children with severe cyanotic and pallid breath-holding spells.

    abstract::In this study we investigated centrally mediated parasympathetic regulation of modulated cardiac vagal tone among children with severe cyanotic and pallid breath-holding spells by examining respiratory sinus arrhythmia. Respiratory sinus arrhythmia was evaluated in 41 children; 17 subjects with cyanotic breath-holding...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307389801300905

    authors: DiMario FJ Jr,Bauer L,Baxter D

    更新日期:1998-09-01 00:00:00

  • Age at disease onset predicts likelihood and rapidity of growth failure among infants and young children with spinal muscular atrophy types 1 and 2.

    abstract::Growth failure is nearly universal in spinal muscular atrophy type 1 and common in type 2, although acuity is often underappreciated at initial diagnosis. We reviewed 44 consecutive spinal muscular atrophy patients (28 type 1, 16 type 2) under 3 years at initial presentation. Growth failure was conventionally defined:...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/0883073811415680

    authors: Sproule DM,Hasnain R,Koenigsberger D,Montgomery M,De Vivo DC,Kaufmann P

    更新日期:2012-07-01 00:00:00

  • The examination of peer review and publication in neurology.

    abstract::Despite remarkable growth in the clinical neurology literature, there is little research on peer review and biomedical publication in neurology. Biomedical publication research encompasses every step of the research process, from the methodology to the publication of research findings. Some general medical journals ha...

    journal_title:Journal of child neurology

    pub_type: 杂志文章,评审

    doi:10.1177/0883073810374647

    authors: Wong VS

    更新日期:2010-10-01 00:00:00

  • Cerebral venous sinus thrombosis in children: a multicenter cohort from the United States.

    abstract::This study presents a large multicenter cohort of children with cerebral venous thrombosis from 5 centers in the United States and analyzes their clinical findings and risk factors. Seventy patients were included in the study (25 neonates, 35%). The age ranged from 6 days to 12 years. Thirty-eight (55%) were younger t...

    journal_title:Journal of child neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0883073807307976

    authors: Wasay M,Dai AI,Ansari M,Shaikh Z,Roach ES

    更新日期:2008-01-01 00:00:00

  • Classification and natural history of the neuronal ceroid lipofuscinoses.

    abstract::The neuronal ceroid lipofuscinoses represent a group of disorders characterized by neurodegeneration and intracellular accumulation of an auto-fluorescent lipopigment (ceroid lipofuscin). Together, they represent the most prevalent class of childhood neurodegenerative disease. The neuronal ceroid lipofuscinoses encomp...

    journal_title:Journal of child neurology

    pub_type: 杂志文章,评审

    doi:10.1177/0883073813494268

    authors: Mink JW,Augustine EF,Adams HR,Marshall FJ,Kwon JM

    更新日期:2013-09-01 00:00:00

  • Acute respiratory failure precipitated by general anesthesia in Leigh's syndrome.

    abstract::Three patients with Leigh's syndrome developed respiratory failure following general anesthesia. Although all three had respiratory symptoms prior to the anesthetic, the diagnosis was not suspected at the time of the procedure in two of the children. We reviewed the case notes of 16 other patients with Leigh's syndrom...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307389000500214

    authors: Grattan-Smith PJ,Shield LK,Hopkins IJ,Collins KJ

    更新日期:1990-04-01 00:00:00

  • Benign nocturnal childhood occipital epilepsy: a new syndrome with nocturnal seizures, tonic deviation of the eyes, and vomiting.

    abstract::An epileptic syndrome of benign nocturnal childhood occipital epilepsy with excellent prognosis is described. The syndrome is characterized by a clinical ictal triad of nocturnal seizures, tonic deviation of the eyes, and vomiting. There may be marching to involve the head and limbs, ending with a generalized tonic-cl...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/088307388900400107

    authors: Panayiotopoulos CP

    更新日期:1989-01-01 00:00:00

  • Dynamic statistical parametric mapping for analyzing the magnetoencephalographic epileptiform activity in patients with epilepsy.

    abstract::Our current purpose is to evaluate the applicability of dynamic statistical parametric mapping, a novel method for localizing epileptiform activity recorded with magnetoencephalography in patients with epilepsy. We report four pediatric patients with focal epilepsies. Magnetoencephalographic data were collected with a...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/08830738050200041601

    authors: Shiraishi H,Stufflebeam SM,Knake S,Ahlfors SP,Sudo A,Asahina N,Egawa K,Hatanaka K,Kohsaka S,Saitoh S,Grant PE,Dale AM,Halgren E

    更新日期:2005-04-01 00:00:00

  • Sleep, sleepiness, and behavior problems in children with headache.

    abstract::The purpose of this study was to assess sleep, daytime sleepiness, and behavior problems in children suffering from headaches and in controls, with a special focus on the role of gender. A clinical group of 28 children with persistent headache complaints and a control group of 108 healthy children were included. Sleep...

    journal_title:Journal of child neurology

    pub_type: 杂志文章

    doi:10.1177/7010.2006.00239

    authors: Bursztein C,Steinberg T,Sadeh A

    更新日期:2006-12-01 00:00:00

  • Torticollis.

    abstract::Torticollis refers to a twisting of the head and neck caused by a shortened sternocleidomastoid muscle, tipping the head toward the shortened muscle, while rotating the chin in the opposite direction. Torticollis is seen at all ages, from newborns to adults. It can be congenital or postnatally acquired. In this review...

    journal_title:Journal of child neurology

    pub_type: 杂志文章,评审

    doi:10.1177/0883073812469294

    authors: Tomczak KK,Rosman NP

    更新日期:2013-03-01 00:00:00