Carbamazepine

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Reactions 1350 - 7 May 2011 S Carbamazepine Seizure aggravation in a child: case report An 8-year-old boy with muscle-eye-brain disease, who had started having epileptic seizures in infancy, presented with daily complex partial seizures with secondary generalisation, and tonic-clonic seizures which were unresponsive to phenobarbital or valproic acid 800 mg/day, in combination with carbamazepine 400 mg/day [routes and duration of treatment not stated]. Valproic acid was stopped because of hyperammonaemia, and carbamazepine was increased to 600 mg/day. After a few days, however, his tonic-clonic seizures became more frequent. Carbamazepine was gradually withdrawn over a few months, and this reduced his seizure frequency. No further anti-epileptic drugs were administered. Belcastro V, et al. Seizure aggravation caused by antiepileptic drugs in a patient with muscle-eye-brain disease. Epilepsy and Behavior 19: 666-8, No. 4, Dec 2010 - Italy 803053685 1 Reactions 7 May 2011 No. 1350 0114-9954/10/1350-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved

Transcript of Carbamazepine

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Reactions 1350 - 7 May 2011

SCarbamazepine

Seizure aggravation in a child: case reportAn 8-year-old boy with muscle-eye-brain disease, who

had started having epileptic seizures in infancy, presentedwith daily complex partial seizures with secondarygeneralisation, and tonic-clonic seizures which wereunresponsive to phenobarbital or valproic acid 800 mg/day,in combination with carbamazepine 400 mg/day [routesand duration of treatment not stated]. Valproic acid wasstopped because of hyperammonaemia, andcarbamazepine was increased to 600 mg/day. After a fewdays, however, his tonic-clonic seizures became morefrequent. Carbamazepine was gradually withdrawn over afew months, and this reduced his seizure frequency. Nofurther anti-epileptic drugs were administered.Belcastro V, et al. Seizure aggravation caused by antiepileptic drugs in a patientwith muscle-eye-brain disease. Epilepsy and Behavior 19: 666-8, No. 4, Dec 2010- Italy 803053685

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Reactions 7 May 2011 No. 13500114-9954/10/1350-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved