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  • Anticonvulsants  (1)
  • Identical twins  (1)
  • adverse effects  (1)
  • 1
    ISSN: 1432-1041
    Schlagwort(e): sodium valproate ; adverse effects ; anti-convulsants ; drug interaction ; hyperammonia ; metabolites ; epilepsy
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Chemie und Pharmazie , Medizin
    Notizen: Summary The concentrations of valproic acid (VPA) and of its metabolites 3-oxo-VPA and 4-en-VPA were measured in the plasma of 12 selected epileptic patients 1,2,3, and 4 h after administration of a loading dose of VPA. Four of the patients, all on polytherapy, had had short-term adverse effects during chronic VPA treatment, and in them there has been abnormal NH3-values after a test doese of VPA. Eight patients (4 on monotherapy and 4 on polytherapy) had been free from adverse effects. No significant difference in the VPA, 3-oxo-VPA and 4-en-VPA concentrations was found between the three groups of patients. Accumulation of 4-en-VPA is not involved in the short-term adverse effects and hyperammonaemia induced by VPA.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Digitale Medien
    Digitale Medien
    Springer
    Journal of neurology 232 (1985), S. 167-168 
    ISSN: 1432-1459
    Schlagwort(e): Valproic acid ; Hyperammonaemia ; Adverse effects ; Identical twins
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The cases of two epileptic identical twins are described, one of whom had presented an episode of valproate (VPA)-induced stupor associated with very high blood ammonia (NH3) concentrations. Both twins showed a similar marked increase of venous NH3 concentrations after the administration of a single loading dose of VPA (800 mg).
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 3
    ISSN: 1590-3478
    Schlagwort(e): Anticonvulsants ; phenytoin ; pharmacokinetics ; Michaelis-Menten kinetics
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Sommario Il metodo di Mullen e Foster è stato applicato al fine di individualizzare la posologia della fenitoina in 24 pazienti epilettici. Le caratteristiche di precisione ed affidabilità del metodo sono state valutate confrontando le concentrazioni plasmatiche previste con quelle misurate sperimentalmente. La differenza percentuale tra valori e misurati della concentrazione plasmatica di fenitoina è risultata inferiore al 15 per cento in 22 casi su 35 (63 per cento), compresa tra il 15 e il 25 per cento in 8 casi su 35 (23 per cento), superiore al 25 per cento in 6 casi su 35 (17 per cento).
    Notizen: Abstract The Mullen and Foster method was prospectively applied for individualizing phenytoin dosage in 24 epileptic patients. Accuracy and reliability of the method were assessed by comparing predicted and measured values of plasma phenytoin steady-state concentration. The absolute difference between predicted and measured phenytoin levels was less than 15 percent in 22 of 35 cases (63 percent), between 15 and 25 percent in 8 of 35 cases (23 percent) and more than 25 percent in 6 of 35 cases (17 percent).
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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