LIVER-ENZYME INDUCTION AND SERUM-LIPID LEVELS AFTER REPLACEMENT OF CARBAMAZEPINE WITH OXCARBAZEPINE

被引:78
作者
ISOJARVI, JIT
PAKARINEN, AJ
RAUTIO, A
PELKONEN, O
MYLLYLA, VV
机构
[1] UNIV OULU,DEPT CLIN CHEM,SF-90220 OULU,FINLAND
[2] UNIV OULU,DEPT PHARMACOL & TOXICOL,SF-90220 OULU,FINLAND
关键词
EPILEPSY; CARBAMAZEPINE; OXCARBAZEPINE; LIVER ENZYME INDUCTION; LIPIDS;
D O I
10.1111/j.1528-1157.1994.tb01792.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We evaluated liver P450 enzyme system induction and serum lipid levels in a prospective follow-up study in 12 male patients with epilepsy after replacing carbamazepine (CBZ) medication with oxcarbazepine (OCBZ). Antipyrine(t1/2) increased and antipyrine(CL) decreased 2 months after the medication was changed, reflecting normalization of liver P450 enzyme system function. Furthermore, serum total cholesterol levels decreased, but serum concentrations of high-density lipoprotein (HDL)-cholesterol and triglycerides (TG) were unchanged. OCBZ may be the preferable antiepileptic drug (AED) with regard to the effects of the medication on lipid metabolism.
引用
收藏
页码:1217 / 1220
页数:4
相关论文
共 26 条
[1]   PLASMA TRIGLYCERIDE AND CORONARY HEART-DISEASE [J].
AUSTIN, MA .
ARTERIOSCLEROSIS AND THROMBOSIS, 1991, 11 (01) :2-14
[2]   PROGRESSION AND REGRESSION OF ATHEROSCLEROSIS, WHAT ROLES FOR LDL-CHOLESTEROL AND HDL-CHOLESTEROL - A PERSPECTIVE [J].
BARTH, JD ;
ARNTZENIUS, AC .
EUROPEAN HEART JOURNAL, 1991, 12 (08) :952-957
[3]   SERUM-LIPIDS, LIPOPROTEINS AND APOLIPOPROTEIN-A AND APOLIPOPROTEIN-B IN EPILEPTIC PATIENTS TREATED WITH VALPROIC ACID, CARBAMAZEPINE OR PHENOBARBITAL [J].
CALANDRE, EP ;
RODRIGUEZLOPEZ, C ;
BLAZQUEZ, A ;
CANO, D .
ACTA NEUROLOGICA SCANDINAVICA, 1991, 83 (04) :250-253
[4]   CHANGES IN CIRCULATING ANDROGENS DURING SHORT-TERM CARBAMAZEPINE THERAPY [J].
CONNELL, JMC ;
RAPEPORT, WG ;
BEASTALL, GH ;
BRODIE, MJ .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 1984, 17 (03) :347-351
[5]   CHANGES IN CIRCULATING THYROID-HORMONES DURING SHORT-TERM HEPATIC ENZYME-INDUCTION WITH CARBAMAZEPINE [J].
CONNELL, JMC ;
RAPEPORT, WG ;
GORDON, S ;
BRODIE, MJ .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1984, 26 (04) :453-456
[6]  
DREIFUSS FE, 1981, EPILEPSIA, V22, P489, DOI DOI 10.1111/J.1528-1157.1981.TB06159.X
[7]  
FINLEY PR, 1978, CLIN CHEM, V24, P931
[8]  
FRIEDEWALD WT, 1972, CLIN CHEM, V18, P499
[9]   THE CLINICAL-SIGNIFICANCE OF SERUM HIGH-DENSITY LIPOPROTEINS [J].
FROHLICH, JJ ;
PRITCHARD, PH .
CLINICAL BIOCHEMISTRY, 1989, 22 (06) :417-423
[10]   OXCARBAZEPINE (GP-47.680) - A POSSIBLE ALTERNATIVE TO CARBAMAZEPINE [J].
HOUTKOOPER, MA ;
LAMMERTSMA, A ;
MEYER, JWA ;
GOEDHART, DM ;
MEINARDI, H ;
VANOORSCHOT, CAEH ;
BLOM, GF ;
HOPPENER, RJEA ;
HULSMAN, JARJ .
EPILEPSIA, 1987, 28 (06) :693-698