Gestation-induced changes in lamotrigine pharmacokinetics:: A monotherapy study

被引:136
作者
de Haan, GJ
Edelbroek, P
Segers, J
Engelsman, M
Lindhout, D
Dévilé-Notschaele, M
Augustijn, P
机构
[1] SEIN, Epilepsy Inst Netherlands, Dept Neurol & Epileptol, NL-2100 AA Heemstede, Netherlands
[2] SEIN, Epilepsy Inst Netherlands, Lab Clin Chem & Clin Pharmacol, NL-2100 AA Heemstede, Netherlands
[3] Univ Med Ctr, DBG Dept Med Genet, Utrecht, Netherlands
关键词
D O I
10.1212/01.WNL.0000133213.10244.FD
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors describe 12 pregnancies in women with epilepsy using lamotrigine (LTG) monotherapy. A seizure increase in nine pregnancies was probably related to a gradual decline of LTG level-to-dose ratio to 40% of baseline. After delivery, LTG kinetics returned swiftly to baseline, causing toxic side effects in some women. Frequent LTG level monitoring and appropriate dose adjustments are advised in the period before and during pregnancy and after delivery, especially in women on LTG monotherapy.
引用
收藏
页码:571 / 573
页数:3
相关论文
共 11 条
  • [1] EDELBROEK P, 2002, EPILEPSIA S, V43, pS142
  • [2] EFFECTS OF PREGNANCY ON SEIZURE THRESHOLD AND THE DISPOSITION AND EFFICACY OF ANTIEPILEPTIC DRUGS IN THE MOUSE
    NAU, H
    KUHNZ, W
    LOSCHER, W
    [J]. LIFE SCIENCES, 1985, 36 (07) : 663 - 669
  • [3] Lamotrigine in pregnancy: Pharmacokinetics during delivery, in the neonate, and during lactation
    Ohman, I
    Vitols, S
    Tomson, T
    [J]. EPILEPSIA, 2000, 41 (06) : 709 - 713
  • [4] Pellock JM, 2000, NEUROLOGY, V55, pS54
  • [5] Pharmacokinetic interactions of the new antiepileptic drugs
    Rambeck, B
    Specht, U
    Wolf, P
    [J]. CLINICAL PHARMACOKINETICS, 1996, 31 (04) : 309 - 324
  • [6] Concentrations of lamotrigine in a mother on lamotrigine treatment and her newborn child
    Rambeck, B
    Kurlemann, G
    Stodieck, SRG
    May, TW
    Jurgens, U
    [J]. EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1997, 51 (06) : 481 - 484
  • [7] Sabers A, 1998, ACTA NEUROL SCAND, V97, P164
  • [8] Oral contraceptives reduce lamotrigine plasma levels
    Sabers, A
    Öhman, I
    Christensen, J
    Tomson, T
    [J]. NEUROLOGY, 2003, 61 (04) : 570 - 571
  • [9] Preliminary results on pregnancy outcomes in women using lamotrigine
    Tennis, P
    Eldridge, RR
    [J]. EPILEPSIA, 2002, 43 (10) : 1161 - 1167
  • [10] Lamotrigine clearance during pregnancy
    Tran, TA
    Leppik, IE
    Blesi, K
    Sathanandan, ST
    Remmel, R
    [J]. NEUROLOGY, 2002, 59 (02) : 251 - 255