SODIUM VALPROATE ACUTELY INHIBITS LAMOTRIGINE METABOLISM

被引:207
作者
YUEN, AWC [1 ]
LAND, G [1 ]
WEATHERLEY, BC [1 ]
PECK, AW [1 ]
机构
[1] WELLCOME RES LABS,LANGLEY COURT,BECKENHAM BR3 3BS,KENT,ENGLAND
关键词
SODIUM VALPROATE; LAMOTRIGINE; INTERACTION; GLUCURONIDE FORMATION;
D O I
10.1111/j.1365-2125.1992.tb04079.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Concomitant administration of sodium valproate (VPA) reduced lamotrigine (LTG) total clearance by approximately 21% and increased elimination half-life and AUC. Reduced elimination occurred acutely within the first hour. Renal elimination of LTG was not impaired. The most probable explanation for this effect is hepatic competition between VPA and LTG for glucuronidation. Volume of distribution and parameters related to absorption, C(max) and t(max) were unchanged.
引用
收藏
页码:511 / 513
页数:3
相关论文
共 15 条
  • [1] DOUBLE-BLIND CROSSOVER TRIAL OF LAMOTRIGINE (LAMICTAL) AS ADD-ON THERAPY IN INTRACTABLE EPILEPSY
    BINNIE, CD
    DEBETS, RMC
    ENGELSMAN, M
    MEIJER, JWA
    MEINARDI, H
    OVERWEG, J
    PECK, AW
    VANWIERINGEN, A
    YUEN, WC
    [J]. EPILEPSY RESEARCH, 1989, 4 (03) : 222 - 229
  • [2] ACUTE EFFECTS OF LAMOTRIGINE (BW430C) IN PERSONS WITH EPILEPSY
    BINNIE, CD
    BOAS, WV
    KASTELEIJNNOLSTETRENITE, DGA
    DEKORTE, RA
    MEIJER, JWA
    MEINARDI, H
    MILLER, AA
    OVERWEG, J
    PECK, AW
    VANWIERINGEN, A
    YUEN, WC
    [J]. EPILEPSIA, 1986, 27 (03) : 248 - 254
  • [3] MECHANISM OF ANTI-CONVULSANT ACTION OF VALPROATE
    CHAPMAN, A
    KEANE, PE
    MELDRUM, BS
    SIMIAND, J
    VERNIERES, JC
    [J]. PROGRESS IN NEUROBIOLOGY, 1982, 19 (04) : 315 - 359
  • [4] LAMOTRIGINE, A NEW ANTICONVULSANT - PHARMACOKINETICS IN NORMAL HUMANS
    COHEN, AF
    LAND, GS
    BREIMER, DD
    YUEN, WC
    WINTON, C
    PECK, AW
    [J]. CLINICAL PHARMACOLOGY & THERAPEUTICS, 1987, 42 (05) : 535 - 541
  • [5] ALTERATION OF ZIDOVUDINE PHARMACOKINETICS BY PROBENECID IN PATIENTS WITH AIDS OR AIDS-RELATED COMPLEX
    DEMIRANDA, P
    GOOD, SS
    YARCHOAN, R
    THOMAS, RV
    BLUM, MR
    MYERS, CE
    BRODER, S
    [J]. CLINICAL PHARMACOLOGY & THERAPEUTICS, 1989, 46 (05) : 494 - 500
  • [6] KINETIC EFFECTS OF MULTIPLE ORAL DOSES OF ACETAMINOPHEN ON A SINGLE ORAL DOSE OF LAMOTRIGINE
    DEPOT, M
    POWELL, JR
    MESSENHEIMER, JA
    CLOUTIER, G
    DALTON, MJ
    [J]. CLINICAL PHARMACOLOGY & THERAPEUTICS, 1990, 48 (04) : 346 - 355
  • [7] HOWELL SR, 1986, J PHARMACOL EXP THER, V236, P610
  • [8] CONTROLLED TRIAL OF LAMOTRIGINE (LAMICTAL) FOR REFRACTORY PARTIAL SEIZURES
    JAWAD, S
    RICHENS, A
    GOODWIN, G
    YUEN, WC
    [J]. EPILEPSIA, 1989, 30 (03) : 356 - 363
  • [9] A RANDOMIZED DOUBLE-BLIND PLACEBO-CONTROLLED CROSSOVER ADD-ON TRIAL OF LAMOTRIGINE IN PATIENTS WITH TREATMENT-RESISTANT PARTIAL SEIZURES
    LOISEAU, P
    YUEN, AWC
    DUCHE, B
    MENAGER, T
    ARNEBES, MC
    [J]. EPILEPSY RESEARCH, 1990, 7 (02) : 136 - 145
  • [10] METZLER CM, 1974, BIOMETRICS, V30, P562