Abstract
This case discusses a complex pharmacokinetic interaction between phenytoin and valproic acid involving both metabolism and distribution.
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References
Yap KY, Chui WK, Chan A. Drug interactions between chemotherapeutic regimens and antiepileptics. Clin Ther. 2008;30:1385–407.
Mamiya K, Yukawa E, Matsumoto T, et al. Synergistic effect of valproate co-administration and hypoalbuminemia on the serum-free phenytoin concentration in patients with severe motor and intellectual disabilities. Clin Neuropharmacol. 2002;25:230–1.
Johnson GJ, Kilpatrick CJ, Bury RW, et al. Unbound phenytoin plasma concentrations in patients co-medicated with sodium valproate–the predictive value of plasma albumin concentration. Br J Clin Pharmacol. 1989;27:843–9.
Tsanaclis LM, Allen J, Perucca E, et al. Effect of valproate on free plasma phenytoin concentrations. Br J Clin Pharmacol. 1984;18:17–20.
Dahlqvist R, Borgå O, Rane A, et al. Decreased plasma protein binding of phenytoin in patients on valproic acid. Br J Clin Pharmacol. 1979;8:547–52.
Palm R, Silseth C, Alvan G. Phenytoin intoxication as the first symptom of fatal liver damage induced by sodium valproate. Br J Clin Pharmacol. 1984;17:597–9.
Levy RH, Koch KM. Drug interactions with valproic acid. Drugs. 1982;24:543–56.
Monks A, Richens A. Effect of single doses of sodium valproate on serum phenytoin levels and protein binding in epileptic patients. Clin Pharmacol Ther. 1980;27:89–95.
Perucca E, Hebdige S, Frigo GM, et al. Interaction between phenytoin and valproic acid: plasma protein binding and metabolic effects. Clin Pharmacol Ther. 1980;28:779–89.
Suzuki Y, Nagai T, Mano T, et al. Interaction between valproate formulation and phenytoin concentrations. Eur J Clin Pharmacol. 1995;48:61–3.
von Winckelmann SL, Spriet I, Willems L. Therapeutic drug monitoring of phenytoin in critically ill patients. Pharmacotherapy. 2008;28:1391–400.
Nau H, Loscher W. Valproic acid and metabolites. Pharmacological and toxicological studies. Epilepsia. 1984;25 suppl 1:S14–22.
Björnsson E. Hepatotoxicity associated with antiepileptic drugs. Acta Neurol Scand. 2008;118:281–90.
Product Information: Depakote® Tablets, divalproex sodium delayed-release tablets. North Chicago: Abbott Laboratories; 2002.
Product Information: Depakene® Valproic acid. North Chicago: Abbott Laboratories; 1998.
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Macri, E., Brambrink, A.M., Sandson, N.B. (2015). The Funeral Is on Monday. In: Marcucci, C., et al. A Case Approach to Perioperative Drug-Drug Interactions. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7495-1_170
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DOI: https://doi.org/10.1007/978-1-4614-7495-1_170
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