science review carnitine in the treatment of valproic acid-induced toxicity – what is the evidence科学审查肉碱治疗丙戊段毒性-什么是证据.pdfVIP

science review carnitine in the treatment of valproic acid-induced toxicity – what is the evidence科学审查肉碱治疗丙戊段毒性-什么是证据.pdf

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science review carnitine in the treatment of valproic acid-induced toxicity – what is the evidence科学审查肉碱治疗丙戊段毒性-什么是证据

Available online /content/9/5/431 Review Science review: Carnitine in the treatment of valproic acid-induced toxicity – what is the evidence? Philippe ER Lheureux, Andrea Penaloza, Soheil Zahir and Mireille Gris Department of Emergency Medicine, Acute Poisoning Unit, Erasme University Hospital, Brussels, Belgium Corresponding author: Philippe ER Lheureux, plheureu@ulb.ac.be Published online: 10 June 2005 Critical Care 2005, 9:431-440 (DOI 10.1186/cc3742) This article is online at /content/9/5/431 © 2005 BioMed Central Ltd Abstract It is usually well tolerated. Indeed, VPA has fewer common Valproic acid (VPA) is a broad-spectrum antiepileptic drug and is side effects than do other AEDs, especially on behaviour and usually well tolerated, but rare serious complications may occur in cognitive functions. Moreover, its adverse effects can often some patients receiving VPA chronically, including haemorrhagic be minimized by initiating the drug slowly. However, rare pancreatitis, bone marrow suppression, VPA-induced hepato- serious complications may occur in some patients receiving toxicity (VHT) and VPA-induced hyperammonaemic encephalo- VPA chronically, including fatal haemorrhagic pancreatitis, pathy (VHE). Some data suggest that VHT and VHE may be bone marrow suppression, VPA-induced hepatotoxicity (VHT) promoted by carnitine deficiency. Acute VPA intoxication also occurs as a consequence of intentional or accidental overdose and

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