Effect of Antiepileptic Drugs on the Urinary Excretion of Porphyrins in Non-porphyric Subjects

Autor: Maria J. Tutor-Crespo, Jesús Hermida, J. Carlos Tutor
Jazyk: angličtina
Rok vydání: 2005
Předmět:
Zdroj: Journal of Pharmacological Sciences, Vol 99, Iss 4, Pp 323-328 (2005)
Druh dokumentu: article
ISSN: 1347-8613
DOI: 10.1254/jphs.fpe05003x
Popis: The action of some anticonvulsant drugs as the causal agents of attacks of acute porphyria has been widely documented in the literature. However, little attention has been paid to the effect of these drugs on the urinary excretion of porphyrins in non-porphyric subjects. In a sample of 82 epileptic patients treated with phenobarbital (n = 54), phenytoin (n = 64), carbamazepine (n = 33), and valproate (n = 8), the daily doses were expressed according to a drug score that would reflect the capacity of these drugs as enzymatic inducers when administered in polytherapy. A significantly increased urinary excretion of D-glucaric acid (DGA) and porphyrins was found in this group of patients (P60%). Urinary DGA had a highly significant correlation with the drug score (r = 0.783, P
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