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Persistent low concentrations of antiepileptics in a critically ill paediatric patient: an example of multiple potential drug interactions
by
Azuz, Samuel
, Olesen, Anne Estrup
, Sørensen, Tine Høg
, Posada, Lone Bak
in
Abdomen
/ Acids
/ Anesthesia
/ Antibiotics
/ Anticonvulsants - administration & dosage
/ Anticonvulsants - blood
/ Anticonvulsants - pharmacokinetics
/ Anticonvulsants - therapeutic use
/ Antipsychotics
/ Benzodiazepines
/ Case Report
/ Child
/ Clinical Pharmacology
/ Convulsions & seizures
/ Critical Illness
/ Delirium
/ Drug dosages
/ Drug Interactions
/ Drug withdrawal
/ Enzymes
/ Epilepsy
/ Epilepsy - drug therapy
/ Epilepsy and seizures
/ Fructose - analogs & derivatives
/ Fructose - pharmacokinetics
/ Fructose - therapeutic use
/ Hospitalization
/ Humans
/ Infections
/ Lamotrigine
/ Male
/ Meropenem
/ Morphine
/ Muscle contraction
/ Narcotics
/ Ostomy
/ Paediatrics (drugs and medicines)
/ Pediatrics
/ Pharmacokinetics
/ Phenobarbital - pharmacokinetics
/ Phenobarbital - therapeutic use
/ Phenytoin - analogs & derivatives
/ Phenytoin - pharmacokinetics
/ Plasma
/ Psychotropic drugs
/ Topiramate
/ Triazines - pharmacokinetics
/ Triazines - therapeutic use
/ Valproic Acid - blood
/ Valproic Acid - pharmacokinetics
/ Valproic Acid - therapeutic use
2025
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Persistent low concentrations of antiepileptics in a critically ill paediatric patient: an example of multiple potential drug interactions
by
Azuz, Samuel
, Olesen, Anne Estrup
, Sørensen, Tine Høg
, Posada, Lone Bak
in
Abdomen
/ Acids
/ Anesthesia
/ Antibiotics
/ Anticonvulsants - administration & dosage
/ Anticonvulsants - blood
/ Anticonvulsants - pharmacokinetics
/ Anticonvulsants - therapeutic use
/ Antipsychotics
/ Benzodiazepines
/ Case Report
/ Child
/ Clinical Pharmacology
/ Convulsions & seizures
/ Critical Illness
/ Delirium
/ Drug dosages
/ Drug Interactions
/ Drug withdrawal
/ Enzymes
/ Epilepsy
/ Epilepsy - drug therapy
/ Epilepsy and seizures
/ Fructose - analogs & derivatives
/ Fructose - pharmacokinetics
/ Fructose - therapeutic use
/ Hospitalization
/ Humans
/ Infections
/ Lamotrigine
/ Male
/ Meropenem
/ Morphine
/ Muscle contraction
/ Narcotics
/ Ostomy
/ Paediatrics (drugs and medicines)
/ Pediatrics
/ Pharmacokinetics
/ Phenobarbital - pharmacokinetics
/ Phenobarbital - therapeutic use
/ Phenytoin - analogs & derivatives
/ Phenytoin - pharmacokinetics
/ Plasma
/ Psychotropic drugs
/ Topiramate
/ Triazines - pharmacokinetics
/ Triazines - therapeutic use
/ Valproic Acid - blood
/ Valproic Acid - pharmacokinetics
/ Valproic Acid - therapeutic use
2025
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Persistent low concentrations of antiepileptics in a critically ill paediatric patient: an example of multiple potential drug interactions
by
Azuz, Samuel
, Olesen, Anne Estrup
, Sørensen, Tine Høg
, Posada, Lone Bak
in
Abdomen
/ Acids
/ Anesthesia
/ Antibiotics
/ Anticonvulsants - administration & dosage
/ Anticonvulsants - blood
/ Anticonvulsants - pharmacokinetics
/ Anticonvulsants - therapeutic use
/ Antipsychotics
/ Benzodiazepines
/ Case Report
/ Child
/ Clinical Pharmacology
/ Convulsions & seizures
/ Critical Illness
/ Delirium
/ Drug dosages
/ Drug Interactions
/ Drug withdrawal
/ Enzymes
/ Epilepsy
/ Epilepsy - drug therapy
/ Epilepsy and seizures
/ Fructose - analogs & derivatives
/ Fructose - pharmacokinetics
/ Fructose - therapeutic use
/ Hospitalization
/ Humans
/ Infections
/ Lamotrigine
/ Male
/ Meropenem
/ Morphine
/ Muscle contraction
/ Narcotics
/ Ostomy
/ Paediatrics (drugs and medicines)
/ Pediatrics
/ Pharmacokinetics
/ Phenobarbital - pharmacokinetics
/ Phenobarbital - therapeutic use
/ Phenytoin - analogs & derivatives
/ Phenytoin - pharmacokinetics
/ Plasma
/ Psychotropic drugs
/ Topiramate
/ Triazines - pharmacokinetics
/ Triazines - therapeutic use
/ Valproic Acid - blood
/ Valproic Acid - pharmacokinetics
/ Valproic Acid - therapeutic use
2025
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Persistent low concentrations of antiepileptics in a critically ill paediatric patient: an example of multiple potential drug interactions
Journal Article
Persistent low concentrations of antiepileptics in a critically ill paediatric patient: an example of multiple potential drug interactions
2025
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Overview
A middle childhood boy with epilepsy exhibited persistent low concentrations of valproic acid, lamotrigine and topiramate for over 1 month, primarily due to pharmacokinetic interactions involving fosphenytoin, meropenem and phenobarbital. Awareness of these clinically significant interactions is crucial for ensuring effective seizure control. However, further research is needed to establish optimal evidence-based treatment strategies in complex paediatric cases.
Publisher
BMJ Publishing Group Ltd,BMJ Publishing Group LTD,BMJ Publishing Group
Subject
/ Acids
/ Anticonvulsants - administration & dosage
/ Anticonvulsants - pharmacokinetics
/ Anticonvulsants - therapeutic use
/ Child
/ Delirium
/ Enzymes
/ Epilepsy
/ Fructose - analogs & derivatives
/ Humans
/ Male
/ Morphine
/ Ostomy
/ Paediatrics (drugs and medicines)
/ Phenobarbital - pharmacokinetics
/ Phenobarbital - therapeutic use
/ Phenytoin - analogs & derivatives
/ Phenytoin - pharmacokinetics
/ Plasma
/ Triazines - pharmacokinetics
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