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Clinical Trial
. 1982 Feb;13(1):10-3.
doi: 10.1055/s-2008-1059589.

Serum concentrations and enzyme induction in epileptic children treated with phenytoin and valproate

Clinical Trial

Serum concentrations and enzyme induction in epileptic children treated with phenytoin and valproate

F A de Wolff et al. Neuropediatrics. 1982 Feb.

Abstract

In a group of 59 epileptic children treated with phenytoin (PHT) and valproate sodium (VPA), either alone or in combination, the following effects were studied: (1) the reciprocal effect on the serum levels of the two drugs, and (2) the enzyme-inducing effects of both drugs. VPA had no effect on PHT levels, but PHT significantly decreased VPA concentrations. PHT enhanced both gamma-glutamyltranspeptidase activity (gamma-GT) and D-glucaric acid excretion (GLA); these effects were potentiated by VPA. VPA alone did not affect gamma-GT, but significantly enhanced GLA.

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