中止
乳果糖
丙戊酸
医学
高氨血症
不利影响
脑病
药物不良反应
药品
胃肠病学
广谱
癫痫
内科学
儿科
药理学
精神科
化学
组合化学
作者
Qian-Ze Zhu,Amit Singh,Huai-En R. Chang,Sandeep A Konka
出处
期刊:Case Reports
[BMJ]
日期:2024-02-01
卷期号:17 (2): e257144-e257144
标识
DOI:10.1136/bcr-2023-257144
摘要
Valproate (VPA) is broad-spectrum antiepileptic drug. Several adverse reactions including hepatotoxicity, fetal risk and pancreatitis are well known and labelled as boxed warnings in the USA. One adverse reaction that is less well known but clinically significant for its severe morbidity is hyperammonemic encephalopathy. We present a case of woman with hyperammonemic encephalopathy following the initiation of VPA therapy; she had a favourable outcome with discontinuation of the drug and prompt treatment with lactulose and L-carnitine.
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