Authors
Al-Yarmouk Teaching Hospital, Baghdad, Iraq
,
Document Type : Research Paper
Abstract
Abstract
Background: patients with epilepsy need long-term anti-seizure medication; several studies found that anti-seizure medication affects endocrine function, including the thyroid gland.
Aim of the study: Assess the impact of Oxcarbazepine therapy on thyroid function test outcomes in epilepsy patients on Oxcarbazepine therapy.
Methods: a cross-sectional study was conducted at Baghdad Teaching Hospital, including 65 patients with epilepsy who used oxcarbazepine as a mono-antiepileptic drug. The epidemiological data include the type of epilepsy (focal), duration of the disease, duration of treatment, dosage of treatment, thyroid stimulating hormone (TSH), thyroxin (T4), and triiodothyronine (T3) levels were tested.
Results: The study group showed notable associations between the length and dosage of oxcarbazepine treatment and thyroid function level.
Conclusion: There is a significant difference in TSH, T3, and T4 levels in patients receiving oxcarbazepine as monotherapy in correlation to its duration of use and to its dose; in the analysis, the correlation observed is in duration >5 years and dosage >600mg/day.
- Fisher RS, van Emde Boas W, Blume W, Elger C, et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia. 2005;46(4):470-2.DOI:10.1111/j.0013-9580.2005.66104.x
- Manole AM, Sirbu CA, Mititelu MR, Vasiliu O, et al. State of the Art and Challenges in Epilepsy-A Narrative Review. J Pers Med. 2023;13(4).DOI:10.3390/jpm13040623
- Park KM, Kim SE, Lee BI. Antiepileptic Drug Therapy in Patients with Drug-Resistant Epilepsy. J Epilepsy Res. 2019;9(1):14-26.DOI:10.14581/jer.19002
- Preuss CV, Randhawa G, Wy TJP, Saadabadi A. Oxcarbazepine. Treasure Island (FL): StatPearls Publishing 2023, StatPearls Publishing LLC.; 2023.
- Kim TH, Reid CA, Petrou S. Oxcarbazepine and its active metabolite, (S)-licarbazepine, exacerbate seizures in a mouse model of genetic generalized epilepsy. Epilepsia. 2015;56(1):e6-9.DOI:10.1111/epi.12866
- Al Gawwam G, Al-Mahdawi A, Ali S, Fawzi HA. Focal Interictal Epileptiform Discharges in Idiopathic Generalized Epilepsies. Indian Journal of Public Health Research & Development. 2018;9(12),
- Beydoun A, DuPont S, Zhou D, Matta M, et al. Current role of carbamazepine and oxcarbazepine in the management of epilepsy. Seizure. 2020;83:251-63.DOI:https://doi.org/10.1016/j.seizure.2020.10.018.
- LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases; 2012.
- Khan YS, Farhana A. Histology, Thyroid Gland. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2023, StatPearls Publishing LLC.; 2023.
- Brown MB, Limaiem F. Histology, Parathyroid Gland. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2023, StatPearls Publishing LLC.; 2023.
- Avakyan G, Blinov D, Lebedeva A, Burd S, Avakyan G. ILAE Classification of the epilepsies: the 2017 revision and update. Epilepsy and paroxysmal conditions. 2017;9(1):6-25,
- HIRFANOGLU T, SERDAROGLU A, CAMURDAN O, CANSU A, et al. Thyroid function and volume in epileptic children using carbamazepine, oxcarbazepine and valproate. Pediatrics International. 2007;49(6):822-6.DOI:https://doi.org/10.1111/j.1442-200X.2007.02456.x
- Caksen H, Dulger H, Cesur Y, Atas B, et al. Evaluation of thyroid and parathyroid functions in children receiving long-term carbamazepine therapy. Int J Neurosci. 2003;113(9):1213-7.DOI:10.1080/00207450390232300
- Vainionpää LK, Mikkonen K, Rättyä J, Knip M, et al. Thyroid function in girls with epilepsy with carbamazepine, oxcarbazepine, or valproate monotherapy and after withdrawal of medication. Epilepsia. 2004;45(3):197-203.DOI:10.1111/j.0013-9580.2004.26003.x
- Mohammed AK, Al-Qadhi HI, Alkhalidi NM, Fawzi HA. Effectiveness of Infliximab and Adalimumab in Iraqi patients with ulcerative colitis – Real-World Data. J Adv Pharm Edu Res. 2020;10(2):46-51, https://japer.in/en/article/effectiveness-of-infliximab-and-adalimumab-in-iraqi-patients-with-ulcerative-colitis-real-world-data
- AlGawwam G, Mnaather AA, Al-Mahdawi A, Fawzi HA, Shareef LG. Serum Aspartic Acid as a Marker of Epilepsy. Global Journal of Health Science. 2019;11(2),
- Isojärvi JI, Airaksinen KE, Repo M, Pakarinen AJ, et al. Carbamazepine, serum thyroid hormones and myocardial function in epileptic patients. Journal of neurology, neurosurgery, and psychiatry. 1993;56(6):710-2.DOI:10.1136/jnnp.56.6.710
- Cushing GW. Subclinical hypothyroidism. Understanding is the key to decision making. Postgraduate medicine. 1993;94(1):95-7, 100-2, 6-7,
- Dana-Haeri J, Oxley J, Richens A. Pituitary responsiveness to gonadotrophin-releasing and thyrotrophin-releasing hormones in epileptic patients receiving carbamazepine or phenytoin. Clinical endocrinology. 1984;20(2):163-8.DOI:10.1111/j.1365-2265.1984.tb00071.x
- Miller J, Carney P. Central hypothyroidism with oxcarbazepine therapy. Pediatr Neurol. 2006;34(3):242-4.DOI:10.1016/j.pediatrneurol.2005.08.032
- Patsalos PN, Zakrzewska JM, Elyas AA. Dose dependent enzyme induction by oxcarbazepine? European journal of clinical pharmacology. 1990;39(2):187-8.DOI:10.1007/bf00280057
- Klosterskov Jensen P, Saano V, Haring P, Svenstrup B, Menge GP. Possible interaction between oxcarbazepine and an oral contraceptive. Epilepsia. 1992;33(6):1149-52.DOI:10.1111/j.1528-1157.1992.tb01773.x
- Cansu A, Serdaroğlu A, Camurdan O, Hirfanoğlu T, et al. The evaluation of thyroid functions, thyroid antibodies, and thyroid volumes in children with epilepsy during short-term administration of oxcarbazepine and valproate. Epilepsia. 2006;47(11):1855-9.DOI:10.1111/j.1528-1167.2006.00821.x.