• Register
  • Login

Iraqi Postgraduate Medical Journal

  1. Home
  2. The Effect of Oxcarbazepine on Thyroid Hormone Levels in Epileptic Patients

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

Copyrights and Licensing

Home

About Journal

Aim and Scope

Editorial Board

Peer Review Process

Copyrights and Licensing

Indexing and Abstracting

Plagiarism Policy

Author's Guide

Article processing charge (APC)

The Effect of Oxcarbazepine on Thyroid Hormone Levels in Epileptic Patients

    Authors

    • Dhuha Akram Al-Mahdawi
    • Nameer Mohammed Al-Talib

    Al-Yarmouk Teaching Hospital, Baghdad, Iraq

,

Document Type : Research Paper

10.52573/ipmj.2025.149354
  • Article Information
  • References
  • Download
  • Export Citation
  • Statistics
  • Share

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.‎

Keywords

  • anti-seizure medication
  • epilepsy
  • thyroid hormones

Main Subjects

  • Neurology
  • XML
  • RIS
  • EndNote
  • Mendeley
  • BibTeX
  • APA
  • MLA
  • HARVARD
  • VANCOUVER
References
  1. 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
  2. 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
  3. 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
  4. Preuss CV, Randhawa G, Wy TJP, Saadabadi A. Oxcarbazepine. Treasure Island (FL): StatPearls Publishing 2023, StatPearls Publishing LLC.; 2023.
  5. 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
  6. 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),
  7. 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.
  1. LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases; 2012.
  2. Khan YS, Farhana A. Histology, Thyroid Gland. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2023, StatPearls Publishing LLC.; 2023.
  3. Brown MB, Limaiem F. Histology, Parathyroid Gland. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2023, StatPearls Publishing LLC.; 2023.
  4. 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,
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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),
  10. 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
  11. Cushing GW. Subclinical hypothyroidism. Understanding is the key to decision making. Postgraduate medicine. 1993;94(1):95-7, 100-2, 6-7,
  12. 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
  13. Miller J, Carney P. Central hypothyroidism with oxcarbazepine therapy. Pediatr Neurol. 2006;34(3):242-4.DOI:10.1016/j.pediatrneurol.2005.08.032
  14. 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
  15. 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
  16. 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.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    • Article View: 281
Iraqi Postgraduate Medical Journal
Volume 24, Issue 2
April 2025
Page 251-258
Files
  • XML
Share
Export Citation
  • RIS
  • EndNote
  • Mendeley
  • BibTeX
  • APA
  • MLA
  • HARVARD
  • VANCOUVER
Statistics
  • Article View: 281

APA

Al-Mahdawi, D., & Al-Talib, N. (2025). The Effect of Oxcarbazepine on Thyroid Hormone Levels in Epileptic Patients. Iraqi Postgraduate Medical Journal, 24(2), 251-258. doi: 10.52573/ipmj.2025.149354

MLA

Dhuha Akram Al-Mahdawi; Nameer Mohammed Al-Talib. "The Effect of Oxcarbazepine on Thyroid Hormone Levels in Epileptic Patients". Iraqi Postgraduate Medical Journal, 24, 2, 2025, 251-258. doi: 10.52573/ipmj.2025.149354

HARVARD

Al-Mahdawi, D., Al-Talib, N. (2025). 'The Effect of Oxcarbazepine on Thyroid Hormone Levels in Epileptic Patients', Iraqi Postgraduate Medical Journal, 24(2), pp. 251-258. doi: 10.52573/ipmj.2025.149354

VANCOUVER

Al-Mahdawi, D., Al-Talib, N. The Effect of Oxcarbazepine on Thyroid Hormone Levels in Epileptic Patients. Iraqi Postgraduate Medical Journal, 2025; 24(2): 251-258. doi: 10.52573/ipmj.2025.149354

  • Home
  • About Journal
  • Editorial Board
  • Submit Manuscript
  • Contact Us
  • Glossary
  • Sitemap

News

This work is licensed under          CC BY 4.0    

 

 

Newsletter Subscription

Subscribe to the journal newsletter and receive the latest news and updates

© Journal Management System. Powered by iJournalPro.com