2001
DOI: 10.1023/a:1013046229699
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Abstract: The increase of the total clearance of VPA caused by MEPM appears to be a consequence of increased renal clearance of VPA-G, as well as suppression of VPA-G hydrolysis in the liver.

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Cited by 46 publications
(4 citation statements)
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“…Imipenem, Meropenem, Doripenem, Ertapenem, and Panipenem antibiotics decrease the serum concentrations of valproic acid likely by increasing the metabolism of VPA to VPA glucuronide as well as the renal clearance of VPA glucuronide and by inhibiting the intestinal absorption of VPA [111, 112]. Valproic acid has been shown to significantly increase the plasma concentrations of lamotrigine (doubling the half-life) [113115] potentially leading to serious and life-threatening rash, including Stevens-Johnson syndrome and toxic epidermal necrolysis, but also disabling tremors and ataxia, known as secondary effects of lamotrigine [116, 117].…”
Section: Drug's Interactionsmentioning
confidence: 99%
“…Imipenem, Meropenem, Doripenem, Ertapenem, and Panipenem antibiotics decrease the serum concentrations of valproic acid likely by increasing the metabolism of VPA to VPA glucuronide as well as the renal clearance of VPA glucuronide and by inhibiting the intestinal absorption of VPA [111, 112]. Valproic acid has been shown to significantly increase the plasma concentrations of lamotrigine (doubling the half-life) [113115] potentially leading to serious and life-threatening rash, including Stevens-Johnson syndrome and toxic epidermal necrolysis, but also disabling tremors and ataxia, known as secondary effects of lamotrigine [116, 117].…”
Section: Drug's Interactionsmentioning
confidence: 99%
“…AAP is a serine-protease enzyme, however, its unique structure and multimerization state seem to create such a seclusion of its active site that potentiates interactions very much unlike those of regular serine-proteases, the most striking example of which is its interaction with and inhibition by carbapenem antibiotics. 25–28 Furthermore, AAP was suggested to be able to catalyze the cleavage of amyloid oligomers formed in the progress of Alzheimer's disease. 29 It was also shown to be a key protein in cellular response to DNA-damage 30 and oxidative stress, 31,32 and was proposed to be a potential tumor suppressor.…”
Section: Introductionmentioning
confidence: 99%
“…Animal studies suggest a reduced intestinal absorption and enterohepatic recirculation [ 23 ]. An increase of glucuronidation and a decrease of hepatic hydrolysis resulting in an increased renal clearance of VPA-glucuronide have been postulated [ 24 , 25 , 26 , 27 ]. Inhibition of efflux of VPA from erythrocytes and its accumulation have also been described [ 28 , 29 ].…”
Section: Resultsmentioning
confidence: 99%