Abstract
Objective: The aim of the present case report is to describe a potential interaction between valproic acid and oxcarbazepine that resulted in hepatic injury. Methods: We report the case of a 46-year-old man with schizoaffective disorder who was cross-titrated from valproic acid to oxcarbazepine because of liver injury. Results: Initiation of oxcarbazepine four days after stopping valproic acid produced a significant elevation in liver enzymes that normalized with oxcarbazepine discontinuation and did not reappear with its reintroduction five days later. Conclusions: Our findings suggest that a longer washout period or another agent should be considered when transitioning from valproic acid to oxcarbazepine.
Original language | English |
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Pages (from-to) | 307-309 |
Number of pages | 3 |
Journal | Bipolar Disorders |
Volume | 18 |
Issue number | 3 |
DOIs | |
State | Published - 1 May 2016 |
Externally published | Yes |
Keywords
- Liver injury
- Oxcarbazepine
- Transaminitis
- Valproic acid