Oxcarbazepine-induced liver injury after sensitization by valproic acid: A case report

Alanna Chait Mermelstein, Joseph Mermelstein, Tarek Adam, Benjamin D. Brody, Marc J. Dubin

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

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 languageEnglish
Pages (from-to)307-309
Number of pages3
JournalBipolar Disorders
Volume18
Issue number3
DOIs
StatePublished - 1 May 2016
Externally publishedYes

Keywords

  • Liver injury
  • Oxcarbazepine
  • Transaminitis
  • Valproic acid

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