Bone mineral density in adult patients treated with various antiepileptic drugs
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Bone mineral density in adult patients treated with various antiepileptic drugs. / Beniczky, Simona Alexandra; Viken, Janina; Jensen, Lars Thorbjørn; Andersen, Noémi Becser.
I: Seizure, Bind 21, Nr. 6, 07.2012, s. 471-2.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Bone mineral density in adult patients treated with various antiepileptic drugs
AU - Beniczky, Simona Alexandra
AU - Viken, Janina
AU - Jensen, Lars Thorbjørn
AU - Andersen, Noémi Becser
N1 - Copyright © 2012 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
PY - 2012/7
Y1 - 2012/7
N2 - There is considerable evidence suggesting, that older antiepileptic drugs (AEDs) and some of the newer ones decrease bone mineral density (BMD). However, there is only limited and conflicting data concerning the effect of levetiracetam on BMD. In this cross-sectional study we analysed data from 168 adult consecutive outpatients treated with AEDs for more than 2 years, and who underwent measurement of the BMD. We compared the incidence of decreased BMD among the patients treated with 6 different AEDs: carbamazepine (CBZ), oxcarbazepine (OXC), valproic acid (VPA), lamotrigine (LTG), topiramate (TPM) and levetiracetam (LEV). Among the patients on monotherapy, reduced BMD was present significantly most often in patients treated with LEV and those treated with OXC. In the group of patients on polytherapy there was no significant difference in the incidence of low BMD among patients treated with various AEDs. Our data suggest that patients on long-term treatment with LEV have a higher risk for affection of bone density.
AB - There is considerable evidence suggesting, that older antiepileptic drugs (AEDs) and some of the newer ones decrease bone mineral density (BMD). However, there is only limited and conflicting data concerning the effect of levetiracetam on BMD. In this cross-sectional study we analysed data from 168 adult consecutive outpatients treated with AEDs for more than 2 years, and who underwent measurement of the BMD. We compared the incidence of decreased BMD among the patients treated with 6 different AEDs: carbamazepine (CBZ), oxcarbazepine (OXC), valproic acid (VPA), lamotrigine (LTG), topiramate (TPM) and levetiracetam (LEV). Among the patients on monotherapy, reduced BMD was present significantly most often in patients treated with LEV and those treated with OXC. In the group of patients on polytherapy there was no significant difference in the incidence of low BMD among patients treated with various AEDs. Our data suggest that patients on long-term treatment with LEV have a higher risk for affection of bone density.
KW - Absorptiometry, Photon
KW - Adolescent
KW - Adult
KW - Aged
KW - Anticonvulsants
KW - Bone Density
KW - Carbamazepine
KW - Cross-Sectional Studies
KW - Drug Therapy, Combination
KW - Female
KW - Fructose
KW - Humans
KW - Incidence
KW - Male
KW - Middle Aged
KW - Piracetam
KW - Triazines
KW - Valproic Acid
KW - Young Adult
KW - Journal Article
U2 - 10.1016/j.seizure.2012.04.002
DO - 10.1016/j.seizure.2012.04.002
M3 - Journal article
C2 - 22541979
VL - 21
SP - 471
EP - 472
JO - Seizure : the journal of the British Epilepsy Association
JF - Seizure : the journal of the British Epilepsy Association
SN - 1059-1311
IS - 6
ER -
ID: 168819213