Evidence map›Paper›PMID 30228819›Full record

ArticleCase reports in medicine2018

Lamotrigine-Valproic Acid Interaction Leading to Stevens-Johnson Syndrome.

Marta Vázquez, Cecilia Maldonado, Natalia Guevara, Andrea Rey, Pietro Fagiolino, Antonella Carozzi, Carlos Azambuja

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Understanding Lamotrigine's Role in the CNS and Possible Future Evolution.International journal of molecular sciences · 2023
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Marta VázquezDepartment of Pharmaceutical Sciences, Faculty of Chemistry, Universidad de la República, Avenida General Flores 2124, 11800 Montevideo, Uruguay.ORCID 0000-0002-8459-4859
Cecilia MaldonadoDepartment of Pharmaceutical Sciences, Faculty of Chemistry, Universidad de la República, Avenida General Flores 2124, 11800 Montevideo, Uruguay.ORCID 0000-0002-9452-2111
Natalia GuevaraDepartment of Pharmaceutical Sciences, Faculty of Chemistry, Universidad de la República, Avenida General Flores 2124, 11800 Montevideo, Uruguay.ORCID 0000-0002-5541-6316
Andrea ReyDepartment of Neuropediatrics, Faculty of Medicine, Universidad de la República, Avenida General Flores 2125, 11800 Montevideo, Uruguay.
Pietro FagiolinoDepartment of Pharmaceutical Sciences, Faculty of Chemistry, Universidad de la República, Avenida General Flores 2124, 11800 Montevideo, Uruguay.ORCID 0000-0001-6756-1601
Antonella CarozziGenia-Genetics Molecular Laboratory, Bulevar General Artigas 922, 11300 Montevideo, Uruguay.
Carlos AzambujaGenia-Genetics Molecular Laboratory, Bulevar General Artigas 922, 11300 Montevideo, Uruguay.
Universidad de la República de Uruguay · UY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lamotrigine (LTG) is currently indicated as adjunctive therapy for focal and generalized tonic-clonic seizures and for treatment of bipolar disorder and neuropathic pain. A common concern with LTG in children is the frequency of appearance of skin rash. The intensity of this adverse effect can vary from transient mild rash to Stevens-Johnson syndrome (SJS), which can be fatal mainly when LTG is coadministered with valproic acid (VPA). Hereby, we present the case of an 8-year-old boy who suffered from SJS and other complications two weeks after LTG was added to his VPA treatment in order to control his seizures. VPA is known to decrease LTG clearance via reduced glucuronidation. In this case, the minor elimination pathway of LTG would play a more important role, and the formation of an arene oxide metabolite would be enhanced. As this reactive metabolite is detoxified mainly by enzymatic reactions, involving microsomal epoxide hydrolase and/or GSH-

Identifiers

PMID30228819
PMCPMC6136509
OpenAlexW2888962933

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.