Evidence map›Paper›PMID 39752064›Full record

ReviewDrugs - real world outcomes2025

Investigating the Relationship Between Anti-seizure Medications and Bleeding Disorders: A Comprehensive Review of the Current Literature.

Areesha Mansoor, Maryam Shahzad, Eeshal Zulfiqar, Muneeba Ahsan, Rimsha Adnan, Sean Kaisser Shaeen, Umm E Salma Shabbar Banatwala, Abdullah Malikzai

Abstract readReview
In one paragraph

Review in Drugs - real world outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
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

8 authors.

Areesha MansoorDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Maryam ShahzadDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID http://orcid.org/0009-0002-3565-8358
Eeshal ZulfiqarDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID http://orcid.org/0009-0009-6346-6629
Muneeba AhsanDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID http://orcid.org/0009-0006-6827-9441
Rimsha AdnanDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID http://orcid.org/0009-0009-4040-1697
Sean Kaisser ShaeenDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID http://orcid.org/0000-0002-4089-0154
Umm E Salma Shabbar BanatwalaDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Abdullah MalikzaiKabul University of Medical Sciences, Kabul, Afghanistan. abdullahmkz2022@gmail.com.ORCID http://orcid.org/0000-0002-9440-4393

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-seizure medications (ASMs) are specific types of anticonvulsants used to treat epileptic seizures. However, several studies have shown an association between ASMs and an increased risk of hematological disorders, such as thrombocytopenia, aplastic anemia, and platelet function disorders leading to prolonged bleeding times. This review explores the existing literature on this topic, investigating a wide variety of ASMs, ranging from first-generation medications to newer ones. A comprehensive search was conducted on all the currently approved ASMs using PubMed and Google Scholar: review articles, clinical trials, meta-analysis, observational studies, case reports, and relevant animal studies were identified. We extracted 15 ASMs including valproic acid (VPA), carbamazepine, phenytoin, phenobarbital, diazepam, clonazepam, lamotrigine, levetiracetam, oxcarbazepine, felbamate, topiramate, pregabalin, lacosamide, cannabidiol (CBD), and perampanel that contain considerable literature regarding different coagulopathies. An in-depth review of over 140 studies revealed a robust association between ASM-induced changes and the onset of bleeding disorders via several different mechanisms. Polytherapy, the use of multiple ASMs, also emerged as a significant risk factor for the development of coagulopathies. This review highlights the potential link between ASMs and bleeding disorders, emphasizing the importance of considering this risk during treatment planning. By understanding these associations, healthcare providers can optimize patient outcomes and minimize bleeding risks. Additionally, this review identifies the need for further research to bridge current knowledge gaps in clinical pharmacology related to ASMs and bleeding disorders.

Identifiers

PMID39752064
PMCPMC11829880

What OpenQuestion holds

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Registered trials

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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.