Evidence map›Paper›PMID 40871704›Full record

ReviewNutrients2025

Drugs and Nutrients in Epilepsy: Vitamin B6 and the Ketogenic Diet.

Shani Bahalul-Yarchi, Feigy Hartman, Karin Ben Zaken, Ibrahim O Sawaid, Lior Segev, Samuel Mesfin, Pnina Frankel, Rahaf Ezzy, Abraham O Samson

Abstract readReview
In one paragraph

Review in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

9 authors.

Shani Bahalul-YarchiAzrieli Faculty of Medicine, Bar Ilan University, Safed 1311502, Israel.
Feigy HartmanAzrieli Faculty of Medicine, Bar Ilan University, Safed 1311502, Israel.
Karin Ben ZakenAzrieli Faculty of Medicine, Bar Ilan University, Safed 1311502, Israel.
Ibrahim O SawaidAzrieli Faculty of Medicine, Bar Ilan University, Safed 1311502, Israel.
Lior SegevAzrieli Faculty of Medicine, Bar Ilan University, Safed 1311502, Israel.ORCID 0009-0009-5492-101X
Samuel MesfinAzrieli Faculty of Medicine, Bar Ilan University, Safed 1311502, Israel.
Pnina FrankelAzrieli Faculty of Medicine, Bar Ilan University, Safed 1311502, Israel.ORCID 0009-0000-1131-2198
Rahaf EzzyAzrieli Faculty of Medicine, Bar Ilan University, Safed 1311502, Israel.ORCID 0009-0004-4511-9184
Abraham O SamsonAzrieli Faculty of Medicine, Bar Ilan University, Safed 1311502, Israel.ORCID 0000-0001-7436-3515

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Certain foods and specific drugs have been linked to epilepsy in the literature. Here, we query PubMed citations for the co-occurrence of epilepsy with foods and drugs, using a list of 217,776 molecules from the HMDB. Notably, the top associations with epilepsy include approved drugs and drug families, diagnostic markers, inducers, and vitamins. Drugs include fosphenytoin (40%), topiramate (37%), valproic acid (34%), hydantoin (20%), phenytoin (31%), carbamazepine (33%), carbamazepine-10,11-epoxide (40%), trimethadione (31%), gabapentin (14%), pregabalin (11%), flunarizine (7%), fenfluramine (4%), bumetanide (4%), KBr (18%), cannabidiol (14%), clonazepam (22%), nitrazepam (10%), diazepam (7%), lorazepam (6%), midazolam (3%), amobarbital (21%), phenobarbital (16%), flumazenil (7%) allopregnanolone (7%), pregnanolone (6%), epipregnanolone (6%), 3-hydroxypregnan-20-one (6%), and vitamin B6 (6%). Drug families and scaffolds include imidazolidine (18%), succinimide (10%), acetamide (7%), 2-pyrrolidinone (7%), pyrrolidine (6%), tetrahydropyridine (6%), and isoxazole (4%). Investigational compounds include cyano-7-nitroquinoxaline-2,3-dione (5%). Diagnostic markers include exametazime (10%) and quinolinic acid (3%). Inducers include flurothyl (37%), pentetrazol (32%), pilocarpine (25%), (+)-Bicuculline (8%), and 1-methyl-4-phenyl-1,2,5,6-tetrahydropyridine (MPTP, 6%). Our analysis highlights frequently cited associations between epilepsy and specific drugs and highlights the importance of supplementing nutrients with vitamin B6 and the ketogenic diet, which increases the gamma-aminobutyric acid (GABA)/glutamate ratio. As such, our study offers dietary approaches in the treatment of this neurodegenerative disease.

Indexed as

AnticonvulsantsDiet, KetogenicEpilepsyNutrientsVitamin B 6HumansAnticonvulsantsNutrientsVitamin B 6epilepsyketogenic dietnutrientsvitamin B6vitamins

Identifiers

PMID40871704
PMCPMC12388984

What OpenQuestion holds

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LicenceCC BY
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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.