Sodium Valproate Induced Tremor in a Patient with Epilepsy and Down's Syndrome

ISSN: 2212-3911 (Online)
ISSN: 1574-8863 (Print)

Volume 11, 3 Issues, 2016

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Current Drug Safety

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Dr. Seetal Dodd
University of Melbourne
Geelong, 3220

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Sodium Valproate Induced Tremor in a Patient with Epilepsy and Down's Syndrome

Current Drug Safety, Volume 7 (E-pub ahead of print)

Author(s): Antonio Siniscalchi, Luca Gallelli, Simona Loizzo, Avenoso Tiziana, Emilio Russo and Giovambattista De Sarro.

Affiliation: Department of Health Science, School of Medicine, University of Catanzaro, Clinical Pharmacology Unit, Mater Domini University Hospital, Viale Europa – Germaneto 88100 Catanzaro, Italy


Some papers reported the development of adverse drug reactions in patients with Down’s syndrome during the treatment with antiepileptic drugs. However, at this time, no data have been published concerning the development of tremor in patients with Down’s syndrome treated with sodium valproate. We report a 17-year-old man with epilepsy and Down’s syndrome who experienced tremor during the treatment with a low dosage of sodium valproate. The Naranjo probability scale documented a possible association between tremor and sodium valproate. Sodium valproate was changed to lamotrigine with both a rapid improvement of tremor and an optimal control of symptoms. In conclusion we documented that sodium valproate is able to induce in a patient with epilepsy and Down‘s syndrome, the development of tremor probably through the decreased activity of GABAergic neurotransmission; however, further studies may be performed in order to validate this observation.

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Article Details

Volume: 7
First Page: 1
Page Count: 1
DOI: 10.2174/1574886311207040328
Global Biotechnology Congress 2016Drug Discovery and Therapy World Congress 2016

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