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231587

Toxicity and suicidal tendency linked to the antiepileptic medications

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

• Clinical toxicology

Abstract

Antiepileptic drugs (AEDs) are increasingly used, usually as an unlicensed usage, in patients with psychiatric disorders who are at increased risk of self-harm. This is expected to raise the likelihood that these drugs are used as means of overdose. Objectives: The current study was conducted to assess the AEDs–acutely intoxicated cases and to assess, in particular, the relation between the administration of antiepileptic drugs and committing suicide. Methods: The study included 127 cases who were intoxicated with antiepileptic drugs presented at national environmental and clinical toxicology research center (NECTR)for six months period from May to october2018. Data were analyzed with respect to socio-demographic data, primary data for patients' assessment, data concerning physical examination on admission, manner of overdose intake, status of admission, period of hospitalization and outcome. Results: The most common age group was those between 20-40 years with female dominance (75.6%). Carbamazepine was the most common ingested AED (73.2%). The most common manner of overdose intoxication was suicidal (73.2%) and most of cases were cured. Conclusion: Suicidal mode of AEDs-intoxication comprised a significant higher frequency among females & among the adult age group. So, psychiatric evaluation & monitoring of these vulnerable patients are recommended.

DOI

10.21608/ejfsat.2021.79847.1203

Keywords

Antiepileptic drugs, toxicity, suicidality, carbamazepine

Authors

First Name

Hoda

Last Name

Basyoni

MiddleName

Ahmed Mohamed

Affiliation

Forensic medicine and Clinical toxicology, Faculty of medicine, Cairo University, Egypt.

Email

dr.hodabasyoni@yahoo.com

City

CAIRO

Orcid

-

First Name

Yasmin

Last Name

Abdrabou

MiddleName

Kamal

Affiliation

forensic medicine and clinical toxicology kasr alainy cairo university

Email

ykamal.90.doctor@gmail.com

City

CAIRO

Orcid

-

First Name

Usama

Last Name

El-Barrany

MiddleName

Mohamed

Affiliation

faculty of medicine ,cairo university

Email

ualbarrany@yahoo.com

City

Cairo

Orcid

-

First Name

Eman

Last Name

Abdelrasheed

MiddleName

-

Affiliation

pharmacology department kasr alainy cairo university

Email

dreman58@hotmail.com

City

-

Orcid

-

First Name

heba

Last Name

abdel razik

MiddleName

abdo

Affiliation

forensic medicine and clinical toxicology kasr alainy cairo university

Email

dr_heba83@yahoo.com

City

-

Orcid

-

First Name

heba

Last Name

aboubakr

MiddleName

Mohamed

Affiliation

forensic medicine and clinical toxicology kasr alainy cairo university

Email

heba.aboubakr@kasralainy.edu.eg

City

CAIRO

Orcid

-

Volume

22

Article Issue

2

Related Issue

33202

Issue Date

2022-06-01

Receive Date

2021-06-16

Publish Date

2022-06-01

Page Start

1

Page End

15

Print ISSN

1687-0875

Online ISSN

2535-1915

Link

https://ejfsat.journals.ekb.eg/article_231587.html

Detail API

https://ejfsat.journals.ekb.eg/service?article_code=231587

Order

1

Type

Original Article

Type Code

429

Publication Type

Journal

Publication Title

The Egyptian Journal of Forensic Sciences and Applied Toxicology

Publication Link

https://ejfsat.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023