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353726

Possible Efficacy of Agarose Powder Compared with Activated Charcoal in Treatment of Acute Valproic Acid Overdose in Rats.

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Clinical Toxicology

Abstract

Acute toxicity is a critical medical emergency that needs urgent and effective treatment. Debates about the effectiveness of activated charcoal have been raised last years, and toxicologists have started searching for alternative adsorbents. This experimental study assesses the efficacy of agar as an adsorbent to drugs with enterohepatic reabsorption, like valproic acid, in comparison with activated charcoal. Method: Randomized controlled trial was designed using thirty-two non-pregnant female adult albino rats, which were divided into four groups at random. Groups I, II, III, and IV represented the negative control, positive control, overdose, and treated groups, respectively. Group III received valproic acid (200mg/kg) only, while group IV was subdivided into three groups that received the same dose of valproic plus activated charcoal (1g/kg), agar (1 g/kg), and both activated charcoal and agar in groups IVa, IVb, and IVc, respectively. Results: The mean serum valproic acid levels in the treated groups (IVa, IVb, and IVc) were statistically significantly decreased in comparison with the overdose group. In comparing the three treated groups, group (IVb) showed the least mean of valproic acid, but the difference with group (IVa) was statistically insignificant. Liver enzymes were lower in groups treated with agar only or agar and activated charcoal than in the group treated with activated charcoal only. Conclusions: Agar reduces the serum level of valproic acid, which may be due to its possible adsorptive effect and interference with enterohepatic circulation. Further studies are needed on a broad spectrum of drugs whether they have enterohepatic circulation or not.

DOI

10.21608/mjfmct.2024.261985.1077

Keywords

Agar, adsorbent, Valproic acid, Activated charcoal, Enterohepatic reabsorption

Authors

First Name

Marwa

Last Name

Mohammed

MiddleName

Kh.

Affiliation

Lecturer of forensic Medicine and Clinical Toxicology- Faculty of Medicine- Assiut University, Egypt.

Email

marwakhalifa@aun.edu.eg

City

-

Orcid

https://orcid.org/00

First Name

Eman

Last Name

Shaltout

MiddleName

S.

Affiliation

Assistant Professor of forensic medicine and clinical toxicology ,faculty of medicine, Assuit university, Egypt.

Email

emansalahshaltout@aun.edu.eg

City

assuit

Orcid

0000-0001-8963-0356

First Name

Noha

Last Name

Ebrahem

MiddleName

Esmael

Affiliation

Lecturer of Lecturer of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Assiut University, Egypt.

Email

nohaesmaiel@aun.edu.eg

City

-

Orcid

0000-0002-1073-3959

First Name

Ahmed

Last Name

GadAllah

MiddleName

Mohamed

Affiliation

Assistant professor of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.

Email

dr.ahmedgad@yahoo.com

City

-

Orcid

-

Volume

32

Article Issue

2

Related Issue

42031

Issue Date

2024-07-01

Receive Date

2024-01-14

Publish Date

2024-07-01

Page Start

51

Page End

63

Print ISSN

1110-5437

Online ISSN

2682-3217

Link

https://mjfmct.journals.ekb.eg/article_353726.html

Detail API

https://mjfmct.journals.ekb.eg/service?article_code=353726

Order

353,726

Type

Original Article

Type Code

966

Publication Type

Journal

Publication Title

Mansoura Journal of Forensic Medicine and Clinical Toxicology

Publication Link

https://mjfmct.journals.ekb.eg/

MainTitle

Possible Efficacy of Agarose Powder Compared with Activated Charcoal in Treatment of Acute Valproic Acid Overdose in Rats.

Details

Type

Article

Created At

24 Dec 2024