- Lamotrigine 단독 과량복용으로 발생한 횡문근융해증
- Rhabdomyolysis after Lamotrigine Poisoning: A Case report
- ㆍ 저자명
- 김건배,구홍두,Kim. Gun-Bea,Gu. Hong-Du
- ㆍ 간행물명
- 대한임상독성학회지
- ㆍ 권/호정보
- 2008년|6권 2호|pp.142-145 (4 pages)
- ㆍ 발행정보
- 대한임상독성학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Lamotrigine is a newer anti-epileptic drug for adjunctive treatment of refractory epilepsy, partial seizures, generalized tonic-clonic seizures, and bipolar disorder. Lamotrigine overdose causes serious central nervous and cardiovascular problems, but reports are uncommon. Few lamotrigine overdoses have been described because anti-epileptic drug use is limited and usually used with combination of other anti-epileptic drugs. In addition, most patients visit emergency departments with multi-drug overdoses, so few cases of lamotrigine poisoning alone exist. We had a female patient visit our emergency department a couple of hours after a lamotrigine overdose treated with intravenous hydration and urine alkalization by NaHCO3. She recovered successfully without any evidence of renal injury. However, she developed profound rhabdomyolysis, a previously unreported complication of this medication. We suggest that serial creatine kinase levels should be measured after lamotrigine poisoning.