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Research ArticleOriginal Article
Open Access

Assessment of atherosclerotic risk among patients with epilepsy on valproic acid, lamotrigine, and carbamazepine treatment

Nudrat A. Zuberi, Mukhtiar Baig, Shazia Bano, Zehra Batool, Saeeda Haider and Tahira Perveen
Neurosciences Journal April 2017, 22 (2) 114-118; DOI: https://doi.org/10.17712/nsj.2017.2.20160342
Nudrat A. Zuberi
From the Department of Biochemistry (Zuberi), Unaizah College of Medicine, Qassim, the Department of Clinical Biochemistry (Baig), Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, the Department of Biochemistry (Bano), Jinnah Postgraduate Medical Center, the Department of Biochemistry (Batool), Jinnah University for Women, and the Neurochemistry and Biochemical Neuropharmacology Research Unit (Haider, Perveen), Department of Biochemistry, University of Karachi, Karachi, Pakistan
Msc, PhD
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  • For correspondence: [email protected]
Mukhtiar Baig
From the Department of Biochemistry (Zuberi), Unaizah College of Medicine, Qassim, the Department of Clinical Biochemistry (Baig), Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, the Department of Biochemistry (Bano), Jinnah Postgraduate Medical Center, the Department of Biochemistry (Batool), Jinnah University for Women, and the Neurochemistry and Biochemical Neuropharmacology Research Unit (Haider, Perveen), Department of Biochemistry, University of Karachi, Karachi, Pakistan
MBBS, PhD
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Shazia Bano
From the Department of Biochemistry (Zuberi), Unaizah College of Medicine, Qassim, the Department of Clinical Biochemistry (Baig), Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, the Department of Biochemistry (Bano), Jinnah Postgraduate Medical Center, the Department of Biochemistry (Batool), Jinnah University for Women, and the Neurochemistry and Biochemical Neuropharmacology Research Unit (Haider, Perveen), Department of Biochemistry, University of Karachi, Karachi, Pakistan
MBBS, MPhil
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Zehra Batool
From the Department of Biochemistry (Zuberi), Unaizah College of Medicine, Qassim, the Department of Clinical Biochemistry (Baig), Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, the Department of Biochemistry (Bano), Jinnah Postgraduate Medical Center, the Department of Biochemistry (Batool), Jinnah University for Women, and the Neurochemistry and Biochemical Neuropharmacology Research Unit (Haider, Perveen), Department of Biochemistry, University of Karachi, Karachi, Pakistan
Msc
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Saeeda Haider
From the Department of Biochemistry (Zuberi), Unaizah College of Medicine, Qassim, the Department of Clinical Biochemistry (Baig), Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, the Department of Biochemistry (Bano), Jinnah Postgraduate Medical Center, the Department of Biochemistry (Batool), Jinnah University for Women, and the Neurochemistry and Biochemical Neuropharmacology Research Unit (Haider, Perveen), Department of Biochemistry, University of Karachi, Karachi, Pakistan
Msc, PhD
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Tahira Perveen
From the Department of Biochemistry (Zuberi), Unaizah College of Medicine, Qassim, the Department of Clinical Biochemistry (Baig), Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, the Department of Biochemistry (Bano), Jinnah Postgraduate Medical Center, the Department of Biochemistry (Batool), Jinnah University for Women, and the Neurochemistry and Biochemical Neuropharmacology Research Unit (Haider, Perveen), Department of Biochemistry, University of Karachi, Karachi, Pakistan
Msc, PhD
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    Figure 1

    - Comparison of total cholesterol/high-density lipoprotein cholesterol ratio among the controls and valproic acid (VPA), lamotrigine (LTG), and carbamazepine treated patients. *Significant as compared with controls (p<0.05), ∆significant as compared with LTG (p<0.05), †significant as compared with VPA (p<0.05). The line on each bar indicates standard deviation.

  • Figure 2
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    Figure 2

    - Comparison of low-density lipoprotein cholesterol/high-density lipoprotein cholesterol ratio among the controls and valproic acid (VPA), lamotrigine (LTG), and carbamazepine treated patients. *Significant as compared with controls (p<0.05), ∆significant as compared with LTG (p<0.05), †significant as compared with VPA (p<0.05). The line on each bar indicates standard deviation.

Tables

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    Table 1

    Comparison of basic characteristics of the controls and patients receiving valproic acid, carbamazepine, and lamotrigine treatment.

    ParametersPatients treated with different AEDsP-value
    Valproic acid (n=40)Carbamazepine (n=40)Lamotrigine (n=40)Controls (n=40)
    Duration of treatment4.9±3.824.2±3.677.3±4.71---0.01*
    Age32.25±5.3931.67±4.3233.12±6.8631.62±5.730.29
    Gender
     Male18181926
     Female222221140.89#
    BMI24.71±5.3625.21±4.1026.27±6.1821±2.63<0.001*
    Systolic blood pressure (mm Hg)116.12±15.72118.0±13.37116.0±13.51116.8±9.300.64
    Diastolic blood pressure (mm Hg)76.21±10.1776.50±8.7775.10±9.1173.8±7.820.15
    • ↵* Significant (p<0.05),

    • ↵# Chi-Square test, values are shown as mean + SD (except gender), AEDs - antiepileptic drugs, BMI - body mass index

    • View popup
    Table 2

    Comparison of lipid profile among the control and valproic acid, carbamazepine, and lamotrigine treated patients.

    ParametersPatients treated with different AEDsP-value
    Valproic acid (n=40)Carbamazepine (n=40)Lamotrigine(n=40)Controls (n=40)
    Total cholesterol (mg/dl)170.7±42.17*∆212.7±31.89*∆†123.1±18.72141.5±13.310.001
    Triglyceride (mg/dl)153.5±43.94*∆203.0±48.82*∆†119.9±25.97140.5±18.380.001
    HDL-c (mg/dl)36.2±3.62*35.7±3.51*33.0±4.26*41.6±3.240.001
    LDL-c (mg/dl)101.6±37.2*∆135.0±28.1*∆†64.8±17.6471.7±12.780.001
    VLDL-c(mg/dl)30.7±8.77∆40.9±9.59*∆†24.1±5.1828.2±3.520.001
    • ↵* Significant as compared with controls (p<0.05),

    • ↵∆ significant as compared to lamotrigine (p<0.05),

    • ↵† Significant as compared to VPA (p<0.05), AEDs - antiepileptic drugs, HDL-c - high-density lipoprotein cholesterol, LDL-c - low-density lipoprotein cholesterol,

    • VLDL-c - very low-density lipoprotein cholesterol

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Neurosciences Journal: 22 (2)
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Assessment of atherosclerotic risk among patients with epilepsy on valproic acid, lamotrigine, and carbamazepine treatment
Nudrat A. Zuberi, Mukhtiar Baig, Shazia Bano, Zehra Batool, Saeeda Haider, Tahira Perveen
Neurosciences Journal Apr 2017, 22 (2) 114-118; DOI: 10.17712/nsj.2017.2.20160342

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Assessment of atherosclerotic risk among patients with epilepsy on valproic acid, lamotrigine, and carbamazepine treatment
Nudrat A. Zuberi, Mukhtiar Baig, Shazia Bano, Zehra Batool, Saeeda Haider, Tahira Perveen
Neurosciences Journal Apr 2017, 22 (2) 114-118; DOI: 10.17712/nsj.2017.2.20160342
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