Table 1

Treatable vitamin-responsive epilepsy.

IndicationDose
Pyridoxine (B6)-dependent epilepsyB6 15-30 mg/kg/d BID (up to 500 mg/day) or (50-100) mg IV with simultaneous EEG recording.
Pyridoxal 5’-phosphate-dependent epilepsyPyridoxal 5’-phosphate (30–50 mg/kg TID)
Folinic acid-responsive seizuresFolinic acid (3–5 mg/kg/dose)
Biotinidase deficiencyBiotin (10 - 20 mg/day)
Biotin-thiamine-responsive basal ganglia diseaseBiotin (5–10 mg/kg/dose) and thiamine (300–900 mg/day)
Cerebral creatine deficiency syndromesGAMT deficiency:
Oral creatine monohydrate (dosage of 400-800 mg/kg/day TID or more)
Ornithine: 100 mg/kg/day
AGAT deficiency:
Oral creatine monohydrate (dosage of 400-800 mg/kg/day TID or more)
CRTR deficiency:
Creatine monohydrate 100-200 mg/kg/day TID
Arginine 400 mg/kg/day TID
Glycine 150 mg/kg/day TID
GAMT - guanidinoacetate methyltransferase, AGAT - L-arginine:glycine amidinotransferase deficiency, CRTR - creatine transporter deficiency