Variation in lamotrigine plasma concentrations with hormonal contraceptive monthly cycles in patients with epilepsy

Manuela Contin, Fiorenzo Albani, Giovanni Ambrosetto, Patrizia Avoni, Francesca Bisulli, Roberto Riva, Paolo Tinuper, Agostino Baruzzi

Research output: Contribution to journalArticle

Abstract

Purpose: This is the first report comparing intrasubject lamotrigine (LTG) plasma concentrations between hormonal contraceptive (HC) intake and week-off phases in epilepsy patients receiving combined LTG and HC treatment. We describe the variation in LTG plasma concentrations with hormonal contraceptive (HC) monthly intake cycles in a series of eight patients with epilepsy. Methods: Venous blood samples were prospectively drawn from patients before their first morning dose of LTG, once between days 18 and 21 of HC intake and once between days 5 and 7 of the HC-free week. Results: Median LTG plasma concentrations were significantly higher during the HC washout week than during the phase of HC intake (p = 0.02). The median value of intrasubject percentage increase was 27%, with a wide interpatient variability. Conclusions: These findings are in line with a preliminary report on healthy volunteers. Standardization of blood sampling in relation to HC intake cycles is advisable when planning LTG therapeutic monitoring in patients receiving HC.

Original languageEnglish
Pages (from-to)1573-1575
Number of pages3
JournalEpilepsia
Volume47
Issue number9
DOIs
Publication statusPublished - Sep 2006

Keywords

  • Antiepileptic drug interactions
  • Epilepsy
  • Hormonal contraceptives
  • Lamotrigine

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Fingerprint Dive into the research topics of 'Variation in lamotrigine plasma concentrations with hormonal contraceptive monthly cycles in patients with epilepsy'. Together they form a unique fingerprint.

  • Cite this