Effects of antiepileptic drugs on serum lipids profile among young adult Sudanese patient with epilepsy at Aljazeera State

Tarig Mahadi Eltom; Nasr Eldin Mohamed; Abdelmahmoud Mokhtar Bashir; Abdelgadir Elamin Eltom

doi:10.30574/gscbps.2021.14.1.0027

Authors

Tarig Mahadi Eltom M.Sc. - clinical chemistry - Al-Zaiem Al-Azhari University, Sudan, Albuheira Hospital - Sudan
Nasr Eldin Mohamed Associate professor of Clinical chemistry - Al-Zaiem Al-Azhari University –Sudan
Abdelmahmoud Mokhtar Bashir Department of Hematology, Faculty of Medical Laboratory Sciences, Sudan University of Science and Technology, Khartoum, Sudan
Abdelgadir Elamin Eltom Medical Laboratory Sciences, college of health sciences, Gulf Medical University, AL JURF - Ajman - United Arab Emirates

DOI:

https://doi.org/10.30574/gscbps.2021.14.1.0027

Keywords:

Anti-epileptic, Lipid profile, Sudan

Abstract

consequences that lead to an increase in risk of atherosclerosis in patients with epilepsy, several studies have reported that the patients commonly used antiepileptic drugs like phenytoin, and carbamazepine increase serum total Cholesterol, High Density Lipoproteins Cholesterol (HDL-C) Low Density lipoprotein Cholesterol ( LDL-C ) levels and Triglyceride (TG) .The aim of this study to assess and compare serum lipid profile of young adult patients treated by anti-epileptic drugs (phenytoin, oxcarbazepine and valproic acid) . Materials and Methods a cross-sectional study was conducted in Aljazeera state. Epileptic patients were of recruited. and taking antiepileptic drugs for more than six months and on regular follow up; approximately 120 patients on commonly used antiepileptic drugs (40 on phenytoin, 40 on oxcarbazepine, 40 on valproic Acid). Age and sex matching 40 controls were taken. our results show significant difference in the of mean TC, TG, HDL, and LDL-C levels in the group receiving phenytoin for more than six months when compared with control group P value (0.00) for all lipid profile. Also significant difference between the mean of TC, TG, HDL-C and LDL-C levels in the group receiving oxcarbazepine for more than six months when compared with control P value (0.00 ) for all lipid profile.

From the present study we concluded that CYP enzyme inducer anti-epileptic medicines like phenytoin and oxcarbazepine is strongly associated with increased levels of TC, LDL-C, HDL-C and TG, where asvalproate showed no significant change. Therefore, the serum cholesterol level should be regularly monitored in patients undergoing. Therapy with inducer anti-epileptic medicines.

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