Choice of pharmaceutical form as a key factor during ketogenic diet: a case report.

European Journal of Hospital Pharmacy. Science and Practice
Héctor Rodríguez-RamalloFrancisco José Araujo-Rodríguez

Abstract

West syndrome is a severe epilepsy syndrome characterised by the appearance of drug-resistant epileptic disorders associated with hypsarrhythmia and intellectual disability. Among non-pharmacological treatments, the ketogenic diet, which consists of low carbohydrate intake and a rich lipid intake, stands out. This treatment induces a state of ketosis, which has been related to a decrease in the number of seizures. It is essential to control the carbohydrate intake within drug treatment for these patients since many pharmaceutical forms, specifically liquid oral medication, may contain carbohydrates in the form of mono/polysaccharides or polyols. We describe the case report of an infant with drug-resistant West syndrome, treated with a ketogenic diet, whose antiseizure liquid medication impeded a proper response to the diet. After the substitution of these medications, the patient showed a remarkable decrease in the number of seizures.

References

Oct 1, 1991·Journal of Child Neurology·L D Cowan, L S Hudson
Jan 5, 2002·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·D LebelL Carmant
Jul 9, 2010·Epilepsia·John M PellockJames W Wheless
Mar 14, 2017·Clinical Neuropharmacology·Ji Min SongMin Jung Chang
Sep 7, 2017·Acta Neurologica Scandinavica·G PreziosoA Verrotti
Mar 7, 2020·Epilepsia·Chellamani HariniMark H Libenson
Apr 20, 2020·Pediatric Neurology·Raili Riikonen

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