A SINGLE CASE REPORT ON HYPONATREMIA SEIZURE INDUCED BY ACETYLCHOLINESTERASE INHIBITORS
Journal Title: International Journal of Pharmacy and Pharmaceutical Sciences - Year 2017, Vol 9, Issue 7
Abstract
Donepezil and memantine are the acetylcholinesterase inhibitors most commonly used in clinical practice for the management of mild-moderate dementia in Alzheimer’s disease. Electrolyte abnormalities associated with the drugs are commonly encountered in daily clinical practice and often can lead to seizures. Hyponatremia is an uncommon adverse effects of acetylcholinesterase inhibitors. Here we present a case on hyponatremia seizure due to the syndrome of inappropriate antidiuretic hormone (SIADH) caused by the acetylcholinesterase inhibitor donepezil and memantine as other likely causes were ruled out by appropriate investigations. The causality assessment needed to be done according to Naranjo algorithm was found to be ‘probable’ and the level of severity according to the Hartwig scale was ‘Level 5’.
Authors and Affiliations
J. Shareef, Adithi K.
ANTI-QUORUM SENSING ACTIVITY OF SOME COMMONLY USED TRADITIONAL INDIAN SPICES
Objective: To investigate the total phenolic and flavonoids contents and study the anti-quorum sensing activity of Indian spices.Methods: The methanolic extracts of eight Indian spices were evaluated for phytochemicals a...
FRUIT PEEL EXTRACTS WITH POTENTIAL FOR DISSOLVING SIMULATED RENAL STONES IN IN VITRO CONDITIONS
Objective: To evaluate the antiurolithiatic activity of selected fruit peels on simulated renal stones in in vitro conditions.Methods: Simulated renal stones were prepared by homogenous precipitation method. The criterio...
A COMPARATIVE PHARMACOGNOSTICAL EVALUATION OF THREE BOTANICAL SOURCE PLANTS OF JIVANTI
Objective: This study was undertaken to carry out a comparative pharmacognostical evaluation of three botanical source plants used in the name of classical Ayurvedic drug Jivanti.Methods: Leaves of three source plants of...
NOVEL SYNTHESIS OF PROCESS RELATED IMPURITIES OF VALGANCICLOVIR HYDROCHLORIDE
Objective: The present work aimed at synthesis of process related impurities of valganciclovir by using gancyclovir or monobenzyl ganciclovir as starting material comprising the following steps.Methods: Selective hydroly...
ORAL DIURETIC ACTIVITY OF HOT WATER EXTRACT OF H-GRADE QUILLS OF CINNAMOMUM ZEYLANICUM BLUME IN RATS
Objective: Cinnamomum zeylanicum Blume is claimed in Sri Lankan traditional medicine as a diuretic. Diuretics that are in current use possess serious adverse effects. Thus, there is a need for discovering efficacious and...