Why the study?
Some antiarrhythmic drugs influence seizures and modulate the anticonvulsant action of classical antiepileptic drugs, but the effects of dronedarone on these drugs were undetermined.
Does dronedarone alter the anticonvulsant potency of classical antiepileptic drugs in a mouse model of tonic-clonic seizures?
Does dronedarone alter the anticonvulsant potency of classical antiepileptic drugs in a mouse model of tonic-clonic seizures?
Dronedarone reduces the anticonvulsant efficacy of phenytoin in a mouse seizure model, indicating a potential adverse drug-drug interaction.
Dronedarone may enhance lamotrigine in seizures; leaves open any clinical relevance or human translation.
Increasing evidence indicates that some antiarrhythmic drugs play a pivotal role in seizures, not only in vivo studies on animals, but also in clinical trials. Some of these antiarrhythmic drugs potentiate or alleviate the anticonvulsant action of the classical antiepileptic drugs. The aim of this study was to determine the influence of dronedarone (DRO-a multichannel blocker belonging to the class III of antiarrhythmic drugs) on the anticonvulsant effects of four standard antiepileptic drugs (carbamazepine, phenobarbital, phenytoin and valproate) in the tonic-clonic seizure model in mice. Potential acute adverse effects exerted by the antiepileptic drugs combined with DRO were evaluated in three behavioral tests (chimney, grip-strength and passive avoidance). To confirm the nature of interaction, total brain concentrations of antiepileptic drugs were measured. DRO (50 mg/kg, i.p.) significantly reduces the anticonvulsant potency of phenytoin (P < 0.05), having no impact on that of carbamazepine, phenobarbital and valproate in the tonic-clonic seizure model in mice. DRO (50 mg/kg) neither changed total brain concentrations of phenytoin in mice, nor affected normal behavior in experimental animals subjected to the chimney, grip-strength and passive avoidance tests. In conclusion, DRO should not be combined with phenytoin because it reduced the anticonvulsant effects of the latter drug in experimental animals. The combined administration of DRO with carbamazepine, phenobarbital and valproate resulted in neutral interaction between these drugs in the tonic-clonic seizure model in mice.
No takes yet. Share an insight, caveat, or question.
Sawicka et al. (2018) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: