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A Case Report of a Carbamazepine Overdose With Focus on Pharmacokinetic Aspects
N Mittag1, S Meister2, A M J Berg1
1Institute of Toxicology and Pharmacology, University of Rostock, Rostock, Germany.
Abstract:
In this article a case of carbamazepine overdose is reported. It is common to use immuno-based methods in the field of therapeutic drug monitoring but it might be difficult to adapt such values to toxicological cases. For carbamazepine overdoses it is recommended also to determine the metabolite carbamazepine-10,11-epoxide. Especially for critical conditions a definite substance identification should be performed. In addition, quantifying main metabolites is recommended for an acute clinical toxicological assessment.
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