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Pharmacy Services, Cambridge Hospital (Mr. Lawless), the Department of Pharmacy (Mr. DeMonaco). Massachusetts General Hospital. Boston, and Kennedy Hospital for Children (Dr. Muido). Brighton, MA.
The degree of protein binding of carbamazepine was evaluated in 45 mentally retarded epileptic patients. Although the mean percent unbound carbamazepine agreed with that obtained elsewhere, a wide interpatient variability was noted. There was a good correlation between unbound carbamazepine and total carbamazepine serum concentrations.
The results of this study indicate that the total carbamazepine serum concentration must be interpreted with caution, and the unbound fraction may be a more appropriate therapeutic measure.
Address correspondence and reprint requests to Mr. Lawless, Director of Pharmacy Services, Cambridge Hospital, 1493 Cambridge Street. Cambridge, MA 02138.
Accepted for publication September 18, 1981.
This article has been cited by other articles:
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O. A. Agbato, A. A. Elyas, P. N. Patsalos, E. M. Brett, and P. T. Lascelles Total and Free Serum Concentrations of Carbamazepine and Carbamazepine-10,11-Epoxide in Children With Epilepsy Arch Neurol, November 1, 1986; 43(11): 1111 - 1116. [Abstract] [PDF] |
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