Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Kralove, Charles University, Heyrovskeho 1203, 50005 Hradec Kralove, Czech Republic.
Department of Neurology, Faculty of Medicine and University Hospital, Charles University, Sokolska 581, 50005 Hradec Kralove, Czech Republic.
Seizure. 2017 Nov;52:35-40. doi: 10.1016/j.seizure.2017.09.015. Epub 2017 Sep 20.
Behavioral side effects of antiepileptic drugs (AEDs) are common including both positive and negative effects on mood, anxiety, depression, and psychosis. We aimed to evaluate behavioral patterns in rats after administration of lamotrigine, levetiracetam, phenytoin, topiramate, carbamazepine, gabapentin, pregabalin, and zonisamide.
The open-field test was performed and locomotion, rearing, grooming, central latency and defecation were recorded over a 5min interval for each rat (8 rats in each group receiving AED and 16 controls). Kruskal-Wallis nonparametric test or ANOVA were used to assess differences among the groups.
The experimental groups did not differ in latency to enter the center compartment, neither in the decline of locomotor activity in the 1st and the 5th minute of the observation, nor in number of rears. Significant differences among groups were observed in the total number of lines crossed, grooming, as well in the number of fecal pellets. Locomotor activity was significantly increased in lamotrigine, if compared with gabapentin and pregabalin (ANOVA; p <0.05). Rats exposed to topiramate displayed a significantly increased number of grooming (when compared to pregabalin: p<0.01). Defecation (the number of fecal pellets) significantly increased in the gabapentin and carbamazepine group.
There are significant differences between AEDs in terms of their behavioral profile. It is of great importance to evaluate these effects in clinical practice to bring more clear insight into these positive or negative side effects of AEDs.
抗癫痫药物(AED)的行为副作用很常见,包括对情绪、焦虑、抑郁和精神病的积极和消极影响。我们旨在评估拉莫三嗪、左乙拉西坦、苯妥英、托吡酯、卡马西平、加巴喷丁、普瑞巴林和唑尼沙胺给药后大鼠的行为模式。
进行旷场试验,记录每只大鼠(每组接受 AED 的 8 只大鼠和 16 只对照大鼠)在 5 分钟间隔内的运动、后肢站立、理毛、中央潜伏期和排便情况。使用 Kruskal-Wallis 非参数检验或 ANOVA 评估组间差异。
实验组在进入中央隔间的潜伏期、观察第 1 分钟和第 5 分钟的运动活性下降以及后肢站立次数方面没有差异。在总跨越线数、理毛以及粪便颗粒数方面,组间存在显著差异。与加巴喷丁和普瑞巴林相比,拉莫三嗪的运动活性显著增加(ANOVA;p<0.05)。与普瑞巴林相比,暴露于托吡酯的大鼠理毛次数显著增加(p<0.01)。加巴喷丁和卡马西平组的粪便颗粒数(排便次数)显著增加。
AED 在行为特征方面存在显著差异。在临床实践中评估这些影响对于更清楚地了解 AED 的这些正性或负性副作用非常重要。