Short-Term Side Effects of Low Dose Valproate Monotherapy in Epileptic Children: A Prospective Study.

OBJECTIVES: Considering the common use of valproate among children, we investigated the short-term side-effects of low dose valproate monotherapy in epileptic children. MATERIALS & METHODS: In this prospective study, 209 epileptic children (48.3% male, mean age: 7.02 ± 3.13 yr) on low therapeutic dose of valproate monotherapy (20-30 mg/kg/d) were enrolled during 2014-2015 in Isfahan Pediatric Neurology Clinic, Isfahan University of Medical Sciences, Isfahan, Iran and side-effects were evaluated through frequent clinical visits and laboratory tests during 6 months of valproate therapy. RESULTS: Weight gain was reported in 53.1% of patients. Decreased appetite was seen in 11% of patients, more frequent in younger cases (P=0.006). Abdominal pain, nausea/vomiting, diarrhea, and constipation were reported in 16.3%, 2.4%, 1.4%, and 1% of patients, respectively. Headache, tremor, dizziness, abnormal color vision, myoclonus, and bruxism were seen in 5.7%, 1.4%, 1%, 1%, 1%, and 0.5% of patients, respectively. Enuresis, hair loss, and skin rash were reported in 8.1%, 6.7%, and 0.5% of patients, respectively. Thrombocytopenia, impaired liver function tests, and leukopenia occurred in 1%, 1%, and 0.5% of patients, respectively. CONCLUSION: Low dose valproate monotherapy may cause numerous side-effects, mostly not life-threatening and requiring no action. Besides more reported complications, we observed decreased appetite (among younger patients), enuresis, and abnormal color vision which are onlybriefly discussed in the literature and need to be addressed more.

Simultaneous detection of folic acid and methotrexate by an optical sensor based on molecularly imprinted polymers on dual-color CdTe quantum dots.

In this work, molecularly imprinted polymers (MIPs) were used on the surface of cadmium telluride quantum dots (CdTe QDs) for the simultaneous determination of folic acid (FA) and methotrexate (MTX). For this purpose, two different sizes of CdTe QDs with emission peaks in the yellow (QDY) and orange (QDO) spectral regions were initially synthesized and capped with MIPs. FA and MTX were used as templates for the synthesis of the two composites and designated as QDY-MIPs and QDO-MIPs, respectively. Fourier transform infrared spectroscopy, transmission electron microscopy, and fluorescence spectroscopy were employed to characterize the composites. QDY-MIPs and QDO-MIPs were then mixed (to form QDs-MIPs) and excited at identical excitation wavelengths; they emitted two different emission wavelengths without any spectral overlap. The fluorescence signals of QDY-MIPs and QDO-MIPs diminished in intensity with increasing concentration of the corresponding template molecules. Under optimal conditions, the dynamic range was 0.5-20 µmol L-1 for FA and MTX, and the detection limits for FA and MTX were 32.0 nmol L-1 and 34.0 nmol L-1, respectively. The reproducibility of the method was checked for 12.5 µmol L-1 of FA and MTX to find RSD values of 4.2% and 6.3%, respectively. Finally, the applicability of the method was checked using human blood plasma samples. Results indicated the successful application of the method as a fluorescent probe for the rapid and simultaneous detection of FA and MTX in real samples.

Determination of atropine sulfate using a novel sensitive DNA-biosensor based on its interaction on a modified pencil graphite electrode.

A novel, selective, rapid and simple electrochemical method is developed for the determination of atropine sulfate. UV-Vis and differential pulse voltammetry are used to study the interaction of atropine sulfate with salmon sperm ds-DNA on the surface of salmon sperm ds-DNA modified-pencil graphite electrode (PGE). For this purpose, a pencil graphite electrode (PGE) modified with multiwall carbon nanotubes (MWCNTs), titanium dioxide nanoparticles (TiO2NPs), and poly-dialyldimethylammonium chloride (PDDA) decorated with ds-DNA is tested for the determination of atropine sulfate. The electrochemical oxidation peak current of adenine and guanine bonded on the surface of ds-DNA/PDDA-TiO2NPs-MWCNTs/PGE is used to obtain the analytical signal. Decreases in the intensities of guanine and adenine oxidation signals after their interaction with atropine sulfate are used as indicator signals for the sensitive determination of atropine sulfate. Using ds-DNA/PDDA-TiO2NPs-MWCNTs/PGE and based on the guanine signal, linear calibration curves were obtained in the range of 0.6 to 30.0 µmol L(-1) and 30.0 to 600.0 µmol L(-1) atropine sulfate with low detection limits of 30.0 nmol L(-1). The biosensor shows a good selectivity for the determination of atropine sulfate. Finally, the applicability of the biosensor is evaluated by measuring atropine sulfate in real samples with good accuracy.

Redox targeting of DNA anchored to MWCNTs and TiO2 nanoparticles dispersed in poly dialyldimethylammonium chloride and chitosan.

A key issue associated with electrochemical DNA-based biosensors is how to enhance DNA immobilization on the substrates. In order to improve the immobilization of DNA and to optimize DNA interaction efficiency, different kinds of strategies have been developed. In this regard, nanomaterials have attracted a great deal of attention in electrode surface modification for DNA biosensor fabrication. In this study, nanostructured films were deposited at the surface of a pencil graphite electrode (PGE) as a working electrode. For the present purpose, common polyelectrolytes are used for surface modification with double-stranded DNA. Two positively charged polyelectrolyte, namely poly dialyldimethylammonium chloride (PDDA) and chitosan, are initially compared for DNA immobilization at the surface of MWCNTs and TiO2 nanoparticles (TiO2NPs). In a second step, the basic electrochemical properties of the sensors are investigated using voltammetric methods. The modified electrodes are also characterized by scanning electron microscopy and electrochemical impedance measurements. It will be shown that electrode modification with DNA and the nanostructure that disperses in PDDA leads to an enhanced sensitivity of the DNA voltammetric detection mechanism. In a previous study, a comparison was done between MWCNTs and TiO2NPs for determining the effect of nanoparticle effect on DNA immobilization on the electrode surface. In order to compare the efficiency of the prepared DNA-based biosensors, methylene blue is chosen as an electroactive probe. It will be shown that the stability of the immobilized DNA within several days will be much higher when MWCNTs rather than TiO2NPs are used.