{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T01:56:02Z","timestamp":1780624562252,"version":"3.54.1"},"reference-count":20,"publisher":"American Animal Hospital Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A female spayed dachshund\/mixed-breed dog was evaluated following ingestion of lamotrigine tablets with subsequent rapid onset of vomiting, diarrhea, and generalized tremoring. On initial examination, the dog was moderately obtunded and nonambulatory with intermittent myoclonus and hyperesthesia. Electrocardiogram revealed sinus tachycardia with prolongation of the QT interval. Intravenous lipid emulsion (ILE) infusion was initiated, with reduction in tremoring and improved patient mentation being noted after \u223c20 min of therapy. An elevated cardiac troponin I value measured at 1.02 ng\/mL the day after presentation. Serum toxicological assay revealed marked reduction in serum lamotrigine levels following ILE and continued reduction during hospitalization. The dog\u2019s clinical signs resolved, corrected QT interval returned to normal, and the patient was discharged 38 hr after presentation. Individual cases of lamotrigine toxicosis have not been fully reported in veterinary literature. This case report documents the rapid onset of clinical signs including neurologic dysfunction, cardiac arrhythmias, and transient corrected QT prolongation. Serial serum concentrations of lamotrigine showed a rapid reduction with ILE therapy and corresponded with clinical recovery, suggesting efficacy of ILE treatment in this case.<\/jats:p>","DOI":"10.5326\/jaaha-ms-6815","type":"journal-article","created":{"date-parts":[[2020,5,15]],"date-time":"2020-05-15T11:59:03Z","timestamp":1589543943000},"page":"226-230","source":"Crossref","is-referenced-by-count":9,"title":["Lamotrigine Toxicosis Treated with Intravenous Lipid Emulsion Therapy in a Dog"],"prefix":"10.5326","volume":"56","author":[{"given":"Simon P.","family":"Hagley","sequence":"first","affiliation":[{"name":"From the William R. Pritchard Veterinary Medical Teaching Hospital (S.P.H.), Department of Veterinary Surgical and Radiological Sciences (S.E.E.), and Department of Veterinary Medicine and Epidemiology (J.A.S.), and California Animal Health and Food Safety Laboratory System (R.P.), School of Veterinary Medicine, University of California Davis, Davis, California."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven E.","family":"Epstein","sequence":"additional","affiliation":[{"name":"From the William R. Pritchard Veterinary Medical Teaching Hospital (S.P.H.), Department of Veterinary Surgical and Radiological Sciences (S.E.E.), and Department of Veterinary Medicine and Epidemiology (J.A.S.), and California Animal Health and Food Safety Laboratory System (R.P.), School of Veterinary Medicine, University of California Davis, Davis, California."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua A.","family":"Stern","sequence":"additional","affiliation":[{"name":"From the William R. Pritchard Veterinary Medical Teaching Hospital (S.P.H.), Department of Veterinary Surgical and Radiological Sciences (S.E.E.), and Department of Veterinary Medicine and Epidemiology (J.A.S.), and California Animal Health and Food Safety Laboratory System (R.P.), School of Veterinary Medicine, University of California Davis, Davis, California."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Poppenga","sequence":"additional","affiliation":[{"name":"From the William R. Pritchard Veterinary Medical Teaching Hospital (S.P.H.), Department of Veterinary Surgical and Radiological Sciences (S.E.E.), and Department of Veterinary Medicine and Epidemiology (J.A.S.), and California Animal Health and Food Safety Laboratory System (R.P.), School of Veterinary Medicine, University of California Davis, Davis, California."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3280","reference":[{"key":"bib1","series-title":"Vet Med","first-page":"45","article-title":"Lamotrigine toxicosis in dogs and cats","volume":"110","author":"Stern\n              L","year":"2015","unstructured":"Stern\n              L\n            \n          . Lamotrigine toxicosis in dogs and cats. 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Epilepsia1996;37:534\u20138."}],"container-title":["Journal of the American Animal Hospital Association"],"original-title":[],"link":[{"URL":"https:\/\/jaaha.kglmeridian.com\/view\/journals\/aaha\/56\/4\/article-p226.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/jaaha\/article-pdf\/56\/4\/226\/2561248\/jaaha-ms-6815.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/jaaha.kglmeridian.com\/downloadpdf\/journals\/aaha\/56\/4\/article-p226.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/jaaha.kglmeridian.com\/downloadpdf\/journals\/aaha\/56\/4\/article-p226.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T16:03:34Z","timestamp":1763741014000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaaha.kglmeridian.com\/view\/journals\/aaha\/56\/4\/article-p226.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":20,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.5326\/jaaha-ms-6815","relation":{},"ISSN":["0587-2871","1547-3317"],"issn-type":[{"value":"0587-2871","type":"print"},{"value":"1547-3317","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}