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The BMJ is an international peer reviewed medical journal and a fully “online first” publication. The BMJ’s vision is to be the world’s most influential and widely read medical journal. Our mission is to lead the debate on health and to engage, inform, and stimulate doctors, researchers, and other health professionals in ways that will improve outcomes for patients. We aim to help doctors to make better decisions.
Archimedes January 2021. The Era of Bones and Epilepsy
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We all have moments of crying out “But why on EARTH did they do that study?” after a blisteringly obvious result is revealed … and we chat a little here about why that might be the case (https://adc.bmj.com/content/106/1/90.2) but the real story of this episode is all about antiepileptic drugs (AED) and bones.
We start asking the question “Do children on AED get thinner bones?” (https://adc.bmj.com/content/106/1/92) and lead from there to the question “Well should we prescribe Vitamin D to all of them?” (https://adc.bmj.com/content/106/1/90.1). If anyone here isn’t aware of it, you should take extra special precautions if you’re prescribing sodium valproate to patients who could become pregnant: the short version would be “prescribe something else”.
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