Is the effect of L-carnitine in treating pediatric epilepsy good?

Aug 22, 2024 Source: Cainiu Health
Disease description:

My child has pediatric epilepsy and often experiences sudden seizures, which is very worrisome. I have heard that L-carnitine may have a therapeutic effect on pediatric epilepsy and would like to know how effective it really is. Can L-carnitine effectively control the frequency of my child's epileptic seizures?

Doctor's answer (1)
Dr. Lv Zhiqin

Levocarnitine is a naturally occurring amino acid derivative in the human body, whose main function is to assist fatty acids in entering the mitochondria for oxidation, thereby generating energy. This drug plays an important role in muscles and other tissues. In certain specific metabolic diseases, including primary and secondary levocarnitine deficiencies, supplementation with levocarnitine can improve symptoms.

Epilepsy is a chronic condition caused by abnormal electrical activity in brain neurons, often requiring long-term use of antiepileptic drugs to control seizures. However, some antiepileptic drugs may reduce levocarnitine levels, thereby affecting the energy metabolism and function of nerve cells. In such cases, levocarnitine supplementation is believed to help restore the energy metabolic balance in nerve cells, alleviate drug side effects, and potentially serve as an adjunct to seizure control.

Levocarnitine shows relatively good efficacy in treating pediatric epilepsy caused by energy metabolic disorders or specific genetic mutations. However, its therapeutic effect may be limited in epilepsy caused by factors such as genetic disorders or structural abnormalities in the brain.

Therefore, when using levocarnitine to treat pediatric epilepsy, comprehensive treatment with other antiepileptic drugs is also required.