Revue Neurologique
[L-carnitine treatment and fish odor syndrome: an unwaited adverse effect].
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Keywords
Abstract
BACKGROUND
Levocarnitine treatment is usually well tolerated, with essentially dose-dependent diarrhea as the main induced adverse effect.
METHODS
We report a case of fish odor syndrome during levocarnitine treatment which resolved after levocarnitine discontinuation.
CONCLUSIONS
This adverse effect seems to be correlated with excedent carnitine intake and might be expressed when the elimination pathway becomes saturated or in a situation of deficiency enzymatic metabolism.