3 doctors weighed in:

Taking primidone and alkaline phosphatase is going up. Do I care?

3 doctors weighed in
Dr. Harris Cohen
Family Medicine
2 doctors agree

In brief: Alk Phos

While Primidone may be the culprit, bone or liver disease must be ruled out.
I would recommend a fractionated alk phos (shows which isoenzyme is elevated) and then proceed accordingly -- you may benefit from a right upper quadrant ultrasound (if liver isoenzyme is elevated) or a bone scan (if bone isoenzyme is elevated).

In brief: Alk Phos

While Primidone may be the culprit, bone or liver disease must be ruled out.
I would recommend a fractionated alk phos (shows which isoenzyme is elevated) and then proceed accordingly -- you may benefit from a right upper quadrant ultrasound (if liver isoenzyme is elevated) or a bone scan (if bone isoenzyme is elevated).
Dr. Harris Cohen
Dr. Harris Cohen
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