Page last updated: 2024-10-26

valproic acid and Critical Illness

valproic acid has been researched along with Critical Illness in 14 studies

Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.
valproic acid : A branched-chain saturated fatty acid that comprises of a propyl substituent on a pentanoic acid stem.

Critical Illness: A disease or state in which death is possible or imminent.

Research Excerpts

ExcerptRelevanceReference
" Both levocarnitine and lactulose, either alone or in combination, have been used for the treatment of hyperammonemia associated with valproic acid, however they have not been directly compared in the literature."8.02Evaluation of levocarnitine, lactulose, and combination therapy for the treatment of valproic acid-induced hyperammonemia in critically ill patients. ( Cunningham, B; Fowler, M; Mullen, C; Nicholson, C, 2021)
"Valproic acid has been proposed as an alternative agent for treatment of agitation and delirium in the intensive care unit (ICU)."7.96Valproic Acid for the Management of Agitation and Delirium in the Intensive Care Setting: A Retrospective Analysis. ( Crowley, KE; Geiger, KL; Hacobian, G; Urben, L, 2020)
"Thrombocytopenia is a common laboratory abnormality among critically ill patients under neurological intensive care unit (NCU) care."5.56Thrombocytopenia during intravenous valproic acid therapy in the neurological intensive care unit. ( Chun, YI; Kim, DW; Kim, W; Lee, CH, 2020)
" Both levocarnitine and lactulose, either alone or in combination, have been used for the treatment of hyperammonemia associated with valproic acid, however they have not been directly compared in the literature."4.02Evaluation of levocarnitine, lactulose, and combination therapy for the treatment of valproic acid-induced hyperammonemia in critically ill patients. ( Cunningham, B; Fowler, M; Mullen, C; Nicholson, C, 2021)
"Valproic acid has been proposed as an alternative agent for treatment of agitation and delirium in the intensive care unit (ICU)."3.96Valproic Acid for the Management of Agitation and Delirium in the Intensive Care Setting: A Retrospective Analysis. ( Crowley, KE; Geiger, KL; Hacobian, G; Urben, L, 2020)
"The patient's hypoalbuminemia probably explains the remarkably high free fraction of valproic acid."3.77High unbound fraction of valproic acid in a hypoalbuminemic critically ill patient on renal replacement therapy. ( de Maat, MM; Edelbroek, PM; van Leeuwen, HJ, 2011)
"Sixty critically ill pediatric patients receiving phenytoin for treatment of seizures in a large multidisciplinary intensive care unit."3.73Total phenytoin concentrations do not accurately predict free phenytoin concentrations in critically ill children. ( Dodson, B; McClain, CD; McManus, ML; Wolf, GK; Zurakowski, D, 2006)
" Additional research to define best practice for dosing and monitoring valproate and the relationship between free valproate concentrations and clinical or adverse effects in ICU patients is needed."2.55Valproate Protein Binding Is Highly Variable in ICU Patients and Not Predicted by Total Serum Concentrations: A Case Series and Literature Review. ( Fraser, GL; Gagnon, DJ; Hatton, C; May, T; Riker, RR; Seder, DB; Stokem, K, 2017)
"The aim of this review was to evaluate current literature for dosing recommendations for the use of antiepileptic medications in patients receiving renal replacement therapy (RRT)."2.53Antiepileptic dosing for critically ill adult patients receiving renal replacement therapy. ( Bastin, ML; Cook, AM; Oyler, DR; Smetana, KS, 2016)
"Thrombocytopenia is a common laboratory abnormality among critically ill patients under neurological intensive care unit (NCU) care."1.56Thrombocytopenia during intravenous valproic acid therapy in the neurological intensive care unit. ( Chun, YI; Kim, DW; Kim, W; Lee, CH, 2020)
"Phenytoin has a narrow therapeutic index and the potential of under-treatment or toxicity."1.56A Novel Correction Equation Avoids High-Magnitude Errors in Interpreting Therapeutic Drug Monitoring of Phenytoin Among Critically Ill Patients. ( Barra, ME; Chung, DY; Phillips, KM; Rosenthal, ES, 2020)
"Specific treatment for hyperammonemia must be implemented promptly."1.48Valproate-induced hyperammonemia - uncovering an underlying inherited metabolic disorder: a case report. ( Lachmann, R; Mehta, S; Tayabali, S, 2018)
"Valproic acid (VPA) is a broad-spectrum antiepileptic drug used for a variety of neurologic disorders."1.43Steady-state pharmacokinetic simulation of intermittent vs. continuous infusion valproic acid therapy in non-critically ill and critically ill patients. ( Cook, AM; Van Matre, ET, 2016)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (7.14)29.6817
2010's8 (57.14)24.3611
2020's5 (35.71)2.80

Authors

AuthorsStudies
Nicholson, C1
Fowler, M1
Mullen, C1
Cunningham, B1
De Fazio, C1
Goffin, M1
Franchi, F1
Ferlini, L1
Orinckx, C1
Spadaro, S1
Brasseur, A1
Gaspard, N1
Antonucci, E1
Khattar, L1
Peluso, L1
Romeo, I1
Creteur, J1
Legros, B1
Taccone, FS1
Kim, DW1
Kim, W1
Lee, CH1
Chun, YI1
Barra, ME1
Phillips, KM1
Chung, DY1
Rosenthal, ES1
Crowley, KE1
Urben, L1
Hacobian, G1
Geiger, KL1
Gagnon, DJ4
Fontaine, GV2
Riker, RR4
Fraser, GL4
Mehta, S1
Tayabali, S1
Lachmann, R1
Hatton, C2
May, T2
Seder, DB2
Van Matre, ET1
Cook, AM2
Smetana, KS1
Bastin, ML1
Oyler, DR1
Smith, KE1
Miller, RR1
Lerwick, PA1
Lucas, FL1
Dziodzio, JT1
Sihler, KC1
Stokem, K1
de Maat, MM1
van Leeuwen, HJ1
Edelbroek, PM1
Wolf, GK1
McClain, CD1
Zurakowski, D1
Dodson, B1
McManus, ML1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Study of Pharmacokinetics of Levetiracetam in Patients Undergoing Intermittent Hemodialysis[NCT04511676]12 participants (Actual)Observational2018-11-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

3 reviews available for valproic acid and Critical Illness

ArticleYear
Repurposing Valproate, Enteral Clonidine, and Phenobarbital for Comfort in Adult ICU Patients: A Literature Review with Practical Considerations.
    Pharmacotherapy, 2017, Volume: 37, Issue:10

    Topics: Administration, Oral; Administration, Sublingual; Adult; Clonidine; Critical Illness; Drug Repositio

2017
Antiepileptic dosing for critically ill adult patients receiving renal replacement therapy.
    Journal of critical care, 2016, Volume: 36

    Topics: Acetamides; Acute Kidney Injury; Amines; Anticonvulsants; Carbamates; Critical Illness; Cyclohexanec

2016
Valproate Protein Binding Is Highly Variable in ICU Patients and Not Predicted by Total Serum Concentrations: A Case Series and Literature Review.
    Pharmacotherapy, 2017, Volume: 37, Issue:4

    Topics: Academic Medical Centers; Adult; Aged; Anticonvulsants; Critical Illness; Female; Humans; Intensive

2017

Other Studies

11 other studies available for valproic acid and Critical Illness

ArticleYear
Evaluation of levocarnitine, lactulose, and combination therapy for the treatment of valproic acid-induced hyperammonemia in critically ill patients.
    Epilepsy research, 2021, Volume: 178

    Topics: Carnitine; Cohort Studies; Critical Illness; Humans; Hyperammonemia; Lactulose; Retrospective Studie

2021
Hyperammonemia during treatment with valproate in critically ill patients.
    Clinical neurology and neurosurgery, 2022, Volume: 212

    Topics: Aged; Critical Care; Critical Illness; Enzyme Inhibitors; Female; Humans; Hyperammonemia; Incidence;

2022
Thrombocytopenia during intravenous valproic acid therapy in the neurological intensive care unit.
    Journal of clinical pharmacy and therapeutics, 2020, Volume: 45, Issue:5

    Topics: Administration, Intravenous; Aged; Anticonvulsants; Critical Illness; Dose-Response Relationship, Dr

2020
A Novel Correction Equation Avoids High-Magnitude Errors in Interpreting Therapeutic Drug Monitoring of Phenytoin Among Critically Ill Patients.
    Therapeutic drug monitoring, 2020, Volume: 42, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Anticonvulsants; Critical Care; Critical Illness; Drug Monitoring; F

2020
Valproic Acid for the Management of Agitation and Delirium in the Intensive Care Setting: A Retrospective Analysis.
    Clinical therapeutics, 2020, Volume: 42, Issue:4

    Topics: Aged; Aged, 80 and over; Analgesics, Opioid; Antipsychotic Agents; Benzodiazepines; Critical Care; C

2020
Valproate-induced hyperammonemia - uncovering an underlying inherited metabolic disorder: a case report.
    Journal of medical case reports, 2018, May-17, Volume: 12, Issue:1

    Topics: Anticonvulsants; Critical Illness; Dietary Proteins; Humans; Hyperammonemia; Male; Ornithine Carbamo

2018
Free serum valproate concentration more reliable than total concentration in critically ill patients.
    Resuscitation, 2016, Volume: 105

    Topics: Aged; Aged, 80 and over; Critical Illness; Female; Humans; Male; Valproic Acid

2016
Steady-state pharmacokinetic simulation of intermittent vs. continuous infusion valproic acid therapy in non-critically ill and critically ill patients.
    Neurological research, 2016, Volume: 38, Issue:9

    Topics: Adult; Anticonvulsants; Cohort Studies; Critical Illness; Dose-Response Relationship, Drug; Drug Adm

2016
Valproate for agitation in critically ill patients: A retrospective study.
    Journal of critical care, 2017, Volume: 37

    Topics: Adult; Aged; Analgesics, Opioid; Critical Illness; Delirium; Dexmedetomidine; Female; Fentanyl; GABA

2017
High unbound fraction of valproic acid in a hypoalbuminemic critically ill patient on renal replacement therapy.
    The Annals of pharmacotherapy, 2011, Volume: 45, Issue:3

    Topics: Anticonvulsants; Critical Illness; Female; Humans; Hypoalbuminemia; Middle Aged; Renal Replacement T

2011
Total phenytoin concentrations do not accurately predict free phenytoin concentrations in critically ill children.
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2006, Volume: 7, Issue:5

    Topics: Adolescent; Adult; Anti-Bacterial Agents; Anticonvulsants; Blood Chemical Analysis; Cefazolin; Child

2006