Page last updated: 2024-10-26

valproic acid and Delirium

valproic acid has been researched along with Delirium in 25 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.

Delirium: A disorder characterized by CONFUSION; inattentiveness; disorientation; ILLUSIONS; HALLUCINATIONS; agitation; and in some instances autonomic nervous system overactivity. It may result from toxic/metabolic conditions or structural brain lesions. (From Adams et al., Principles of Neurology, 6th ed, pp411-2)

Research Excerpts

ExcerptRelevanceReference
""Valproic acid", "valproate", "sodium valproate", "delirium", "acute mania with delirium" in PubMed and Ovid."9.22Valproic Acid in the Management of Delirium. ( Cuartas, CF; Davis, M, 2022)
"Clinicians should use caution interpreting lamotrigine levels when working up delirium, as normal levels may not rule out the development of lamotrigine toxicity."7.96Delirium Secondary to Lamotrigine Toxicity. ( Catalano, G; Catalano, MC; Fusick, AJ; Gunther, SR; Hernandez, MJ; Sanchez, DL; Sullivan, GA, 2020)
"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)
"Valproic acid (VPA) is a potential pharmacologic agent that can be utilized to treat ICU delirium, though there is a paucity of evidence for its use, especially in patients with a history of substance abuse."6.72Prolonged Refractory ICU Delirium Successfully Treated With Valproic Acid: Case Report and Literature Review. ( Louzon, PR; Masood, A; Recksieck, S; Subedi, B, 2021)
""Valproic acid", "valproate", "sodium valproate", "delirium", "acute mania with delirium" in PubMed and Ovid."5.22Valproic Acid in the Management of Delirium. ( Cuartas, CF; Davis, M, 2022)
"Clinicians should use caution interpreting lamotrigine levels when working up delirium, as normal levels may not rule out the development of lamotrigine toxicity."3.96Delirium Secondary to Lamotrigine Toxicity. ( Catalano, G; Catalano, MC; Fusick, AJ; Gunther, SR; Hernandez, MJ; Sanchez, DL; Sullivan, GA, 2020)
"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 use of lithium carbonate for the treatment of mood disorders in old age has decreased at a dramatic rate in favor of valproate."3.73Incidence of delirium in older adults newly prescribed lithium or valproate: a population-based cohort study. ( Anderson, G; Bronskill, S; Gill, S; Mamdani, M; Rochon, P; Shulman, KI; Sykora, K; Wodchis, WP, 2005)
"Valproic acid (VPA) is a potential pharmacologic agent that can be utilized to treat ICU delirium, though there is a paucity of evidence for its use, especially in patients with a history of substance abuse."2.72Prolonged Refractory ICU Delirium Successfully Treated With Valproic Acid: Case Report and Literature Review. ( Louzon, PR; Masood, A; Recksieck, S; Subedi, B, 2021)
"Patients with acquired brain injuries who had taken valproate for seizures or quetiapine for delirium for >7 days (N=101)."1.43Incidence of Neutropenia With Valproate and Quetiapine Combination Treatment in Subjects With Acquired Brain Injuries. ( Kim, JY; Park, HJ, 2016)
" A cautious dosing of AMI with VPA comedication is advisable, and therapeutic drug monitoring should be performed because this combination may lead to a remarkable increase of AMI and NOR serum levels."1.39Interaction of valproic acid and amitriptyline: analysis of therapeutic drug monitoring data under naturalistic conditions. ( Burger, R; Deckert, J; Hohage, A; Pfuhlmann, B; Unterecker, S, 2013)
"It shows the importance of recognising catatonia as a symptom of delirious mania."1.36What works for delirious catatonic mania? ( Grunze, H; Vasudev, K, 2010)
"The delirium was reversible when all drugs were stopped; however, dyskinesia was found to be persistent after a period of 6 months."1.30Delirium and persistent dyskinesia induced by a lithium-neuroleptic interaction. ( Berger, M; Brandt, C; Normann, C; Walden, J, 1998)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19901 (4.00)18.7374
1990's4 (16.00)18.2507
2000's7 (28.00)29.6817
2010's8 (32.00)24.3611
2020's5 (20.00)2.80

Authors

AuthorsStudies
Woolley, B1
Mills, J1
Sanchez, DL1
Fusick, AJ1
Gunther, SR1
Hernandez, MJ1
Sullivan, GA1
Catalano, MC1
Catalano, G1
Crowley, KE1
Urben, L1
Hacobian, G1
Geiger, KL1
Subedi, B1
Louzon, PR1
Masood, A1
Recksieck, S1
Cuartas, CF1
Davis, M1
Unterecker, S1
Burger, R1
Hohage, A1
Deckert, J1
Pfuhlmann, B1
Sher, Y1
Miller, AC1
Lolak, S1
Ament, A1
Maldonado, JR1
Park, HJ1
Kim, JY1
Gagnon, DJ1
Fontaine, GV1
Smith, KE1
Riker, RR1
Miller, RR1
Lerwick, PA1
Lucas, FL1
Dziodzio, JT1
Sihler, KC1
Fraser, GL1
Gareri, P1
Lacava, R1
Cotroneo, A1
Bambara, V1
Marigliano, N1
Castagna, A1
Costantino, DS1
Ruotolo, G1
de Sarro, G1
Ozen, S1
Bülbül, I1
Soyuçok, E1
Hsu, WY1
Kuo, SY1
Huang, SS1
Chang, TG1
Chiu, NY1
Pittermann, P1
Gabriel, S1
Röschke, J1
Vasudev, K1
Grunze, H1
Mueller, TH1
Beeber, AR1
Shulman, KI1
Sykora, K1
Gill, S1
Mamdani, M1
Bronskill, S1
Wodchis, WP1
Anderson, G1
Rochon, P1
Bourgeois, JA1
Koike, AK1
Simmons, JE1
Telles, S1
Eggleston, C1
Chae, BJ1
Kang, BJ1
Habermeyer, B1
Hess, M1
Kozomara-Hocke, P1
Mager, R1
Kawohl, W1
Rocha, FF1
Tollefson, GD1
Zayas, EM1
Grossberg, GT1
Zarate, CA1
Baldessarini, RJ1
Siegel, AJ1
Nakamura, A1
McDonald, J1
Muir-Hutchinson, LA1
Cherkerzian, T1
Tohen, M1
Normann, C1
Brandt, C1
Berger, M1
Walden, J1

Reviews

2 reviews available for valproic acid and Delirium

ArticleYear
Prolonged Refractory ICU Delirium Successfully Treated With Valproic Acid: Case Report and Literature Review.
    Journal of pharmacy practice, 2021, Volume: 34, Issue:6

    Topics: Adult; Antipsychotic Agents; Delirium; Female; Humans; Intensive Care Units; Psychomotor Agitation;

2021
Valproic Acid in the Management of Delirium.
    The American journal of hospice & palliative care, 2022, Volume: 39, Issue:5

    Topics: Adult; Antipsychotic Agents; Benzodiazepines; Delirium; Humans; Male; Middle Aged; Psychomotor Agita

2022

Other Studies

23 other studies available for valproic acid and Delirium

ArticleYear
Versatile Valproic Acid.
    Issues in mental health nursing, 2022, Volume: 43, Issue:11

    Topics: Brain Injuries, Traumatic; Delirium; Humans; Valproic Acid

2022
Delirium Secondary to Lamotrigine Toxicity.
    Current drug safety, 2020, Volume: 15, Issue:2

    Topics: Adolescent; Adult; Aged; Delirium; Drug Interactions; Female; Humans; Lamotrigine; Male; Middle Aged

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
Interaction of valproic acid and amitriptyline: analysis of therapeutic drug monitoring data under naturalistic conditions.
    Journal of clinical psychopharmacology, 2013, Volume: 33, Issue:4

    Topics: Adult; Aged; Amitriptyline; Antidepressive Agents; Chi-Square Distribution; Delirium; Depressive Dis

2013
Adjunctive Valproic Acid in Management-Refractory Hyperactive Delirium: A Case Series and Rationale.
    The Journal of neuropsychiatry and clinical neurosciences, 2015,Fall, Volume: 27, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Antimanic Agents; Antipsychotic Agents; Benzodiazepines; Delirium; D

2015
Incidence of Neutropenia With Valproate and Quetiapine Combination Treatment in Subjects With Acquired Brain Injuries.
    Archives of physical medicine and rehabilitation, 2016, Volume: 97, Issue:2

    Topics: Aged; Anticonvulsants; Antipsychotic Agents; Brain Injuries; Cohort Studies; Delirium; Drug Therapy,

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
Valproate-induced delirium in a demented patient.
    Archives of gerontology and geriatrics, 2009, Volume: 49 Suppl 1

    Topics: Aged; Delirium; Dementia; Electroencephalography; Female; Follow-Up Studies; GABA Agents; Humans; Va

2009
[Valproate induced hypoactive delirium in a bipolar disorder patient with psychotic features].
    Turk psikiyatri dergisi = Turkish journal of psychiatry, 2010,Spring, Volume: 21, Issue:1

    Topics: Antimanic Agents; Bipolar Disorder; Blood Chemical Analysis; Delirium; Female; Humans; Middle Aged;

2010
Valproate and high dosage of zotepine induced acute delirium: a case report.
    British journal of clinical pharmacology, 2012, Volume: 73, Issue:3

    Topics: Adult; Antimanic Agents; Antipsychotic Agents; Delirium; Dibenzothiepins; Dose-Response Relationship

2012
[Delirium caused by nonconvulsive status epilepticus].
    Psychiatrische Praxis, 2012, Volume: 39, Issue:4

    Topics: Affect; Aged; Anticonvulsants; Antipsychotic Agents; Brain Edema; Confusion; Delirium; Dibenzothiaze

2012
What works for delirious catatonic mania?
    BMJ case reports, 2010, Jul-15, Volume: 2010

    Topics: Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Catatonia; Combined Modality Therapy; Deli

2010
Delirium from valproic acid with lamotrigine.
    The American journal of psychiatry, 2004, Volume: 161, Issue:6

    Topics: Anticonvulsants; Delirium; Drug Interactions; Drug Therapy, Combination; Epilepsy, Complex Partial;

2004
Incidence of delirium in older adults newly prescribed lithium or valproate: a population-based cohort study.
    The Journal of clinical psychiatry, 2005, Volume: 66, Issue:4

    Topics: Adult; Age Distribution; Age Factors; Aged; Anticonvulsants; Antidepressive Agents; Benztropine; Coh

2005
Adjunctive valproic acid for delirium and/or agitation on a consultation-liaison service: a report of six cases.
    The Journal of neuropsychiatry and clinical neurosciences, 2005,Spring, Volume: 17, Issue:2

    Topics: Alcohol Withdrawal Delirium; Alcoholism; Anticonvulsants; Delirium; Fever; Humans; Injections, Intra

2005
A case of delirium and subsequent pancytopenia associated with the oral loading of valproic acid.
    The Journal of clinical psychiatry, 2005, Volume: 66, Issue:6

    Topics: Administration, Oral; Anticonvulsants; Delirium; Dose-Response Relationship, Drug; Drug Administrati

2005
[Lithium intoxications at normal serum levels].
    Psychiatrische Praxis, 2008, Volume: 35, Issue:4

    Topics: Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Delirium; Dose-Response Relationship, Drug

2008
[Secondary delirium due to the use of lamotrigine with abrupt increase valproic acid's dose].
    Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 2008, Volume: 30, Issue:1

    Topics: Adult; Anticonvulsants; Bipolar Disorder; Delirium; Drug Interactions; Drug Therapy, Combination; Hu

2008
Delirium induced by the competitive interaction between phenytoin and dipropylacetate.
    Journal of clinical psychopharmacology, 1981, Volume: 1, Issue:3

    Topics: Adult; Binding, Competitive; Delirium; Drug Interactions; Humans; Male; Phenytoin; Seizures; Valproi

1981
Treating the agitated Alzheimer patient.
    The Journal of clinical psychiatry, 1996, Volume: 57 Suppl 7

    Topics: Adrenergic beta-Antagonists; Aged; Aggression; Alzheimer Disease; Antipsychotic Agents; Buspirone; C

1996
Drugs for psychiatric disorders.
    The Medical letter on drugs and therapeutics, 1997, Apr-11, Volume: 39, Issue:998

    Topics: Aged; Anti-Anxiety Agents; Antidepressive Agents; Antidepressive Agents, Tricyclic; Anxiety; Benzodi

1997
Risperidone in the elderly: a pharmacoepidemiologic study.
    The Journal of clinical psychiatry, 1997, Volume: 58, Issue:7

    Topics: Age Factors; Aged; Aged, 80 and over; Basal Ganglia Diseases; Cardiovascular Diseases; Comorbidity;

1997
Delirium and persistent dyskinesia induced by a lithium-neuroleptic interaction.
    Pharmacopsychiatry, 1998, Volume: 31, Issue:5

    Topics: Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Delirium; Dyskinesia, Drug-Induced; Female

1998