Page last updated: 2024-10-26

valproic acid and Drug Overdose

valproic acid has been researched along with Drug Overdose in 95 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.

Drug Overdose: Accidental or deliberate use of a medication or street drug in excess of normal dosage.

Research Excerpts

ExcerptRelevanceReference
"The EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup presents its systematic review and clinical recommendations on the use of extracorporeal treatment (ECTR) in valproic acid (VPA) poisoning."8.91Extracorporeal treatment for valproic acid poisoning: systematic review and recommendations from the EXTRIP workgroup. ( Ghannoum, M; Gosselin, S; Hoffman, RS; Laliberté, M; Lavergne, V; MacTier, R; Nolin, TD, 2015)
"Valproic acid (VPA) is an antiepileptic drug that is now used for a variety of neurological and psychiatric indications."6.45Extracorporeal elimination in acute valproic acid poisoning. ( Thanacoody, RH, 2009)
" This guideline applies to the acute ingestion and acute-on-chronic ingestion of immediate-release and extended-release dosage forms of valproic acid, divalproex, and valproate sodium alone."6.44Valproic acid poisoning: an evidence-based consensus guideline for out-of-hospital management. ( Booze, LL; Caravati, EM; Christianson, G; Chyka, PA; Cobaugh, DJ; Erdman, AR; Manoguerra, AS; Nelson, LS; Scharman, EJ; Troutman, WG; Woolf, AD, 2008)
"Valproic acid (VPA) is a short-chain fatty acid widely prescribed in the treatment of seizure disorders and epilepsy syndromes, although its therapeutic value may be undermined by its toxicity."5.91Quantitative systems pharmacology Model to characterize valproic acid-induced hyperammonemia and the effect of L-carnitine supplementation. ( Fagiolino, P; Ibarra, M; Maldonado, C; Schiavo, A; Trocóniz, IF; Vázquez, M, 2023)
"Its appearance on CT resembles subarachnoid hemorrhage despite the absence of subarachnoid blood."5.37Image in toxicology: Pseudo-subarachnoid hemorrhage in a case of severe valproic acid poisoning. ( Min, YG; Tse, ML, 2011)
" This case describes a 38 year-old female with a past medical history of epilepsy effectively treated with meropenem to rapidly and safely lower toxic VPA levels after an acute ingestion."5.22Treatment of valproic acid overdose with meropenem in an epileptic patient. ( Clark, K; Cunningham, D; Lord, K, 2022)
"We describe the case of a 56-year-old man who presented to the emergency department after an intentional VPA overdose, was found to have hyperammonemia, and was treated with L-carnitine exclusively."5.22Valproic Acid Overdose: Case Report and Literature Review. ( Berezowski, I; Frasure, SE; Mazer-Amirshahi, M; Patel, J; Pourmand, A; Tran, QK, 2022)
"Valproic acid overdose is a relatively rare and electrocardiographic changes usually consist of tachycardia and nonspecific changes, but ischemic changes may occur and usually transient and require only recognition."4.95Valproic Acid Overdose Review of a Case With Electrocardiographic Changes. ( Muñiz, AE, 2017)
"The EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup presents its systematic review and clinical recommendations on the use of extracorporeal treatment (ECTR) in valproic acid (VPA) poisoning."4.91Extracorporeal treatment for valproic acid poisoning: systematic review and recommendations from the EXTRIP workgroup. ( Ghannoum, M; Gosselin, S; Hoffman, RS; Laliberté, M; Lavergne, V; MacTier, R; Nolin, TD, 2015)
", drowsiness, coma) were selected for treatment with l-arginine."3.85L-Arginine in the treatment of valproate overdose - five clinical cases. ( Eyer, F; Felgenhauer, N; Fernando, M; Rabe, C; Schrettl, V, 2017)
"Two cases of acute valproic acid poisoning with central nervous system depression and raised ammonia level without hepatotoxicity were reported."3.74Two cases of valproic acid poisoning treated with L-carnitine. ( Chan, YC; Lau, FL; Tse, ML, 2007)
"Valproic acid is increasingly used in the treatment of epilepsy, and also prescribed for bipolar affective disorders, schizoaffective disorders, schizophrenia and migraine prophylaxis."3.72Valproic acid intoxication: sense and non-sense of haemodialysis. ( Boerma, EC; Broekroelofs, J; Egbers, PH; Meek, MF; van der Voort, PH; Yska, JP, 2004)
"A 25-year-old white woman with a history of multiple suicide attempts and schizophrenia presented after ingesting an unknown amount of valproic acid."3.70High-flux hemodialysis without hemoperfusion is effective in acute valproic acid overdose. ( Constantiner, M; Kane, SL; Meinecke, CD; Sedor, JR; Staubus, AE, 2000)
"This report presents the first case in which glucagon administration enabled the removal of an impacted orogastric tube in a patient with distal esophageal spasm."3.69Use of glucagon for removal of an orogastric lavage tube. ( Glauser, JM; Thoma, ME, 1995)
"Valproic acid (VPA) is an antiepileptic drug that is now used for a variety of neurological and psychiatric indications."2.45Extracorporeal elimination in acute valproic acid poisoning. ( Thanacoody, RH, 2009)
" This guideline applies to the acute ingestion and acute-on-chronic ingestion of immediate-release and extended-release dosage forms of valproic acid, divalproex, and valproate sodium alone."2.44Valproic acid poisoning: an evidence-based consensus guideline for out-of-hospital management. ( Booze, LL; Caravati, EM; Christianson, G; Chyka, PA; Cobaugh, DJ; Erdman, AR; Manoguerra, AS; Nelson, LS; Scharman, EJ; Troutman, WG; Woolf, AD, 2008)
" However, these issues deserve further investigation in controlled, randomized and probably multicentre trials to evaluate the clinical value and the appropriate dosage of L-carnitine in each of these conditions."2.43Science review: carnitine in the treatment of valproic acid-induced toxicity - what is the evidence? ( Gris, M; Lheureux, PE; Penaloza, A; Zahir, S, 2005)
"Epilepsy affects 1."2.41New antiepileptic drugs and preparations. ( Jagoda, A; Yoon, Y, 2000)
" Increasing clinical experience will more fully elucidate indications for, and optimal dosing of, naloxone in valproic acid toxic states."2.41Use of naloxone in valproic acid overdose: case report and review. ( Francis, EH; Roberge, RJ, 2002)
"Valproic acid (VPA) is a short-chain fatty acid widely prescribed in the treatment of seizure disorders and epilepsy syndromes, although its therapeutic value may be undermined by its toxicity."1.91Quantitative systems pharmacology Model to characterize valproic acid-induced hyperammonemia and the effect of L-carnitine supplementation. ( Fagiolino, P; Ibarra, M; Maldonado, C; Schiavo, A; Trocóniz, IF; Vázquez, M, 2023)
"Levocarnitine is the treatment of choice in valproic acid toxicity-related hyperammonaemia."1.62Managing valproic acid toxicity-related hyperammonaemia: an unpredicted course. ( Edquist, C; O'Rourke, N; Pagali, S, 2021)
"Valproic acid (VPA) is a broad-spectrum antiepileptic drug indicated for monotherapy and adjunctive therapy of seizures, and complex manic episodes associated with bipolar disorder [1]."1.56Meropenem as an antidote for intentional valproic acid overdose. ( Priano, J; Smith, TL; Thomas, C, 2020)
"Valproic acid (VPA) is a first-line antiepileptic drug."1.46Population pharmacokinetic modelling of valproic acid and its selected metabolites in acute VPA poisoning. ( Jawień, W; Kłys, M; Piekoszewski, W; Wilimowska, J, 2017)
"Drug overdose is a growing problem among adolescents."1.40Overdose with antiepileptic drugs: the efficacy of extracorporeal removal techniques. ( Dias, A; Estanqueiro, P; Farela Neves, J; Moinho, R, 2014)
"Valproic acid (VA) is an antiepileptic drug, and frequently prescribed in pediatrics."1.38[The clinical course of a three year-old girl after overdose of valproic acid]. ( Blicher, TM; Dalhoff, KP; Vestergaard, ET, 2012)
"Its appearance on CT resembles subarachnoid hemorrhage despite the absence of subarachnoid blood."1.37Image in toxicology: Pseudo-subarachnoid hemorrhage in a case of severe valproic acid poisoning. ( Min, YG; Tse, ML, 2011)
" This case highlights the interplay between pharmacogenetic factors, drug-drug interactions, and dose-related toxicity in a child."1.36Fatal hydrocodone overdose in a child: pharmacogenetics and drug interactions. ( Carleton, BC; Ciszkowski, C; Gong, IY; Hayden, MR; Hildebrandt, D; Koren, G; Lauwers, AE; Madadi, P; Ross, CJ; Schwarz, UI; Sistonen, J, 2010)
"1%) had a detectable initial concentration not in the toxic range, and 5 (2."1.31Delayed valproic acid toxicity: a retrospective case series. ( Beauchamp, J; Clark, RF; Ingels, M; Williams, SR, 2002)
"The onset of coma may have been related to inhibition of beta-oxidation in the mitochondria, which was reversible by elimination of plasma VPA by DHP."1.30Successful treatment by direct hemoperfusion of coma possibly resulting from mitochondrial dysfunction in acute valproate intoxication. ( Kuhara, T; Maeyama, R; Matsumoto, I; Matsumoto, J; Ogawa, H; Okudaira, K; Shinka, T, 1997)
" It has a relatively benign side effect profile, but little data exists on massive overdoses with this agent."1.30A case of sustained massive gabapentin overdose without serious side effects. ( Radtke, RA; St Clair, EW; Verma, A, 1999)
" Valproic acid elimination half-life was 3 h during the 190 min hemoperfusion cycle."1.29Delayed peak serum valproic acid in massive divalproex overdose--treatment with charcoal hemoperfusion. ( Aaron, CK; Graudins, A, 1996)

Research

Studies (95)

TimeframeStudies, this research(%)All Research%
pre-19901 (1.05)18.7374
1990's16 (16.84)18.2507
2000's39 (41.05)29.6817
2010's28 (29.47)24.3611
2020's11 (11.58)2.80

Authors

AuthorsStudies
Cunningham, D1
Clark, K1
Lord, K1
Comstock, G1
Kilgallon, K1
Wang, GS1
Bourne, D1
Blanchette, E1
Stenson, E1
Patel, J1
Berezowski, I1
Mazer-Amirshahi, M1
Frasure, SE1
Tran, QK1
Pourmand, A1
Schiavo, A1
Maldonado, C1
Vázquez, M1
Fagiolino, P1
Trocóniz, IF1
Ibarra, M1
Dreucean, D1
Beres, K1
McNierney-Moore, A1
Gravino, D1
Thomas, C1
Priano, J1
Smith, TL1
Muñoz-Pichuante, D1
Villa-Zapata, L1
Lolas, R1
Sidlak, AM1
York, SR1
Janicki, AJ1
Pizon, AF1
Stuver, R1
Khanna, P1
Wischhusen, JW1
Cobb, C1
Bockorny, B1
Boels, D1
Mégarbane, B1
Bouquié, R1
Wong, A1
Graudins, A2
Pagali, S1
Edquist, C1
O'Rourke, N1
Ge, Y1
Xu, B1
Zhu, S1
Li, C1
He, Q1
Zhu, T1
Fan, R1
Gong, D1
Das, S1
Purushothaman, ST1
Bc, M1
Chatterjee, SS1
Kartha, A1
Rajan, V1
Muñiz, AE1
Gearhart, AM1
Guardiola, JJ1
El-Kersh, K1
Mekonnen, S1
Kazim, S1
Mohindra, R1
Gosselin, S2
Larocque, A1
Ray, S2
Skellett, S2
Weiner, D1
Nir, V1
Klein-Kremer, A1
Kassem, E1
Tominaga, A1
Marusic, S1
Obreli Neto, PR1
Vuletic, V1
Kirin, M1
Sarchielli, P1
Messina, P1
Cupini, LM1
Tedeschi, G1
Di Piero, V1
Livrea, P1
Pini, LA1
Bernardi, G1
Bono, G1
Sandrini, G1
Caproni, S1
Corbelli, I1
Pisani, F1
Beghi, E1
Calabresi, P1
Moinho, R1
Dias, A1
Estanqueiro, P1
Farela Neves, J1
Sencion Martinez, GL1
Samillán, K1
Espinosa, JL1
Rodriguez Puyol, D1
Martinez Miguel, P1
Villa, P1
Wilimowska, J2
Kłys, M2
Jawień, W2
Ghannoum, M1
Laliberté, M1
Nolin, TD1
MacTier, R1
Lavergne, V1
Hoffman, RS1
Hirose, T1
Schrettl, V1
Felgenhauer, N2
Rabe, C1
Fernando, M1
Eyer, F2
Piekoszewski, W1
Manoguerra, AS1
Erdman, AR1
Woolf, AD1
Chyka, PA1
Caravati, EM1
Scharman, EJ1
Booze, LL1
Christianson, G1
Nelson, LS2
Cobaugh, DJ1
Troutman, WG1
Nixon, AC1
Doak, MW1
Crozier, H1
Crooks, DP1
Waring, WS1
Mestrović, J1
Filipović, T1
Polić, B1
Stricević, L1
Omazić, A1
Kuzmanić-Samija, R1
Markić, J1
Licari, E1
Calzavacca, P1
Warrillow, SJ1
Bellomo, R1
Thanacoody, RH1
Vannaprasaht, S1
Tiamkao, S1
Sirivongs, D1
Piyavhatkul, N1
Madadi, P1
Hildebrandt, D1
Gong, IY1
Schwarz, UI1
Ciszkowski, C1
Ross, CJ1
Sistonen, J1
Carleton, BC1
Hayden, MR1
Lauwers, AE1
Koren, G1
Dichtwald, S1
Dahan, E1
Adi, N1
Moses, A1
Sorkine, P1
Rupasinghe, J1
Jasinarachchi, M1
Min, YG1
Tse, ML2
Davison, AS1
Milan, AM1
Roberts, NB1
Senthilkumaran, S1
Balamurugan, N1
Menezes, RG1
Thirumalaikolundusubramanian, P1
Pons, S1
Gonzva, J1
Prunet, B1
Gaillard, T1
Brisou, P1
Vest, P1
Emile, L1
Blicher, TM1
Vestergaard, ET1
Dalhoff, KP1
Jain, V1
Swartz, CM1
Barrueto, F1
Su, M1
Kay, TD1
Playford, HR1
Johnson, DW1
Isbister, GK1
Balit, CR1
Whyte, IM1
Dawson, A1
Houghton, BL1
Bowers, JB1
Jaffe, R1
Leavitt, R1
Wind, T1
Minville, V1
Roche Tissot, C1
Samii, K1
Engbersen, R1
Kramers, C1
Meek, MF1
Broekroelofs, J1
Yska, JP1
Egbers, PH1
Boerma, EC1
van der Voort, PH1
Camilleri, C1
Albertson, T1
Offerman, S1
Gempel, K1
Steimer, W1
Gerbitz, KD1
Zilker, T1
Robinson, P1
Abbott, C1
Lheureux, PE1
Penaloza, A1
Zahir, S1
Gris, M1
Rajkumar, AP1
Jebaraj, P1
Tharyan, P1
Unal, E1
Kaya, U1
Aydin, K1
Peces, R1
Fernández, EJ1
Sánchez, RJ1
Peces, C1
Montero, A1
Selgas, R1
Sikma, MA1
Mier, JC1
Meulenbelt, J1
Jung, J1
Eo, E1
Ahn, KO1
Chan, YC1
Lau, FL1
Khan, E1
Huggan, P1
Celi, L1
MacGinley, R1
Schollum, J1
Walker, R1
Thoma, ME1
Glauser, JM1
Tank, JE1
Palmer, BF1
Aaron, CK1
Murakami, K1
Sugimoto, T1
Woo, M1
Nishida, N1
Muro, H1
Fernández, MC2
Walter, FG1
Petersen, LR1
Walkotte, SM1
Berthelot-Moritz, F1
Chadda, K1
Chanavaz, I1
Leroy, JP1
Droy, JM1
Bonmarchand, G1
Leroy, J1
Matsumoto, J1
Ogawa, H1
Maeyama, R1
Okudaira, K1
Shinka, T1
Kuhara, T1
Matsumoto, I1
Poklis, A1
Poklis, JL1
Trautman, D1
Treece, C1
Backer, R1
Harvey, CM1
Lee, WL1
Yang, CC1
Deng, JF1
Chen, YF1
Lin, HD1
Wang, PH1
Montero, FJ1
Johnson, LZ1
Martinez, I1
Davis, CP1
Kasinath, BS1
Franssen, EJ1
van Essen, GG1
Portman, AT1
de Jong, J1
Go, G1
Stegeman, CA1
Uges, DR1
Verma, A1
St Clair, EW1
Radtke, RA1
Goldberg, JF1
Sacks, MH1
Kocsis, JH1
Azaroual, N1
Imbenotte, M1
Cartigny, B1
Leclerc, F1
Vallée, L1
Lhermitte, M1
Vermeersch, G1
Kane, SL1
Constantiner, M1
Staubus, AE1
Meinecke, CD1
Sedor, JR1
Yoon, Y1
Jagoda, A1
Rengstorff, DS1
Milstone, AP1
Seger, DL1
Meredith, TJ1
Espinoza, O1
Maradei, I1
Ramírez, M1
Pascuzzo-Lima, C1
Wasserman, GS1
Aldridge, SC1
Kelly, JC1
Abdel-Rahman, SM1
Sbei, M1
Campellone, JV1
Spahr, L1
Negro, F1
Rubbia-Brandt, L1
Marinescu, O1
Goodman, K1
Jordan, M1
Frossard, JL1
Hadengue, A1
Roberge, RJ1
Francis, EH1
Kroll, P1
Nand, C1
Ingels, M1
Beauchamp, J1
Clark, RF1
Williams, SR1
Khoo, SH1
Leyland, MJ1
Jonville, AP1
Gauchez, AS1
Autret, E1
Billard, C1
Barbier, P1
Nsabiyumva, F1
Breteau, M1
Roodhooft, AM1
Van Dam, K1
Haentjens, D1
Verpooten, GA1
Van Acker, KJ1
Rodat, O1
Nicolas, G1
Anger, JP1
Develay-Legueut, MA1
Michaux, P1

Reviews

10 reviews available for valproic acid and Drug Overdose

ArticleYear
Treatment of valproic acid overdose with meropenem in an epileptic patient.
    The American journal of emergency medicine, 2022, Volume: 53

    Topics: Adult; Anti-Bacterial Agents; Anticonvulsants; Carbapenems; Drug Overdose; Epilepsy; Female; Humans;

2022
Valproic Acid Overdose: Case Report and Literature Review.
    The Journal of emergency medicine, 2022, Volume: 63, Issue:5

    Topics: Anticonvulsants; Carnitine; Drug Overdose; Humans; Hyperammonemia; Male; Middle Aged; Valproic Acid

2022
Valproic Acid Overdose Review of a Case With Electrocardiographic Changes.
    The Journal of emergency medicine, 2017, Volume: 53, Issue:3

    Topics: Adolescent; Anticonvulsants; Antimanic Agents; Drug Overdose; Electrocardiography; Female; GABA Agen

2017
Extracorporeal treatment for valproic acid poisoning: systematic review and recommendations from the EXTRIP workgroup.
    Clinical toxicology (Philadelphia, Pa.), 2015, Volume: 53, Issue:5

    Topics: Anticonvulsants; Drug Overdose; Hemoperfusion; Humans; Poisoning; Renal Dialysis; Treatment Outcome;

2015
Valproic acid poisoning: an evidence-based consensus guideline for out-of-hospital management.
    Clinical toxicology (Philadelphia, Pa.), 2008, Volume: 46, Issue:7

    Topics: Ambulatory Care; Antidotes; Charcoal; Drug Overdose; Humans; Poison Control Centers; Poisoning; Prac

2008
Life-threatening sodium valproate overdose: a comparison of two approaches to treatment.
    Critical care medicine, 2009, Volume: 37, Issue:12

    Topics: Adult; Antimanic Agents; Drug Overdose; Emergency Treatment; Female; Humans; Poisoning; Valproic Aci

2009
Extracorporeal elimination in acute valproic acid poisoning.
    Clinical toxicology (Philadelphia, Pa.), 2009, Volume: 47, Issue:7

    Topics: Acute Disease; Anticonvulsants; Databases, Bibliographic; Drug Overdose; Half-Life; Hemoperfusion; H

2009
Science review: carnitine in the treatment of valproic acid-induced toxicity - what is the evidence?
    Critical care (London, England), 2005, Oct-05, Volume: 9, Issue:5

    Topics: Anticonvulsants; Carnitine; Chemical and Drug Induced Liver Injury; Drug Overdose; Hepatic Encephalo

2005
New antiepileptic drugs and preparations.
    Emergency medicine clinics of North America, 2000, Volume: 18, Issue:4

    Topics: Acetates; Administration, Rectal; Age Factors; Amines; Anticonvulsants; Cyclohexanecarboxylic Acids;

2000
Use of naloxone in valproic acid overdose: case report and review.
    The Journal of emergency medicine, 2002, Volume: 22, Issue:1

    Topics: Adult; Anticonvulsants; Drug Overdose; Female; Humans; Naloxone; Narcotic Antagonists; Valproic Acid

2002

Trials

1 trial available for valproic acid and Drug Overdose

ArticleYear
Sodium valproate in migraine without aura and medication overuse headache: a randomized controlled trial.
    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2014, Volume: 24, Issue:8

    Topics: Adolescent; Adult; Age Factors; Analysis of Variance; Antimanic Agents; Disability Evaluation; Doubl

2014

Other Studies

84 other studies available for valproic acid and Drug Overdose

ArticleYear
Management and Associated Toxicokinetics of Massive Valproic Acid Ingestion with High Flow Continuous Venovenous Hemodiafiltration.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2022, Volume: 18, Issue:3

    Topics: Adolescent; Child; Continuous Renal Replacement Therapy; Drug Overdose; Eating; Female; Hemodiafiltr

2022
Quantitative systems pharmacology Model to characterize valproic acid-induced hyperammonemia and the effect of L-carnitine supplementation.
    European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences, 2023, Apr-01, Volume: 183

    Topics: Ammonia; Anticonvulsants; Carnitine; Dietary Supplements; Drug Overdose; Drug-Related Side Effects a

2023
Use of meropenem to treat valproic acid overdose.
    The American journal of emergency medicine, 2019, Volume: 37, Issue:11

    Topics: Adult; Anti-Bacterial Agents; Antimanic Agents; Drug Overdose; Female; Humans; Meropenem; Valproic A

2019
Meropenem as an antidote for intentional valproic acid overdose.
    The American journal of emergency medicine, 2020, Volume: 38, Issue:3

    Topics: Adult; Anti-Bacterial Agents; Anticonvulsants; Antidotes; Drug Overdose; Female; Humans; Meropenem;

2020
Meropenem for management of valproic acid overdose: a case report.
    Drug metabolism and personalized therapy, 2020, 06-30, Volume: 35, Issue:2

    Topics: Administration, Oral; Adult; Anticonvulsants; Drug Overdose; Emergency Service, Hospital; Female; Hu

2020
Highest reported clearance of valproate by hemodialysis in massive overdose.
    The American journal of emergency medicine, 2021, Volume: 39

    Topics: Adult; Anticonvulsants; Drug Overdose; Humans; Male; Renal Dialysis; Valproic Acid

2021
Isolated severe thrombocytopenia in the setting of extreme hyperthermia.
    Annals of hematology, 2020, Volume: 99, Issue:10

    Topics: Adult; Amphetamine-Related Disorders; Attention Deficit Disorder with Hyperactivity; Blood Platelets

2020
Delayed and prolonged coma following valpromide poisoning in a 4-year-old girl.
    Clinical toxicology (Philadelphia, Pa.), 2021, Volume: 59, Issue:8

    Topics: Anticonvulsants; Child, Preschool; Coma; Drug Overdose; Female; Humans; Intubation; Valproic Acid

2021
Efficacy of sustained low-efficiency dialysis in the management of sodium valproate overdose.
    Internal medicine journal, 2021, Volume: 51, Issue:2

    Topics: Anticonvulsants; Drug Overdose; Humans; Hybrid Renal Replacement Therapy; Valproic Acid

2021
Managing valproic acid toxicity-related hyperammonaemia: an unpredicted course.
    BMJ case reports, 2021, Apr-19, Volume: 14, Issue:4

    Topics: Adult; Brain Diseases; Carnitine; Drug Overdose; Female; Humans; Hyperammonemia; Valproic Acid; Youn

2021
Severe Acute Valproic Acid Intoxication Successfully Treated with Liver Support Therapy.
    Basic & clinical pharmacology & toxicology, 2017, Volume: 121, Issue:4

    Topics: Adult; Anticonvulsants; Coma; Drug Overdose; Female; Hemofiltration; Humans; Hypotension; Severity o

2017
Oral Asenapine overdose leading to Neuroleptic Malignant Syndrome (NMS).
    Asian journal of psychiatry, 2017, Volume: 30

    Topics: Administration, Oral; Adult; Antipsychotic Agents; Bromocriptine; Diagnosis, Differential; Dibenzocy

2017
A 33-Year-Old Woman With Altered Mental Status and Elevated Ammonia Level.
    Chest, 2018, Volume: 154, Issue:6

    Topics: Adult; Ammonia; Anticonvulsants; Arrhythmias, Cardiac; Drug Overdose; Female; Glasgow Coma Scale; Hu

2018
Valproic Acid Poisoning.
    Journal of emergency nursing, 2019, Volume: 45, Issue:1

    Topics: Anticonvulsants; Child, Preschool; Drug Overdose; Emergency Service, Hospital; Female; Humans; Valpr

2019
QTc prolongation and valproate toxicity.
    Clinical toxicology (Philadelphia, Pa.), 2013, Volume: 51, Issue:3

    Topics: Anticonvulsants; Drug Overdose; Female; Humans; Medication Errors; Neurotoxicity Syndromes; Valproic

2013
Valproate toxicity in a child.
    Clinical toxicology (Philadelphia, Pa.), 2013, Volume: 51, Issue:3

    Topics: Anticonvulsants; Drug Overdose; Female; Humans; Medication Errors; Neurotoxicity Syndromes; Valproic

2013
Chronic valproic acid intoxication.
    Pediatric emergency care, 2013, Volume: 29, Issue:6

    Topics: Anticonvulsants; Cerebral Palsy; Chemistry, Pharmaceutical; Child; Chronic Disease; Developmental Di

2013
[Case of valproic acid overdose treated by hemodialysis].
    Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology, 2014, Volume: 27, Issue:1

    Topics: Drug Overdose; Humans; Male; Middle Aged; Monitoring, Physiologic; Renal Dialysis; Suicide, Attempte

2014
Peripheral mononeuropathy associated with valproic acid poisoning in an adult patient.
    International journal of clinical pharmacology and therapeutics, 2014, Volume: 52, Issue:9

    Topics: Adult; Antimanic Agents; Bipolar Disorder; Drug Overdose; Humans; Male; Mononeuropathies; Neurologic

2014
Overdose with antiepileptic drugs: the efficacy of extracorporeal removal techniques.
    BMJ case reports, 2014, Nov-24, Volume: 2014

    Topics: Adolescent; Anticonvulsants; Antidotes; Carbamazepine; Charcoal; Combined Modality Therapy; Drug Ove

2014
[Hemoperfusion with activated charcoal on valproic acid poisoning. A case report].
    Medicina intensiva, 2015, Volume: 39, Issue:7

    Topics: Benzodiazepines; Charcoal; Combined Modality Therapy; Depressive Disorder; Drug Overdose; Female; Fl

2015
Analysis of variability of concentrations of valproic acid (VPA) and its selected metabolites in the blood serum of patients treated with VPA and patients hospitalized because of VPA poisoning.
    Archiwum medycyny sadowej i kryminologii, 2014, Volume: 64, Issue:4

    Topics: Anticonvulsants; Bipolar Disorder; Drug Overdose; Epilepsy; Female; Humans; Male; Peripheral Nervous

2014
[Acute valproic acid overdose causing only somnolence and stagger despite the extreme hyperammonemia: A case report].
    Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology, 2016, Volume: 29, Issue:1

    Topics: Acute Disease; Adult; Anticonvulsants; Disorders of Excessive Somnolence; Drug Overdose; Female; Hum

2016
L-Arginine in the treatment of valproate overdose - five clinical cases.
    Clinical toxicology (Philadelphia, Pa.), 2017, Volume: 55, Issue:4

    Topics: Acyl Coenzyme A; Adult; Amino-Acid N-Acetyltransferase; Ammonia; Arginine; Carnitine; Coma; Drug Ove

2017
Population pharmacokinetic modelling of valproic acid and its selected metabolites in acute VPA poisoning.
    Pharmacological reports : PR, 2017, Volume: 69, Issue:2

    Topics: Adult; Anticonvulsants; Drug Overdose; Female; Humans; Kinetics; Male; Middle Aged; Oxidation-Reduct

2017
Patterns of antiepileptic drug overdose differ between men and women: admissions to the Edinburgh Poisons Unit, 2000-2007.
    QJM : monthly journal of the Association of Physicians, 2009, Volume: 102, Issue:1

    Topics: Adult; Anticonvulsants; Carbamazepine; Drug Overdose; Female; Humans; Lamotrigine; Male; Middle Aged

2009
Life-threatening valproate overdose successfully treated with haemodialysis.
    Arhiv za higijenu rada i toksikologiju, 2008, Volume: 59, Issue:4

    Topics: Adolescent; Drug Overdose; Female; Humans; Renal Dialysis; Suicide, Attempted; Valproic Acid

2008
Acute valproic acid overdose: enhance elimination with multiple-doses activated charcoal.
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2009, Volume: 92, Issue:8

    Topics: Acidosis; Acute Disease; Adult; Antidotes; Charcoal; Drug Overdose; Female; Glasgow Coma Scale; Huma

2009
Fatal hydrocodone overdose in a child: pharmacogenetics and drug interactions.
    Pediatrics, 2010, Volume: 126, Issue:4

    Topics: Antitussive Agents; Child, Preschool; Cytochrome P-450 CYP2D6; Drug Interactions; Drug Overdose; Fat

2010
Molecular adsorbent recycling system therapy in the treatment of acute valproic acid intoxication.
    The Israel Medical Association journal : IMAJ, 2010, Volume: 12, Issue:5

    Topics: Acute Disease; Adult; Antimanic Agents; Charcoal; Drug Overdose; Fluid Therapy; Hemoperfusion; Hepat

2010
Progressive encephalopathy with cerebral oedema and infarctions associated with valproate and diazepam overdose.
    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2011, Volume: 18, Issue:5

    Topics: Adult; Antimanic Agents; Brain Edema; Brain Infarction; Chemical and Drug Induced Liver Injury; Coma

2011
Image in toxicology: Pseudo-subarachnoid hemorrhage in a case of severe valproic acid poisoning.
    Clinical toxicology (Philadelphia, Pa.), 2011, Volume: 49, Issue:7

    Topics: Anticonvulsants; Brain Edema; Drug Overdose; False Positive Reactions; Humans; Male; Predictive Valu

2011
The consequences of valproate overdose.
    Clinical chemistry, 2011, Volume: 57, Issue:9

    Topics: Acid-Base Equilibrium; Acidosis, Lactic; Adult; Anticonvulsants; Carnitine; Drug Overdose; Epilepsy;

2011
Role of Hounsfield units to distinguish pseudo-subarachnoid hemorrhage.
    Clinical toxicology (Philadelphia, Pa.), 2011, Volume: 49, Issue:10

    Topics: Anticonvulsants; Brain Edema; Drug Overdose; Humans; Subarachnoid Hemorrhage; Time Factors; Valproic

2011
Acute overdose of enteric-coated valproic acid and olanzapine: unusual presentation and delayed toxicity.
    Clinical toxicology (Philadelphia, Pa.), 2012, Volume: 50, Issue:4

    Topics: Acute Disease; Adult; Antipsychotic Agents; Benzodiazepines; Drug Overdose; Female; Humans; Olanzapi

2012
[The clinical course of a three year-old girl after overdose of valproic acid].
    Ugeskrift for laeger, 2012, Apr-23, Volume: 174, Issue:17

    Topics: Anticonvulsants; Antidotes; Charcoal; Child, Preschool; Drug Overdose; Female; Humans; Valproic Acid

2012
Valproate toxicity in a child: two novel observations.
    Clinical toxicology (Philadelphia, Pa.), 2013, Volume: 51, Issue:1

    Topics: Anticonvulsants; Child, Preschool; Coma; Drug Overdose; Female; Half-Life; Hemofiltration; Humans; M

2013
Charcoal enhancement of treatment for tricyclic-induced mania.
    Pharmacopsychiatry, 2002, Volume: 35, Issue:5

    Topics: Aged; Amitriptyline; Antidepressive Agents, Tricyclic; Antidotes; Bipolar Disorder; Charcoal; Depres

2002
Valproic acid is a structural analog of GABA that enters various metabolic pathways and has many clinical effects.
    The Journal of emergency medicine, 2002, Volume: 23, Issue:3

    Topics: Anticonvulsants; Drug Overdose; Humans; Naloxone; Narcotic Antagonists; Valproic Acid

2002
Hemodialysis versus continuous veno-venous hemodiafiltration in the management of severe valproate overdose.
    Clinical nephrology, 2003, Volume: 59, Issue:1

    Topics: Drug Overdose; Female; Hemodiafiltration; Hemofiltration; Humans; Middle Aged; Renal Dialysis; Sever

2003
Valproate overdose: a comparative cohort study of self poisonings.
    British journal of clinical pharmacology, 2003, Volume: 55, Issue:4

    Topics: Adult; Analysis of Variance; Anticonvulsants; Carbamazepine; Cohort Studies; Critical Care; Drug Ove

2003
Valproic acid overdose: a case report and review of therapy.
    MedGenMed : Medscape general medicine, 2003, Jan-14, Volume: 5, Issue:1

    Topics: Administration, Oral; Adult; Antimanic Agents; Charcoal; Drug Administration Schedule; Drug Overdose

2003
QTc prolongation in multiple drug overdose.
    Journal of clinical psychopharmacology, 2004, Volume: 24, Issue:3

    Topics: Adult; Bupropion; Drug Overdose; Fluoxetine; Humans; Long QT Syndrome; Male; Piperazines; Psychotic

2004
[Haemodialysis, L-carnitine therapy and valproic acid overdose].
    Annales francaises d'anesthesie et de reanimation, 2004, Volume: 23, Issue:4

    Topics: Adult; Anticonvulsants; Antidotes; Brain Edema; Carnitine; Drug Overdose; Humans; Male; Renal Dialys

2004
Pharmaceutical drug overdose case reports. From the World Literature.
    Toxicological reviews, 2003, Volume: 22, Issue:3

    Topics: Acetaminophen; Adolescent; Adult; Aged; Amlodipine; Child, Preschool; Diphenhydramine; Dizocilpine M

2003
Enhanced extracorporeal elimination of valproic acid in overdose.
    The Netherlands journal of medicine, 2004, Volume: 62, Issue:9

    Topics: Drug Overdose; Gastric Lavage; Hemofiltration; Hemoperfusion; Humans; Valproic Acid

2004
Valproic acid intoxication: sense and non-sense of haemodialysis.
    The Netherlands journal of medicine, 2004, Volume: 62, Issue:9

    Topics: Adult; Drug Overdose; Epilepsy; Ethanol; Hemodiafiltration; Hemoperfusion; Humans; Male; Mental Diso

2004
Fatal cerebral edema after moderate valproic acid overdose.
    Annals of emergency medicine, 2005, Volume: 45, Issue:3

    Topics: Adult; Ammonia; Brain Edema; Cyclohexanols; Drug Overdose; Fatal Outcome; Humans; Male; Risperidone;

2005
Acute valproate poisoning: pharmacokinetics, alteration in fatty acid metabolism, and changes during therapy.
    Journal of clinical psychopharmacology, 2005, Volume: 25, Issue:4

    Topics: Anticonvulsants; Brain Edema; Carnitine; Drug Overdose; Fatty Acids; Female; Humans; Hyperammonemia;

2005
Severe hypothermia in association with sodium valproate overdose.
    The New Zealand medical journal, 2005, Oct-07, Volume: 118, Issue:1223

    Topics: Adult; Drug Overdose; GABA Agents; Humans; Hypothermia; Male; Rewarming; Treatment Outcome; Valproic

2005
Multi-drug overdose risperidone, ziprasidone, valproate, trihexyphenidyl, and clonazepam.
    The Journal of the Association of Physicians of India, 2007, Volume: 55

    Topics: Adult; Antipsychotic Agents; Clonazepam; Drug Overdose; Drug Prescriptions; Female; Humans; Piperazi

2007
Fatal valproate overdose in a newborn baby.
    Human & experimental toxicology, 2007, Volume: 26, Issue:5

    Topics: Anticonvulsants; Brain Edema; Drug Overdose; Fatal Outcome; Female; Heart Arrest; Humans; Infant, Ne

2007
[Hemoperfusion in the treatment of acute valproic acid intoxication].
    Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia, 2007, Volume: 27, Issue:3

    Topics: Adult; Antimanic Agents; Drug Overdose; Female; Hemoperfusion; Humans; Suicide, Attempted; Valproic

2007
Massive valproic acid overdose, a misleading case.
    The American journal of emergency medicine, 2008, Volume: 26, Issue:1

    Topics: Adult; Ammonia; Anticonvulsants; Antidotes; Charcoal; Coma; Drug Overdose; Epilepsy; Humans; Male; P

2008
A case of hemoperfusion and L-carnitine management in valproic acid overdose.
    The American journal of emergency medicine, 2008, Volume: 26, Issue:3

    Topics: Adult; Anticonvulsants; Carnitine; Charcoal; Drug Overdose; Female; Hemoperfusion; Humans; Suicide,

2008
Two cases of valproic acid poisoning treated with L-carnitine.
    Human & experimental toxicology, 2007, Volume: 26, Issue:12

    Topics: Adolescent; Adult; Anticonvulsants; Antidotes; Carnitine; Depression; Drug Overdose; Female; Humans;

2007
Sustained low-efficiency dialysis with filtration (SLEDD-f) in the management of acute sodium valproate intoxication.
    Hemodialysis international. International Symposium on Home Hemodialysis, 2008, Volume: 12, Issue:2

    Topics: Adult; Antimanic Agents; Bipolar Disorder; Drug Overdose; Female; Hemodiafiltration; Humans; Valproi

2008
Use of glucagon for removal of an orogastric lavage tube.
    The American journal of emergency medicine, 1995, Volume: 13, Issue:2

    Topics: Adult; Drug Overdose; Esophageal Spasm, Diffuse; Female; Gastric Lavage; Glucagon; Humans; Injection

1995
Simultaneous "in series" hemodialysis and hemoperfusion in the management of valproic acid overdose.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 1993, Volume: 22, Issue:2

    Topics: Adult; Combined Modality Therapy; Drug Overdose; Hemoperfusion; Humans; Male; Renal Dialysis; Valpro

1993
Delayed peak serum valproic acid in massive divalproex overdose--treatment with charcoal hemoperfusion.
    Journal of toxicology. Clinical toxicology, 1996, Volume: 34, Issue:3

    Topics: Adult; Anticonvulsants; Charcoal; Chlorpheniramine; Delayed-Action Preparations; Drug Overdose; Fema

1996
Effect of L-carnitine supplementation on acute valproate intoxication.
    Epilepsia, 1996, Volume: 37, Issue:7

    Topics: Ammonia; Carnitine; Coma; Drug Overdose; Epilepsy; Humans; Infant; Male; Oxidation-Reduction; Valpro

1996
Gabapentin, valproic acid, and ethanol intoxication: elevated blood levels with mild clinical effects.
    Journal of toxicology. Clinical toxicology, 1996, Volume: 34, Issue:4

    Topics: Acetates; Adult; Amines; Anticonvulsants; Cyclohexanecarboxylic Acids; Drug Interactions; Drug Overd

1996
Fatal sodium valproate poisoning.
    Intensive care medicine, 1997, Volume: 23, Issue:5

    Topics: Adult; Anticonvulsants; Brain Edema; Drug Overdose; Fatal Outcome; Humans; Male; Valproic Acid

1997
Successful treatment by direct hemoperfusion of coma possibly resulting from mitochondrial dysfunction in acute valproate intoxication.
    Epilepsia, 1997, Volume: 38, Issue:8

    Topics: Acute Disease; Adult; Carnitine; Charcoal; Coma; Drug Overdose; Female; Glasgow Coma Scale; Hemoperf

1997
Disposition of valproic acid in a case of fatal intoxication.
    Journal of analytical toxicology, 1998, Volume: 22, Issue:6

    Topics: Adult; Anticonvulsants; Drug Overdose; Fatal Outcome; Gas Chromatography-Mass Spectrometry; Humans;

1998
A case of severe hyperammonemia and unconsciousness following sodium valproate intoxication.
    Veterinary and human toxicology, 1998, Volume: 40, Issue:6

    Topics: Adolescent; Ammonia; Anion Exchange Resins; Anticonvulsants; Cholestyramine Resin; Drug Overdose; Hu

1998
Naloxone in the reversal of coma induced by sodium valproate.
    Annals of emergency medicine, 1999, Volume: 33, Issue:3

    Topics: Adult; Anticonvulsants; Coma; Drug Overdose; Female; Glasgow Coma Scale; Humans; Naloxone; Narcotic

1999
Successful treatment of valproic acid overdose with hemodialysis.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 1999, Volume: 33, Issue:4

    Topics: Adult; Drug Overdose; Female; Humans; Hypotension; Poisoning; Renal Dialysis; Valproic Acid

1999
Valproic acid toxicokinetics: serial hemodialysis and hemoperfusion.
    Therapeutic drug monitoring, 1999, Volume: 21, Issue:3

    Topics: Adult; Anticonvulsants; Drug Overdose; Hemoperfusion; Humans; Male; Renal Dialysis; Valproic Acid

1999
A case of sustained massive gabapentin overdose without serious side effects.
    Therapeutic drug monitoring, 1999, Volume: 21, Issue:6

    Topics: Acetates; Adult; Amines; Anticonvulsants; Cognition; Cyclohexanecarboxylic Acids; Drug Overdose; Epi

1999
Low-dose lithium augmentation of divalproex in geriatric mania.
    The Journal of clinical psychiatry, 2000, Volume: 61, Issue:4

    Topics: Acute Disease; Aged; Antimanic Agents; Bipolar Disorder; Cognition Disorders; Dose-Response Relation

2000
Valproic acid intoxication identified by 1H and 1H-(13)C correlated NMR spectroscopy of urine samples.
    Magma (New York, N.Y.), 2000, Volume: 10, Issue:3

    Topics: Adolescent; Adult; Anticonvulsants; Carbon Isotopes; Drug Overdose; Gas Chromatography-Mass Spectrom

2000
High-flux hemodialysis without hemoperfusion is effective in acute valproic acid overdose.
    The Annals of pharmacotherapy, 2000, Volume: 34, Issue:10

    Topics: Acidosis, Lactic; Adult; Algorithms; Anticonvulsants; Drug Overdose; Female; Half-Life; Hemodynamics

2000
Felbamate overdose complicated by massive crystalluria and acute renal failure.
    Journal of toxicology. Clinical toxicology, 2000, Volume: 38, Issue:6

    Topics: Acute Kidney Injury; Adult; Anticonvulsants; Chromatography, Gas; Crystallization; Drug Interactions

2000
An unusual presentation of opioid-like syndrome in pediatric valproic acid poisoning.
    Veterinary and human toxicology, 2001, Volume: 43, Issue:3

    Topics: Child, Preschool; Diagnosis, Differential; Drug Overdose; Gastric Lavage; Humans; Male; Naloxone; Op

2001
A unique valproic acid ingestion.
    Journal of toxicology. Clinical toxicology, 2001, Volume: 39, Issue:4

    Topics: Adult; Antimanic Agents; Behavior; Drug Overdose; Humans; Male; Valproic Acid

2001
Stupor from lamotrigine toxicity.
    Epilepsia, 2001, Volume: 42, Issue:8

    Topics: Anticonvulsants; Coma; Drug Overdose; Epilepsy, Complex Partial; Female; Humans; Lamotrigine; Middle

2001
Acute valproate-associated microvesicular steatosis: could the [13C]methionine breath test be useful to assess liver mitochondrial function?
    Digestive diseases and sciences, 2001, Volume: 46, Issue:12

    Topics: Adult; Antimanic Agents; Breath Tests; Drug Overdose; Female; Hepatocytes; Humans; Liver Failure; Me

2001
Hemodialysis in the treatment of valproic acid overdose.
    The Journal of clinical psychiatry, 2002, Volume: 63, Issue:1

    Topics: Adult; Drug Overdose; Humans; Male; Renal Dialysis; Treatment Outcome; Valproic Acid

2002
Delayed valproic acid toxicity: a retrospective case series.
    Annals of emergency medicine, 2002, Volume: 39, Issue:6

    Topics: Adolescent; Adult; Anticonvulsants; California; Charcoal; Child; Drug Overdose; Gastric Lavage; Huma

2002
Cerebral edema following acute sodium valproate overdose.
    Journal of toxicology. Clinical toxicology, 1992, Volume: 30, Issue:2

    Topics: Adult; Brain Diseases; Drug Overdose; Edema; Humans; Hypocalcemia; Kidney; Liver; Male; Valproic Aci

1992
Interaction between isoniazid and valproate: a case of valproate overdosage.
    European journal of clinical pharmacology, 1991, Volume: 40, Issue:2

    Topics: Child, Preschool; Drug Interactions; Drug Overdose; Female; Humans; Isoniazid; Valproic Acid

1991
Acute sodium valproate intoxication: occurrence of renal failure and treatment with haemoperfusion-haemodialysis.
    European journal of pediatrics, 1990, Volume: 149, Issue:5

    Topics: Acute Disease; Acute Kidney Injury; Drug Overdose; Female; Hemoperfusion; Humans; Infant; Renal Dial

1990
[Sudden death in epileptics treated with valproic acid].
    Acta medicinae legalis et socialis, 1985, Volume: 35, Issue:1

    Topics: Adult; Autopsy; Death, Sudden; Drug Overdose; Epilepsy; Female; Humans; Male; Valproic Acid

1985