Page last updated: 2024-10-26

valproic acid and Liver Diseases

valproic acid has been researched along with Liver Diseases in 61 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.

Liver Diseases: Pathological processes of the LIVER.

Research Excerpts

ExcerptRelevanceReference
"Valproic acid (VPA) is an antiepileptic drug (AED) used for generalized and absence seizures."5.32Effects of age and polytherapy, risk factors of valproic acid (VPA) hepatotoxicity, on the excretion of thiol conjugates of (E)-2,4-diene VPA in people with epilepsy taking VPA. ( Abbott, F; Farrell, K; Gopaul, S, 2003)
"Clonazepam was ineffective in treating the seizures and, in high doses, seemed to exacerbate the porphyria."5.26Seizure management in acute hepatic porphyria: risks of valproate and clonazepam. ( Bonkowsky, HL; Emery, S; Sinclair, JF; Sinclair, PR, 1980)
"We present three children with severe therapy-refractory epilepsy who tolerated valproate (VPA) well in various combinations with other antiepileptic drugs (AEDs) but developed typical VPA side effects in combination with topiramate (TPM)."3.71Topiramate enhances the risk of valproate-associated side effects in three children. ( Koelfen, W; König, S; Longin, E; Teich, M, 2002)
"The authors report a case of fatal hepatic failure in a 19-year old young man suffering from absence seizures and treated for two months with valproic acid (VPA)."3.69[Fatal hepatic necrosis during treatment with sodium valproate]. ( Benaguida, M; Chlihi, A; Miguil, M; Mjahed, K; Moutawakkil, S; Sarf, I, 1995)
"A female neonate, whose mother had been treated throughout pregnancy with valproic acid and phenytoin, showed evident signs of liver damage, confirmed by laboratory investigations and biopsy."3.67Congenital liver damage after treatment of mother with valproic acid and phenytoin? ( Felding, I; Rane, A, 1984)
"Carnitine is an amino acid derivative that is an essential cofactor in the beta-oxidation of fatty acids."2.45Carnitine in the treatment of valproic acid-induced toxicity. ( Hantson, P; Lheureux, PE, 2009)
" These deal mainly with biochemical systems that are known to be affected by VPA, or with the possible idiosyncratic production of toxic VPA metabolites, especially delta 4-VPA."2.38Valproate hepatotoxicity syndrome: hypotheses of pathogenesis. ( Levy, RH; Stephens, JR, 1992)
"Anticonvulsant therapy was among the first areas to benefit from clinical pharmacokinetic studies."2.35Clinical pharmacokinetics of anticonvulsants. ( Dam, M; Hvidberg, EF, 1976)
"The aim of this study was to investigate the relationship between hepatotoxicity, levels of glucuronide conjugates of valproic acid (VPA), and the toxic metabolites of VPA (4-ene VPA and 2,4-diene VPA)."1.35The relationship between glucuronide conjugate levels and hepatotoxicity after oral administration of valproic acid. ( Baek, DJ; Chung, BC; Jung, BH; Kim, BJ; Lee, MS; Lee, YJ; Shin, KJ, 2009)
"Valproic acid (VPA) is an antiepileptic drug (AED) commonly used for generalized and focal epilepsies."1.33Valproic acid-induced hepatopathy: nine new fatalities in Germany from 1994 to 2003. ( Borusiak, P; Boxtermann, W; Brückner, R; Buesing, D; Degen, I; Degenhardt, V; Fitzek, S; Gerstner, T; Haensch, CA; Hanusch, R; Hartmann, M; Häussermann, P; Hoppen, T; Jungck, A; Kasper, JM; Kluger, G; Knapp, R; Koenig, SA; Korenke, GC; Kuhn, H; Lindmayer, F; Longin, E; Müller-Deile, A; Oehring, R; Richard, HH; Samii, K; Seitz, R; Specht, U; Weber, Y; Weidner, B, 2006)
"Valproic acid (VPA) is an antiepileptic drug (AED) used for generalized and absence seizures."1.32Effects of age and polytherapy, risk factors of valproic acid (VPA) hepatotoxicity, on the excretion of thiol conjugates of (E)-2,4-diene VPA in people with epilepsy taking VPA. ( Abbott, F; Farrell, K; Gopaul, S, 2003)
"A 6-month-old girl developed West syndrome and it remitted in association with valproate-induced hepatic dysfunction."1.31Remission of West syndrome associated with valproate hepatotoxicity. ( Go, T, 2002)
" The pathogenesis of VPA hepatotoxicity is unclear but may relate to the accumulation of a toxic metabolite of VPA which impairs fatty-acid oxidation."1.28The high incidence of valproate hepatotoxicity in infants may relate to familial metabolic defects. ( Applegarth, DA; Appleton, RE; Davidson, AG; Dimmick, JE; Farrell, K; Wong, LT, 1990)
" By analogy with certain spontaneous and acquired human disorders of branched chain amino acid metabolism, it is suggested that valproate-associated hepatotoxicity may represent the consequences of a valproate overload on a limited mitochondrial beta-oxidation capacity, causing accumulation of a toxic product of endogenous branched chain amino acid metabolism."1.28Valproate metabolism during hepatotoxicity associated with the drug. ( Dickinson, RG; Dunstan, PR; Eadie, MJ; MacLaughlin, D; McKinnon, GE, 1990)
"Clonazepam was ineffective in treating the seizures and, in high doses, seemed to exacerbate the porphyria."1.26Seizure management in acute hepatic porphyria: risks of valproate and clonazepam. ( Bonkowsky, HL; Emery, S; Sinclair, JF; Sinclair, PR, 1980)

Research

Studies (61)

TimeframeStudies, this research(%)All Research%
pre-199026 (42.62)18.7374
1990's17 (27.87)18.2507
2000's15 (24.59)29.6817
2010's3 (4.92)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Walker, V1
Stevens, CE1
Turner, Z1
Kossoff, EH1
Lheureux, PE1
Hantson, P1
Lee, MS1
Lee, YJ1
Kim, BJ1
Shin, KJ1
Chung, BC1
Baek, DJ1
Jung, BH1
LaBuzetta, JN1
Yao, JZ1
Bourque, DL1
Zivin, J1
Kreher, U1
Darius, J1
Wien, F1
Gopaul, S1
Farrell, K2
Abbott, F1
Foroughinia, F1
Sabayan, B1
Koenig, SA1
Buesing, D1
Longin, E2
Oehring, R1
Häussermann, P1
Kluger, G1
Lindmayer, F1
Hanusch, R1
Degen, I1
Kuhn, H1
Samii, K1
Jungck, A1
Brückner, R1
Seitz, R1
Boxtermann, W1
Weber, Y1
Knapp, R1
Richard, HH1
Weidner, B1
Kasper, JM1
Haensch, CA1
Fitzek, S1
Hartmann, M1
Borusiak, P1
Müller-Deile, A1
Degenhardt, V1
Korenke, GC1
Hoppen, T1
Specht, U1
Gerstner, T1
Jinjuvadia, K1
Kwan, W1
Fontana, RJ1
Delima, SI1
Walsh, LE1
Golomb, MR1
Kolts, BE1
Langfitt, M1
Kochen, W1
Schneider, A1
Ritz, A1
Ratnaike, RN1
Buttery, JE1
Hoffmann, S1
Bruni, J1
Albright, PS1
Jeavons, PM1
Felding, I1
Rane, A1
Isom, JB1
Green, SH1
Bonkowsky, HL1
Sinclair, PR1
Emery, S1
Sinclair, JF1
Bodensteiner, JB1
Morris, HH1
Golden, GS1
Urien, S1
Albengres, E1
Tillement, JP1
Thygesen, J1
Boesen, F1
Itoh, S1
Yamaba, Y1
Matsuo, S1
Saka, M1
Ichinoe, A1
Asconapé, JJ1
Penry, JK1
Keene, DL1
Humphreys, P1
Carpenter, B1
Fletcher, JP1
Miguil, M1
Chlihi, A1
Mjahed, K1
Sarf, I1
Moutawakkil, S1
Benaguida, M1
Sobaniec-Lotowska, M1
Sobaniec, W1
Treem, WR1
Löscher, W1
Wahnschaffe, U1
Hönack, D1
Drews, E1
Nau, H1
Bryant, AE1
Dreifuss, FE3
Böhles, H1
Sewell, AC1
Wenzel, D1
Sugimoto, T2
Muro, H1
Woo, M1
Nishida, N1
Murakami, K1
Sobaniec-Lotowska, ME1
Altunbaşak, S1
Baytok, V1
Tasouji, M1
Hergüner, O1
Burgut, R1
Kayrin, L1
Ballaban-Gil, K1
Callahan, C1
O'Dell, C1
Pappo, M1
Moshé, S1
Shinnar, S1
Hemingway, C1
Leary, M1
Riordan, G1
Schlegal, B1
Walker, K1
Raza, M1
al-Shabanah, OA1
al-Bekairi, AM1
Qureshi, S1
Bohan, TP1
Helton, E1
McDonald, I1
König, S2
Gazitt, S1
Scheffner, D2
Cusmano, L1
Li, S1
Koch, G1
Lott, RS1
Helmboldt, KM1
Madaras-Kelly, KJ1
DeVivo, DC1
Teich, M1
Koelfen, W1
Go, T1
Anderson, GD1
Klotz, U1
Rapp, T1
Müller, WA1
Suchy, FJ1
Balistreri, WF1
Buchino, JJ1
Sondheimer, JM1
Bates, SR1
Kearns, GL1
Stull, JD1
Bove, KE1
Hvidberg, EF1
Dam, M1
Bicknese, AR1
May, W1
Hickey, WF1
Dodson, WE1
Stephens, JR1
Levy, RH1
Foster, GR1
Goldin, RD1
Freeth, CJ1
Nieman, E1
Oliveira, DB1
Gilman, JT1
Appleton, RE1
Applegarth, DA1
Dimmick, JE1
Wong, LT1
Davidson, AG1
Eadie, MJ2
McKinnon, GE1
Dunstan, PR1
MacLaughlin, D1
Dickinson, RG2
Langer, DH1
Moline, KA1
Maxwell, JE1
Cotariu, D1
Zaidman, JL1
Shirkey, RJ1
Jellett, LB1
Kappatos, DC1
Maling, TJ1
Macdonald, A1
Bassett, ML1
Searle, J1
Tyrer, JH1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of Adding Lamotrigine to Sodium Valproate in Childhood Epilepsy: Clinicolabratory Study[NCT05881928]Phase 450 participants (Anticipated)Interventional2023-07-25Not yet recruiting
A Phase II Multiple Site, Randomized, Placebo-Controlled Trial of Oral Valproic Acid for Autosomal Dominant Retinitis Pigmentosa[NCT01233609]Phase 290 participants (Actual)Interventional2010-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Mean Change From Baseline in Best Corrected Visual Acuity

Mean change in best corrected visual acuity as assessed by ETDRS (Early Treatment Diabetic Retinopathy Study) method from baseline to week 52 (NCT01233609)
Timeframe: baseline to week 52

Interventionletters read correctly (Mean)
Valproic Acid -- Right Eye-1.4
Valproic Acid--Left Eye0.0
Placebo --Right Eye0.2
Placebo --Left Eye1.3

Mean Change in Visual Field Area From Baseline to 52 Weeks--I4e Isopter

Mean change in visual field area from baseline to 52 weeks. Visual field area is measured with semi-automated kinetic perimetry (SKP) using the Octopus 900 (Haag-Streit) with the I4e target size for each eye and done at least twice to ensure reliable sessions; the visual field area measurements are averaged over the two sessions. Analysis performed with linear mixed model (NCT01233609)
Timeframe: baseline to week 52

InterventionVisual field area (degrees squared) (Mean)
Placebo--Right Eye80.9
Placebo--Left Eye115.7
Valproic Acid--Right Eye5.3
Valproic Acid--Left Eye19.5

Mean Change in Visual Field Area From Baseline to 52 Weeks--III4e Isopter

Mean change in visual field area from baseline to 52 weeks. Visual field area is measured with semi-automated kinetic perimetry (SKP) using the Octopus 900 (Haag-Streit) with the III4e target size for each eye and done at least twice to ensure reliable sessions; the visual field area measurements are averaged over the two sessions. Analysis performed with linear mixed model (NCT01233609)
Timeframe: baseline to week 52

InterventionVisual field area (degrees squared) (Mean)
Placebo--Right Eye-122.9
Placebo--Left Eye-112.0
Valproic Acid--Right Eye-293.7
Valproic Acid--Left Eye-237.1

Static Perimetry by Treatment Arm--Full Field Hill of Vision

Mean change from baseline at week 52 for Full field Hill of Vision (Static perimetry) (NCT01233609)
Timeframe: baseline to week 52

Interventiondb-steridians (Mean)
Placebo--Right Eye-0.3
Placebo--Left Eye-1.4
Valproic Acid--Right Eye-0.2
Valproic Acid--Left Eye-0.6

Static Perimetry Volume--30 Degree Hill of Vision

Mean Change from baseline to week 52 for Static Perimetry Volume --30 Degree Hill of Vision. Full field static perimetry protocol was followed using the Octopus 900 (Haag-Streit) for a single session for each eye. (NCT01233609)
Timeframe: baseline to week 52

Interventiondb-steridans (Mean)
Placebo--Right Eye-0.3
Placebo--Left Eye-0.3
Valproic Acid--Right Eye-0.2
Valproic Acid--Left Eye-0.2

Reviews

10 reviews available for valproic acid and Liver Diseases

ArticleYear
Ammonia metabolism and hyperammonemic disorders.
    Advances in clinical chemistry, 2014, Volume: 67

    Topics: Ammonia; Animals; Arginine; Biological Transport; Brain; Cell Membrane; Humans; Hyperammonemia; Hype

2014
Carnitine in the treatment of valproic acid-induced toxicity.
    Clinical toxicology (Philadelphia, Pa.), 2009, Volume: 47, Issue:2

    Topics: Animals; Anticonvulsants; Antidotes; Carnitine; Chemical and Drug Induced Liver Injury; Energy Metab

2009
Adult nonhepatic hyperammonemia: a case report and differential diagnosis.
    The American journal of medicine, 2010, Volume: 123, Issue:10

    Topics: Ammonia; Diagnosis, Differential; Humans; Hyperammonemia; Liver Diseases; Male; Metabolism, Inborn E

2010
The clinical pharmacology of antiepileptic drugs.
    Clinical neuropharmacology, 1984, Volume: 7, Issue:1

    Topics: Adult; Anticonvulsants; Benzodiazepines; Carbamazepine; Drug Interactions; Ethosuximide; Female; Hal

1984
Use of antiepileptic drugs in the presence of liver and kidney diseases: a review.
    Epilepsia, 1982, Volume: 23 Suppl 1

    Topics: Anticonvulsants; Carbamazepine; Epilepsy; Half-Life; Humans; Kidney Diseases; Kinetics; Liver Diseas

1982
Inherited and acquired syndromes of hyperammonemia and encephalopathy in children.
    Seminars in liver disease, 1994, Volume: 14, Issue:3

    Topics: Ammonia; Child; Hepatic Encephalopathy; Humans; Liver Diseases; Metabolism, Inborn Errors; Reye Synd

1994
Children versus adults: pharmacokinetic and adverse-effect differences.
    Epilepsia, 2002, Volume: 43 Suppl 3

    Topics: Adolescent; Age Factors; Anticonvulsants; Chemical and Drug Induced Liver Injury; Child; Child, Pres

2002
Clinical pharmacokinetics of anticonvulsants.
    Clinical pharmacokinetics, 1976, Volume: 1, Issue:3

    Topics: Administration, Oral; Adult; Aged; Aging; Animals; Anticonvulsants; Carbamazepine; Child; Clonazepam

1976
Valproate hepatotoxicity syndrome: hypotheses of pathogenesis.
    Pharmaceutisch weekblad. Scientific edition, 1992, Jun-19, Volume: 14, Issue:3A

    Topics: Ammonia; Animals; Carnitine; Chemical and Drug Induced Liver Injury; Humans; Liver; Liver Diseases;

1992
Valproic acid and the liver.
    Clinical chemistry, 1988, Volume: 34, Issue:5

    Topics: Amino Acids; Carnitine; Chemical and Drug Induced Liver Injury; Drug Interactions; Fatty Acids; Huma

1988

Trials

1 trial available for valproic acid and Liver Diseases

ArticleYear
The effect of carnitine supplementation in valproate-induced hyperammonaemia.
    Acta paediatrica (Oslo, Norway : 1992), 1996, Volume: 85, Issue:4

    Topics: Adolescent; Adult; Ammonia; Anticonvulsants; Carnitine; Chemical and Drug Induced Liver Injury; Chil

1996

Other Studies

50 other studies available for valproic acid and Liver Diseases

ArticleYear
Hepatic Dysfunction as a Complication of Combined Valproate and Ketogenic Diet.
    Pediatric neurology, 2016, Volume: 54

    Topics: Anticonvulsants; Combined Modality Therapy; Diet, Ketogenic; Drug Resistant Epilepsy; Female; Follow

2016
The relationship between glucuronide conjugate levels and hepatotoxicity after oral administration of valproic acid.
    Archives of pharmacal research, 2009, Volume: 32, Issue:7

    Topics: Administration, Oral; Alanine Transaminase; Animals; Anticonvulsants; Aspartate Aminotransferases; B

2009
Abnormal alterations in the metabolic patterns of patients on valproate therapy.
    The Journal of pharmacy and pharmacology, 2002, Volume: 54, Issue:7

    Topics: Anticonvulsants; Chemical and Drug Induced Liver Injury; Humans; Infant; Liver Diseases; Male; Metab

2002
Effects of age and polytherapy, risk factors of valproic acid (VPA) hepatotoxicity, on the excretion of thiol conjugates of (E)-2,4-diene VPA in people with epilepsy taking VPA.
    Epilepsia, 2003, Volume: 44, Issue:3

    Topics: Acetylcysteine; Adolescent; Adult; Age Factors; Anticonvulsants; Chemical and Drug Induced Liver Inj

2003
Ginkgo biloba extract: as a novel agent in prevention of valproic acid hepatotoxicity.
    Medical hypotheses, 2007, Volume: 68, Issue:4

    Topics: Anticonvulsants; Antioxidants; Free Radical Scavengers; Ginkgo biloba; Glutathione; Hepatocytes; Hum

2007
Valproic acid-induced hepatopathy: nine new fatalities in Germany from 1994 to 2003.
    Epilepsia, 2006, Volume: 47, Issue:12

    Topics: Adolescent; Adult; Age Factors; Anticonvulsants; Chemical and Drug Induced Liver Injury; Child; Chil

2006
Searching for a needle in a haystack: use of ICD-9-CM codes in drug-induced liver injury.
    The American journal of gastroenterology, 2007, Volume: 102, Issue:11

    Topics: Adolescent; Adult; Aged; Amoxicillin-Potassium Clavulanate Combination; Chemical and Drug Induced Li

2007
Simultaneous toxicities in a child on multiple anticonvulsants.
    Journal of child neurology, 2008, Volume: 23, Issue:9

    Topics: Anticonvulsants; Bone Marrow; Bone Marrow Diseases; Chemical and Drug Induced Liver Injury; Child, P

2008
Drugs and the liver.
    Comprehensive therapy, 1984, Volume: 10, Issue:12

    Topics: Acetaminophen; Adult; Aspirin; Chemical and Drug Induced Liver Injury; Chemical and Drug Induced Liv

1984
Sodium valproate and the liver.
    Lancet (London, England), 1980, Nov-22, Volume: 2, Issue:8204

    Topics: Chemical and Drug Induced Liver Injury; Child; Epilepsy; Humans; Liver; Liver Diseases; Valproic Aci

1980
Abnormal metabolism of valproic acid in fatal hepatic failure.
    European journal of pediatrics, 1983, Volume: 141, Issue:1

    Topics: Chemical and Drug Induced Liver Injury; Child; Epilepsy, Tonic-Clonic; Humans; Liver Diseases; Male;

1983
Blood ammonia measurement using a simple reflectometer.
    Journal of clinical chemistry and clinical biochemistry. Zeitschrift fur klinische Chemie und klinische Biochemie, 1984, Volume: 22, Issue:1

    Topics: Ammonia; Colorimetry; Humans; Liver Diseases; Quality Control; Valproic Acid

1984
Non-dose-related side effects of valproate.
    Epilepsia, 1984, Volume: 25 Suppl 1

    Topics: Abnormalities, Drug-Induced; Adolescent; Adult; Aged; Child; Child, Preschool; Epilepsy; Fat Necrosi

1984
Congenital liver damage after treatment of mother with valproic acid and phenytoin?
    Acta paediatrica Scandinavica, 1984, Volume: 73, Issue:4

    Topics: Adult; Epilepsy, Tonic-Clonic; Female; Humans; Infant; Liver; Liver Diseases; Maternal-Fetal Exchang

1984
On the toxicity of valproic acid.
    American journal of diseases of children (1960), 1984, Volume: 138, Issue:10

    Topics: Adolescent; Chemical and Drug Induced Liver Injury; Child; Child, Preschool; Female; Humans; Infant;

1984
Sodium valproate and routine liver function tests.
    Archives of disease in childhood, 1984, Volume: 59, Issue:9

    Topics: Chemical and Drug Induced Liver Injury; Child; Epilepsy; Humans; Liver Diseases; Liver Function Test

1984
Seizure management in acute hepatic porphyria: risks of valproate and clonazepam.
    Neurology, 1980, Volume: 30, Issue:6

    Topics: 5-Aminolevulinate Synthetase; Adult; Aminolevulinic Acid; Animals; Benzodiazepinones; Chick Embryo;

1980
Asterixis associated with sodium valproate.
    Neurology, 1981, Volume: 31, Issue:2

    Topics: Adult; Female; Humans; Liver Diseases; Male; Muscular Diseases; Posture; Valproic Acid

1981
Serum protein binding of valproic acid in healthy subjects and in patients with liver disease.
    International journal of clinical pharmacology, therapy, and toxicology, 1981, Volume: 19, Issue:7

    Topics: Binding, Competitive; Blood Proteins; Drug Interactions; Fatty Acids, Nonesterified; Humans; Liver D

1981
Adverse Drug Reactions Advisory Committee: ADRAC report for 1980.
    The Medical journal of Australia, 1982, May-15, Volume: 1, Issue:10

    Topics: Adolescent; Adult; Aged; Agranulocytosis; Australia; Bronchial Spasm; Chemical and Drug Induced Live

1982
2 cases of reversible liver lesion induced by valproate.
    Acta neurologica Scandinavica, 1982, Volume: 66, Issue:3

    Topics: Adult; Aged; Chemical and Drug Induced Liver Injury; Female; Humans; Liver; Liver Diseases; Valproic

1982
Sodium valproate-induced liver injury.
    The American journal of gastroenterology, 1982, Volume: 77, Issue:11

    Topics: Adult; Chemical and Drug Induced Liver Injury; Female; Humans; Liver Diseases; Valproic Acid

1982
Valproic acid producing a Reye-like syndrome.
    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 1982, Volume: 9, Issue:4

    Topics: Aspartate Aminotransferases; Chemical and Drug Induced Liver Injury; Chemical Phenomena; Chemistry;

1982
[Fatal hepatic necrosis during treatment with sodium valproate].
    Cahiers d'anesthesiologie, 1995, Volume: 43, Issue:3

    Topics: Adult; Anticonvulsants; Chemical and Drug Induced Liver Injury; Fatal Outcome; Hepatic Encephalopath

1995
Effect of chronic administration of sodium valproate on the morphology of the rat brain hemispheres.
    Neuropatologia polska, 1993, Volume: 31, Issue:3-4

    Topics: Animals; Brain; Capillary Permeability; Chemical and Drug Induced Liver Injury; Culture Techniques;

1993
Effects of valproate and E-2-en-valproate on functional and morphological parameters of rat liver. III. Influence of fasting.
    Epilepsy research, 1993, Volume: 16, Issue:3

    Topics: Animals; Chemical and Drug Induced Liver Injury; Fasting; Liver Diseases; Male; Random Allocation; R

1993
Valproic acid hepatic fatalities. III. U.S. experience since 1986.
    Neurology, 1996, Volume: 46, Issue:2

    Topics: Adolescent; Adult; Anticonvulsants; Chemical and Drug Induced Liver Injury; Child; Child, Preschool;

1996
Valproate metabolites in high-dose valproate plus phenytoin therapy.
    Epilepsia, 1996, Volume: 37, Issue:12

    Topics: Adolescent; Alanine Transaminase; Aspartate Aminotransferases; Chemical and Drug Induced Liver Injur

1996
Effects of long-term administration of the antiepileptic drug--sodium valproate upon the ultrastructure of hepatocytes in rats.
    Experimental and toxicologic pathology : official journal of the Gesellschaft fur Toxikologische Pathologie, 1997, Volume: 49, Issue:3-4

    Topics: Animals; Anticonvulsants; Chemical and Drug Induced Liver Injury; Liver; Liver Diseases; Male; Micro

1997
Asymptomatic hyperammonemia in children treated with valproic acid.
    Journal of child neurology, 1997, Volume: 12, Issue:7

    Topics: Adolescent; Adult; Ammonia; Anticonvulsants; Carnitine; Child; Child, Preschool; Epilepsy; Female; H

1997
Complications of the ketogenic diet.
    Epilepsia, 1998, Volume: 39, Issue:7

    Topics: Adolescent; Carnitine; Child; Child, Preschool; Combined Modality Therapy; Epilepsy; Follow-Up Studi

1998
The effect of carbamazepine and sodium valproate on the blood and serum values of children from a third-world environment.
    Journal of child neurology, 1999, Volume: 14, Issue:11

    Topics: Adolescent; Anemia; Anticonvulsants; Black People; Carbamazepine; Child; Child, Preschool; Developin

1999
Pathomorphological changes in mouse liver and kidney during prolonged valproate administration.
    International journal of tissue reactions, 2000, Volume: 22, Issue:1

    Topics: Animals; Chemical and Drug Induced Liver Injury; Drug Administration Schedule; Epilepsy; Kidney; Kid

2000
Effect of L-carnitine treatment for valproate-induced hepatotoxicity.
    Neurology, 2001, May-22, Volume: 56, Issue:10

    Topics: Adolescent; Adult; Age Factors; Anticonvulsants; Carnitine; Chemical and Drug Induced Liver Injury;

2001
Retrospective evaluation of the effect of valproate therapy on transaminase elevations in patients with hepatitis C.
    Pharmacotherapy, 2001, Volume: 21, Issue:11

    Topics: Alanine Transaminase; Aspartate Aminotransferases; Chemical and Drug Induced Liver Injury; Chi-Squar

2001
Effect of L-carnitine treatment for valproate-induced hepatotoxicity.
    Neurology, 2002, Feb-12, Volume: 58, Issue:3

    Topics: Anticonvulsants; Carnitine; Chemical and Drug Induced Liver Injury; Epilepsy; Humans; Liver Diseases

2002
Topiramate enhances the risk of valproate-associated side effects in three children.
    Epilepsia, 2002, Volume: 43, Issue:4

    Topics: Affective Symptoms; Anticonvulsants; Chemical and Drug Induced Liver Injury; Drug Therapy, Combinati

2002
Remission of West syndrome associated with valproate hepatotoxicity.
    Brain & development, 2002, Volume: 24, Issue:4

    Topics: Anticonvulsants; beta-Alanine; Chemical and Drug Induced Liver Injury; Electroencephalography; Femal

2002
Disposition of valproic acid in patients with liver disease.
    European journal of clinical pharmacology, 1978, Mar-17, Volume: 13, Issue:1

    Topics: Adult; Biological Availability; Half-Life; Hepatitis; Humans; Kinetics; Liver Cirrhosis, Alcoholic;

1978
Acute hepatic failure associated with the use of sodium valproate.
    The New England journal of medicine, 1979, Apr-26, Volume: 300, Issue:17

    Topics: Acute Disease; Chemical and Drug Induced Liver Injury; Child; Child, Preschool; Epilepsy; Humans; Li

1979
Early childhood hepatocerebral degeneration misdiagnosed as valproate hepatotoxicity.
    Annals of neurology, 1992, Volume: 32, Issue:6

    Topics: Brain; Chemical and Drug Induced Liver Injury; Diagnostic Errors; Diffuse Cerebral Sclerosis of Schi

1992
Liver damage in long-term anticonvulsant therapy: a serological and histological study.
    The Quarterly journal of medicine, 1991, Volume: 79, Issue:288

    Topics: Adult; Aged; Anticonvulsants; Carbamazepine; Chemical and Drug Induced Liver Injury; Drug Combinatio

1991
Valproic acid hepatotoxicity in adults and older children.
    Clinical pharmacy, 1991, Volume: 10, Issue:9

    Topics: Adult; Age Factors; Chemical and Drug Induced Liver Injury; Child; Humans; Liver Diseases; Valproic

1991
The high incidence of valproate hepatotoxicity in infants may relate to familial metabolic defects.
    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 1990, Volume: 17, Issue:2

    Topics: Chemical and Drug Induced Liver Injury; Humans; Infant; Liver Diseases; Male; Metabolism, Inborn Err

1990
Valproate metabolism during hepatotoxicity associated with the drug.
    The Quarterly journal of medicine, 1990, Volume: 77, Issue:284

    Topics: Adult; Chemical and Drug Induced Liver Injury; Female; Half-Life; Humans; Liver Diseases; Male; Midd

1990
Valproic acid hepatic fatalities. II. US experience since 1984.
    Neurology, 1989, Volume: 39, Issue:2 Pt 1

    Topics: Adolescent; Adult; Alanine Transaminase; Aspartate Aminotransferases; Chemical and Drug Induced Live

1989
Valproic acid hepatic fatalities: revised table.
    Neurology, 1989, Volume: 39, Issue:11

    Topics: Chemical and Drug Induced Liver Injury; Humans; Liver Diseases; Valproic Acid

1989
Fatal liver failure in children on valproate.
    Lancet (London, England), 1986, Aug-30, Volume: 2, Issue:8505

    Topics: Adolescent; Adult; Chemical and Drug Induced Liver Injury; Child; Child, Preschool; Epilepsy; German

1986
Distribution of sodium valproate in normal whole blood and in blood from patients with renal or hepatic disease.
    European journal of clinical pharmacology, 1985, Volume: 28, Issue:4

    Topics: Adult; Blood Proteins; Erythrocytes; Humans; Kidney Diseases; Kinetics; Liver Diseases; Middle Aged;

1985
Valproate hepatotoxicity: a review and report of two instances in adults.
    Clinical and experimental neurology, 1985, Volume: 21

    Topics: Adolescent; Adult; Chemical and Drug Induced Liver Injury; Electroencephalography; Epilepsy; Humans;

1985