Page last updated: 2024-10-26

valproic acid and Obesity

valproic acid has been researched along with Obesity in 71 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.

Obesity: A status with BODY WEIGHT that is grossly above the recommended standards, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).

Research Excerpts

ExcerptRelevanceReference
"The goal of this 5-year naturalistic study of patients treated with clozapine was to examine the incidence of treatment-emergent diabetes mellitus in relation to other factors, including weight gain, lipid abnormalities, age, clozapine dose, and treatment with valproate."9.09Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study. ( Cagliero, E; Goff, DC; Gray, C; Hayden, DL; Henderson, DC; Nasrallah, RA; Schoenfeld, DA, 2000)
"In the last years, a growing body of literature indicates an association between valproic acid therapy and weight gain."8.87Weight gain following treatment with valproic acid: pathogenetic mechanisms and clinical implications. ( Chiarelli, F; Coppola, G; D'Egidio, C; Mohn, A; Verrotti, A, 2011)
"Objectives: Clozapine-induced myocarditis may be a hypersensitivity reaction due to titration that was too rapid for a patient's clozapine metabolism."8.12Four cases of myocarditis in US hospitals possibly associated with clozapine poor metabolism and a comparison with prior published cases. ( Coleman, JK; Cotes, RO; De Leon, J; Goldsmith, DR; Koenig, M; McCollum, B; Shelton, C; Spivey, JK, 2022)
"To investigate the presence of insulin resistance in obese children with idiopathic epilepsy on valproic acid (VPA) monotherapy in comparison to obese otherwise healthy subjects."7.81Insulin resistance in patients on valproic acid: relation to adiponectin. ( Aly, RH; Amr, NH; Megahed, AA; Saad, WE, 2015)
"Valproic acid (VPA) is a useful antiepileptic drug for controlling different types of epilepsy."7.81[The prevalence of obesity and metabolic syndrome in paediatric patients with epilepsy treated in monotherapy with valproic acid]. ( Carmona-Vazquez, CR; Diaz-Garcia, L; Greenawalt, SR; Pena-Landin, DM; Ruiz-Garcia, M, 2015)
"Weight gain is a well-known unwanted effect of valproic acid (VPA) therapy."7.77Circulating levels of allopregnanolone, a neuroactive steroid, and leptin during treatment with valproic acid in children with epilepsy. ( Balestri, P; Barlocco, EG; Casarosa, E; Grosso, S; Luisi, S; Matera, M; Mostardini, R; Petraglia, F, 2011)
" However, the results of the present study do not suggest an independent role for leptin in the pathogenesis of VPA-related obesity."7.71Serum insulin and leptin levels in valproate-associated obesity. ( Isojärvi, JI; Knip, M; Kotila, M; Pakarinen, A; Pylvänen, V; Turkka, J, 2002)
"In order to investigate the possible role of valproic acid therapy in the development of obesity, hyperinsulinism and polycystic ovaries (PCOs), we have studied metabolic parameters and ovarian morphology in epileptic women."7.71Polycystic ovaries, obesity and insulin resistance in women with epilepsy. A comparative study of carbamazepine and valproic acid in 105 women. ( Abraham, I; Alge, A; Bauer, G; Haslinger, M; Lechleitner, M; Luef, G; Seppi, K; Trinka, E; Unterberger, I; Windisch, J, 2002)
"The interaction between clearance of phenytoin, valproic acid, phenobarbital and carbamazepine, and changes in body weight was determined in a 19-year-old obese woman with epilepsy (body weight 93 kg, BMI 36."7.69Clearance of phenytoin and valproic acid is affected by a small body weight reduction in an epileptic obese patient: a case study. ( Ashikari, Y; Chiba, S; Kodama, Y; Kuranari, M; Sakata, T; Takeyama, M, 1996)
"Aripiprazole plus a mood stabilizer has minimal impact on metabolic changes in predominantly overweight/obese BPD patients over a 52-week period."5.17Investigation into the long-term metabolic effects of aripiprazole adjunctive to lithium, valproate, or lamotrigine. ( Baker, RA; Carlson, BX; De Hert, M; Eudicone, JM; Fyans, P; Kemp, DE; Marler, SV; Rahman, Z, 2013)
"TEAM was a multi-site, 8-week, randomized clinical trial of risperidone, lithium, or divalproex in 279 medication-naïve patients, aged 6 through 15 years, with a DSM-IV diagnosis of bipolar disorder currently in manic or mixed phase."5.16Treatment moderators and predictors of outcome in the Treatment of Early Age Mania (TEAM) study. ( Axelson, DA; Birmaher, B; Emslie, G; Joshi, P; Luby, J; Riddle, MA; Robb, A; Ryan, ND; Tillman, R; Vitiello, B; Wagner, KD; Walkup, JT; Yenokyan, G, 2012)
"Body mass index (BMI) and fasting serum concentrations of insulin and lipids were measured in 102 men with epilepsy who were treated with VPA, carbamazepine (CBZ), or oxcarbazepine (OXC) monotherapy."5.10Fasting serum insulin and lipid levels in men with epilepsy. ( Isojärvi, JI; Knip, M; Kotila, M; Myllylä, VV; Pakarinen, AJ; Pylvänen, V; Rättyä, J; Turkka, J, 2003)
"Twenty-two female outpatients with a DSM-IV diagnosis of bipolar disorder who were between the ages of 18 and 45 years (inclusive) and who were taking lithium and/or divalproex (10, divalproex monotherapy; 10, lithium monotherapy; 2, divalproex/lithium combination therapy) were evaluated."5.09Medication status and polycystic ovary syndrome in women with bipolar disorder: a preliminary report. ( Altshuler, LL; Burt, VK; Gudeman, D; Hendrick, V; Korenman, S; Rasgon, NL; Tanavoli, S, 2000)
"The goal of this 5-year naturalistic study of patients treated with clozapine was to examine the incidence of treatment-emergent diabetes mellitus in relation to other factors, including weight gain, lipid abnormalities, age, clozapine dose, and treatment with valproate."5.09Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study. ( Cagliero, E; Goff, DC; Gray, C; Hayden, DL; Henderson, DC; Nasrallah, RA; Schoenfeld, DA, 2000)
"In the last years, a growing body of literature indicates an association between valproic acid therapy and weight gain."4.87Weight gain following treatment with valproic acid: pathogenetic mechanisms and clinical implications. ( Chiarelli, F; Coppola, G; D'Egidio, C; Mohn, A; Verrotti, A, 2011)
"Valproic acid (VPA), a widely used antiepileptic drug, has broad-spectrum activity against both generalized and partial epilepsy."4.85Valproate-induced insulin resistance and obesity in children. ( Chiarelli, F; la Torre, R; Mohn, A; Trotta, D; Verrotti, A, 2009)
" This reveals that the atypical antipsychotics are most likely to induce weight gain, in particular clozapine and olanzapine."4.82[Psychotropics and weight gain]. ( Bryois, Ch; Sahli, Ch, 2004)
"Mice in the HFD group displayed more severe albuminuria, glomerular hypertrophy, renal oxidative damage, inflammation, and lipid accumulation than mice with the normal diet (ND) group, as well as lower levels of intestinal SCFA valproic acid, colonic inflammation, and tight junction protein downregulation."4.31ACT001 Alleviates chronic kidney injury induced by a high-fat diet in mice through the GPR43/AMPK pathway. ( Chen, Z; Li, P; Li, Y; Liu, J; Mi, Y; Niu, B; Zhou, H; Zhou, Y, 2023)
"Objectives: Clozapine-induced myocarditis may be a hypersensitivity reaction due to titration that was too rapid for a patient's clozapine metabolism."4.12Four cases of myocarditis in US hospitals possibly associated with clozapine poor metabolism and a comparison with prior published cases. ( Coleman, JK; Cotes, RO; De Leon, J; Goldsmith, DR; Koenig, M; McCollum, B; Shelton, C; Spivey, JK, 2022)
"To investigate the presence of insulin resistance in obese children with idiopathic epilepsy on valproic acid (VPA) monotherapy in comparison to obese otherwise healthy subjects."3.81Insulin resistance in patients on valproic acid: relation to adiponectin. ( Aly, RH; Amr, NH; Megahed, AA; Saad, WE, 2015)
"Valproic acid (VPA) is a useful antiepileptic drug for controlling different types of epilepsy."3.81[The prevalence of obesity and metabolic syndrome in paediatric patients with epilepsy treated in monotherapy with valproic acid]. ( Carmona-Vazquez, CR; Diaz-Garcia, L; Greenawalt, SR; Pena-Landin, DM; Ruiz-Garcia, M, 2015)
"Weight gain is a well-known unwanted effect of valproic acid (VPA) therapy."3.77Circulating levels of allopregnanolone, a neuroactive steroid, and leptin during treatment with valproic acid in children with epilepsy. ( Balestri, P; Barlocco, EG; Casarosa, E; Grosso, S; Luisi, S; Matera, M; Mostardini, R; Petraglia, F, 2011)
"Our study was carried out to ascertain the role of valproic acid for inducing metabolic disorders like hyperinsulinemia, insulin resistance and metabolic syndrome."3.77Fasting insulin and HOMA-index changes in patients treated with valproic acid. ( Javashvili, L; Kasradze, S; Mania, M; Okujava, N, 2011)
"This study was undertaken in 2 parts to investigate the relationship between body size and insulin resistance during treatment with valproic acid in children."3.76Weight gain and insulin resistance in children treated with valproate: the influence of time. ( Chiarelli, F; Chiavaroli, V; de Giorgis, T; Giannini, C; Masuccio, F; Mohn, A; Verrotti, A, 2010)
"Valproic acid (VPA) is effective for the treatment of many types of epilepsy, but its use can be associated with an increase in body weight."3.75Nonalcoholic fatty liver disease during valproate therapy. ( Chiarelli, F; Di Marco, G; la Torre, R; Pelliccia, P; Verrotti, A, 2009)
" Anthropometric measurements, staging of pubertal maturation, and clinical manifestations of hyperandrogenism were assessed, as well as measurement of serum levels of testosterone, dehydroepiandrosterone sulfate (DHEAS), sex hormone-binding globulin (SHBG), and free androgen index (FAI)."3.72Physical growth and endocrinal disorders during pubertal maturation in girls with epilepsy. ( Abd El-Basset, FZ; El Barbary, NS; El-Khayat, HA; Hakky, SM; Mohamed, MS; Nassef, NM; Tohamy, SM; Tomoum, HY; Zaky, AA, 2004)
"In order to investigate the possible role of valproic acid therapy in the development of obesity, hyperinsulinism and polycystic ovaries (PCOs), we have studied metabolic parameters and ovarian morphology in epileptic women."3.71Polycystic ovaries, obesity and insulin resistance in women with epilepsy. A comparative study of carbamazepine and valproic acid in 105 women. ( Abraham, I; Alge, A; Bauer, G; Haslinger, M; Lechleitner, M; Luef, G; Seppi, K; Trinka, E; Unterberger, I; Windisch, J, 2002)
" However, the results of the present study do not suggest an independent role for leptin in the pathogenesis of VPA-related obesity."3.71Serum insulin and leptin levels in valproate-associated obesity. ( Isojärvi, JI; Knip, M; Kotila, M; Pakarinen, A; Pylvänen, V; Turkka, J, 2002)
"The interaction between clearance of phenytoin, valproic acid, phenobarbital and carbamazepine, and changes in body weight was determined in a 19-year-old obese woman with epilepsy (body weight 93 kg, BMI 36."3.69Clearance of phenytoin and valproic acid is affected by a small body weight reduction in an epileptic obese patient: a case study. ( Ashikari, Y; Chiba, S; Kodama, Y; Kuranari, M; Sakata, T; Takeyama, M, 1996)
"Valproic acid (VPA) is a widely prescribed anticonvulsant for the treatment of epilepsy."1.40Valproic acid is a novel activator of AMP-activated protein kinase and decreases liver mass, hepatic fat accumulation, and serum glucose in obese mice. ( Avery, LB; Bumpus, NN, 2014)
"Valproic acid was found to have a significant impact on the worsening of BMI from overweight to obesity (P<0."1.40The use of psychiatric drugs and worsening body mass index among inpatients with schizophrenia. ( Ching, HY; Wang, PS; Wu, SL, 2014)
" No correlation was found between duration or dosage of treatment and BMI-SDS, height-SDS, or androgen level."1.34Endocrine effects of valproate in adolescent girls with epilepsy. ( de Vries, L; Goldberg-Stern, H; Karasik, A; Kiviti, S; Landau, Z; Phillip, M, 2007)
"Metabolic syndrome was more frequently associated with VPA-treated patients (41."1.34Metabolic and hormonal disturbances in women with epilepsy on antiepileptic drug monotherapy. ( Kim, JY; Lee, HW, 2007)
"Drug-induced weight gain is a serious side effect of many commonly used drugs leading to noncompliance with therapy and to exacerbation of comorbid conditions related to obesity."1.33Drug-induced weight gain. ( Apovian, CM; Ness-Abramof, R, 2005)
"Polycystic ovary syndrome was more common in patients on medication (38%; in 63% on VPA, in 25% on other medication) than in patients off medication (6%) or in controls (11%) (p = 0."1.32Long-term reproductive endocrine health in young women with epilepsy during puberty. ( Isojärvi, JI; Järvelä, IY; Knip, M; Mikkonen, K; Pakarinen, AJ; Tapanainen, JS; Vainionpää, LK, 2004)
" The patients were divided into two groups based on the initial dosing regimen."1.31Tolerability of oral loading of divalproex sodium in child psychiatry inpatients. ( Feaster, CS; Good, CR; Krecko, VF, 2001)

Research

Studies (71)

TimeframeStudies, this research(%)All Research%
pre-19901 (1.41)18.7374
1990's5 (7.04)18.2507
2000's35 (49.30)29.6817
2010's26 (36.62)24.3611
2020's4 (5.63)2.80

Authors

AuthorsStudies
Marjani, M1
Dolab, N1
Kamkar, MZ1
Amiriani, T1
Yuzugulen, J1
Marjani, A1
Koenig, M1
McCollum, B1
Spivey, JK1
Coleman, JK1
Shelton, C1
Cotes, RO1
Goldsmith, DR1
De Leon, J1
Zhou, Y1
Chen, Z1
Zhou, H1
Niu, B1
Liu, J1
Li, Y2
Mi, Y1
Li, P1
Platzer, M1
Fellendorf, FT1
Bengesser, SA1
Birner, A1
Dalkner, N1
Hamm, C1
Lenger, M1
Maget, A1
Pilz, R1
Queissner, R1
Reininghaus, B1
Reiter, A1
Mangge, H1
Zelzer, S1
Kapfhammer, HP1
Reininghaus, EZ1
Gotlib, D1
Ramaswamy, R1
Kurlander, JE1
DeRiggi, A1
Riba, M1
Bai, X1
Xu, C1
Wen, D1
Chen, Y1
Li, H1
Wang, X1
Zhou, L1
Huang, M1
Jin, J1
Kmietowicz, Z1
Avery, LB1
Bumpus, NN1
Chukwu, J1
Delanty, N1
Webb, D1
Cavalleri, GL1
Wang, PS1
Wu, SL1
Ching, HY1
Aly, RH1
Amr, NH1
Saad, WE1
Megahed, AA1
Barnhorst, A1
Xiong, GL1
Carmona-Vazquez, CR1
Ruiz-Garcia, M1
Pena-Landin, DM1
Diaz-Garcia, L1
Greenawalt, SR1
Ma, L1
Tang, H1
Yin, Y1
Yu, R1
Zhao, J1
Mulholland, MW1
Zhang, W1
Nuttall, JR1
Chen, PS3
Chang, HH3
Huang, CC1
Lee, CC1
Lee, SY1
Chen, SL1
Huang, SY1
Yang, YK3
Lu, RB3
Aydin, S1
Dag, E1
Elmslie, JL1
Porter, RJ1
Joyce, PR1
Hunt, PJ1
Shand, BI1
Scott, RS1
Verrotti, A9
Di Marco, G1
la Torre, R2
Pelliccia, P1
Chiarelli, F9
Trotta, D2
Mohn, A3
Chou, CH1
Gean, PW2
Huang, HC2
Lin, CY1
Kenna, HA1
Jiang, B1
Rasgon, NL2
Manco, R2
Agostinelli, S1
Coppola, G2
Bond, DJ1
Kauer-Sant'Anna, M1
Lam, RW1
Yatham, LN1
Abaci, A1
Saygi, M1
Yis, U1
Demir, K1
Dirik, E1
Bober, E1
Masuccio, F1
Chiavaroli, V1
de Giorgis, T1
Giannini, C1
D'Egidio, C1
Grosso, S1
Luisi, S1
Mostardini, R1
Matera, M1
Barlocco, EG1
Casarosa, E1
Balestri, P1
Petraglia, F1
Mania, M1
Javashvili, L1
Kasradze, S1
Okujava, N1
Kanemura, H1
Sano, F1
Maeda, Y1
Sugita, K1
Aihara, M1
Fang, J1
Chen, S1
Tong, N1
Chen, L1
An, D1
Mu, J1
Zhou, D1
Vitiello, B1
Riddle, MA1
Yenokyan, G1
Axelson, DA1
Wagner, KD1
Joshi, P1
Walkup, JT1
Luby, J1
Birmaher, B1
Ryan, ND1
Emslie, G1
Robb, A1
Tillman, R1
Youngson, NA1
Morris, MJ1
Kemp, DE1
De Hert, M1
Rahman, Z1
Fyans, P1
Eudicone, JM1
Marler, SV1
Baker, RA1
Carlson, BX1
Swartz, HA1
Fagiolini, A1
Krępuła, K1
Bidzińska-Speichert, B1
Lenarcik, A1
Tworowska-Bardzińska, U1
Luef, G1
Abraham, I1
Haslinger, M1
Trinka, E1
Seppi, K1
Unterberger, I1
Alge, A1
Windisch, J1
Lechleitner, M1
Bauer, G1
Saito, E1
Kafantaris, V1
Akdeniz, F1
Taneli, F1
Noyan, A1
Yüncü, Z1
Vahip, S1
Pylvänen, V3
Knip, M6
Pakarinen, AJ4
Turkka, J2
Kotila, M2
Rättyä, J2
Myllylä, VV2
Isojärvi, JI5
Biton, V1
Levisohn, P1
Hoyler, S1
Vuong, A1
Hammer, AE1
Wirrell, EC1
Bosnak, M1
Dikici, B1
Haspolat, K1
Dagli, A1
Dikici, S1
Tavakoli, SA1
Arguisola, MS1
di Corcia, G1
Salladini, C1
Morgese, G1
Mikkonen, K1
Vainionpää, LK1
Järvelä, IY1
Tapanainen, JS2
Greco, R2
Latini, G2
De Simone, M1
El-Khayat, HA1
Abd El-Basset, FZ1
Tomoum, HY1
Tohamy, SM1
Zaky, AA1
Mohamed, MS1
Hakky, SM1
El Barbary, NS1
Nassef, NM1
Sahli, Ch1
Bryois, Ch1
Klein, KM1
Hamer, HM1
Reis, J1
Schmidtke, J1
Oertel, WH1
Theisen, FM1
Hebebrand, J1
Rosenow, F1
Ness-Abramof, R1
Apovian, CM1
Iannetti, P1
Pakarinen, A2
Isojärvi, J1
de Vries, L1
Karasik, A1
Landau, Z1
Phillip, M1
Kiviti, S1
Goldberg-Stern, H1
Kim, B1
Kim, SJ1
Son, JI1
Joo, YH1
Kim, JY1
Lee, HW1
Scardapane, A1
Franzoni, E1
Vorum, H2
Gram, L1
Honoré, B1
Laatikainen, TJ1
Juntunen, KT1
Kuranari, M1
Chiba, S1
Ashikari, Y1
Kodama, Y1
Sakata, T1
Takeyama, M1
Johnston, HF1
Altshuler, LL1
Gudeman, D1
Burt, VK1
Tanavoli, S1
Hendrick, V1
Korenman, S1
Henderson, DC1
Cagliero, E1
Gray, C1
Nasrallah, RA1
Hayden, DL1
Schoenfeld, DA1
Goff, DC1
Good, CR1
Feaster, CS1
Krecko, VF1
Stephen, LJ1
Kwan, P1
Shapiro, D1
Dominiczak, M1
Brodie, MJ1
Taubøll, E1
van Parys, J1
Harbo, HF1
Dale, PO1
Fauser, BC1
Gjerstad, L1
Koivunen, R1
Brodersen, R1
Jørgensen, N1
Krukow, N1
Squadrito, F1
Sturniolo, R1
Arcadi, F1
Arcoraci, V1
Caputi, AP1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Treatment of Early Age Mania (TEAM) Study[NCT00057681]Phase 3379 participants (Actual)Interventional2003-02-28Completed
1/2-MC4R Genotype and Pediatric Antipsychotic Drug- Induced Weight Gain[NCT01844700]Phase 414 participants (Actual)Interventional2013-07-31Terminated (stopped due to very slow recruitment, no sufficient results)
A Double-Blind, Placebo-Controlled Trial of Rosiglitazone for Clozapine Induced Glucose Metabolism Impairment: Bergman's Minimal Model Analysis[NCT00337350]Phase 420 participants (Actual)Interventional2003-09-30Completed
An Open Label Trial of Ziprasidone as an Adjuvant for Clozapine- or Olanzapine-Associated Diabetes Mellitus or Impaired Fasting Glucose in Chronic Schizophrenia[NCT00351000]Phase 424 participants (Actual)Interventional2005-01-31Completed
Aripiprazole for Clozapine Associated Medical Morbidity[NCT00345033]Phase 438 participants (Actual)Interventional2005-03-31Completed
Reducing Cardiovascular Risk in Adults With Serious Mental Illness Using an Electronic Medical Record-based Clinical Decision Support[NCT02451670]10,347 participants (Actual)Interventional2016-01-20Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Clinical Global Impressions-Bipolar Mania Improvement

The Clinical Global Impressions-Bipolar (CGI-BP) assessment instrument measured improvement in mania, depression, and overall bipolar illness. The primary outcome measure was mania improvement, which measured the change in mania from baseline. Scores were 1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, 7=very much worse. (NCT00057681)
Timeframe: Measured at Week 8

Interventionunits on a scale (Mean)
Randomized Medication - Lithium2.49
Randomized Medication - Divalproex Sodium2.73
Randomized Medication - Risperidone1.70

K-SADS Mania Rating Scale

The K-SADS Mania Rating Scale (KMRS) is comprised of 15 items modified from WASH-U-KSADS items. The individual items are scored on a 1-6 severity scale and then these item scores are summed to create an overall KMRS score. Guidelines for interpretation are as follows: 0-11 = no or minimal mania, 12-17 = mild mania, 18-25 = moderate mania, 26+ = marked or worse mania. The maximum possible score is 64. (NCT00057681)
Timeframe: Measured at Week 8

Interventionunits on a scale (Mean)
Randomized Medication - Lithium24.06
Randomized Medication - Divalproex Sodium26.31
Randomized Medication - Risperidone14.58

Modified Side Effects Form for Children and Adolescents

The Modified Side Effects Form for Children and Adolescents includes 62 potential side effects, with measures of frequency and severity for each item. Frequencies are 0=not present, 1=1-2 days, 2=3-4 days, 3=5-7 days. Severity scores are 0=not present, 1=mild (does not interfere with functioning), 2=moderate (some interference with functioning), 3=severe (functioning is significantly impaired because of side effects). Items for cardiovascular, gastrointestinal, central nervous system, ocular, mouth and nose, genito urinary, dermatology, musculo-skeletal, and other side effects are included. For analyses, side effects that were reported at any frequency and a severity of 2 or greater were considered present. (NCT00057681)
Timeframe: Measured at Week 8

Interventionside effects at week 8 (Mean)
Randomized Medication - Lithium5.11
Randomized Medication - Divalproex Sodium4.95
Randomized Medication - Risperidone3.70

Percent Weight Change Compared to Baseline Weight

(NCT01844700)
Timeframe: baseline to week 12

Interventionpercentage of weight change (Mean)
Ziprasidone11.58
Aripiprazole, Quetiapine, Risperidone5.66

BMI Percentile

(NCT01844700)
Timeframe: baseline to week 12

,
InterventionBMI percentile (Mean)
baselineweek 12 (n=1, n=2)
Aripiprazole, Quetiapine, Risperidone37.6762.5
Ziprasidone3259

BMI Z-scores

(NCT01844700)
Timeframe: baseline to week 12

,
InterventionBMI z-score (Mean)
baselineweek 12 (n=1, n=2)
Aripiprazole, Quetiapine, Risperidone-0.370.38
Ziprasidone-0.510.22

Weight Change

(NCT01844700)
Timeframe: baseline to week 12

,
Interventionlbs (Mean)
baselineweek 12 (n=1,2)
Aripiprazole, Quetiapine, Risperidone118.5141
Ziprasidone120.5151

Change From Baseline in Acute Insulin Response to Glucose (AIRG)

Acute insulin response to glucose (AIRG) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in SG between Baseline and week 8. AIRG was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. AIRG measures the acute(0-10 min) beta cell response to a glucose load calculated by the areas under the curve higher than basal insulin values. The AIRG was assessed as the incremental area under the curve (calculated by the trapezoid rule) from 0 to 10 min of the FSIVGTT. (NCT00337350)
Timeframe: baseline, week 8

InterventionUnits/mL per 10 minutes (Mean)
Rosiglitazone-151
Placebo19

Change From Baseline in Insulin Sensitivity

Insulin Sensitivity (IS) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in IS between Baseline and week 8. SI was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. SI represents the increase in net fractional glucose clearance rate per unit change in serum insulin concentration after the intravenous glucose load (microUnits/mL). (NCT00337350)
Timeframe: baseline, week 8

InterventionmicroUnits/mL (Mean)
Rosiglitazone3.2
Placebo0.4

Change From Baseline on Glucose Utilization (SG)

Glucose utilization (SG) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in SG between Baseline and week 8. SG was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. SG represents the net fractional glucose clearance rate because of the increase in glucose independent of any increase in circulating insulin concentrations above baseline. (NCT00337350)
Timeframe: baseline, week 8

Interventionmin^-1 (Mean)
Rosiglitazone.002
Placebo-0.01

Change From Baseline in Fasting Glucose

Subjects on clozapine with adjunctive ziprasidone were compared to subjects on olanzapine with adjunctive ziprasidone on change in fasting glucose levels from baseline to study endpoint (week 6 - baseline) (NCT00351000)
Timeframe: baseline, week 6

Interventionmg/dL (Mean)
Clozapine Treatment With Adjunctive Ziprasidone5
Olanzapine Treatment With Adjunctive Ziprasidone-4.5

Change From Baseline on Fasting Insulin

Subjects on clozapine with adjunctive ziprasidone were compared to subjects on olanzapine with adjunctive ziprasidone on change in fasting insulin levels from baseline to study endpoint (week 6 - baseline) (NCT00351000)
Timeframe: baseline, week 6

InterventionmicroIU/L (Mean)
Clozapine Treatment With Adjunctive Ziprasidone1
Olanzapine Treatment With Adjunctive Ziprasidone-0.9

Change in Body Mass Index (BMI)

A comparison between aripiprazole group and placebo group of change in Body Mass Index (BMI) measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionkg/m^2 (Mean)
Aripiprazole-0.52
Placebo0.03

Change in Glucose Metabolism

A comparison between the aripiprazole group and placebo group in change in glucose metabolism measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionmin^-1 (Mean)
Aripiprazole0.003
Placebo-0.005

Change in Insulin Resistance

A comparison between aripiprazole group and placebo group of change in insulin resistance measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

InterventionHOMA score (Mean)
Aripiprazole0.6
Placebo0.65

Change in Total Cholesterol

A comparison of aripiprazole group and placebo group in change in total cholesterol measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionmg/dL (Mean)
Aripiprazole-15.3
Placebo5.6

Change in Triglycerides

(NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionmg/dL (Mean)
Aripiprazole-5.9
Placebo-7.3

Change in Weight

A comparison between aripiprazole group and placebo group in change in weight measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionkg (Mean)
Aripiprazole-1.5
Placebo0.3

Predicted Annual Rate of Change in 10 Year Risk of Fatal or Nonfatal Heart Attack or Stroke

A modifiable risk component for each cardiovascular risk factor not at optimal goal at the time of each encounter was calculated as the difference between total 10-year atherosclerotic cardiovascular disease risk with the patient's actual values and the goal value. Total modifiable cardiovascular risk was calculated by summing the modifiable cardiovascula risk components across cardiovascular risk factors not at optimal goal at the time of the encounter, and was calculated for each enrolled patient at the index visit and each subsequent encounter during the intervention period. Annual rate of change in modifiable cardiovascular risk was estimated from all patient encounters. A comparison of the difference in model-estimated rate of change in modifiable cardiovascular risk at 12 months post-index tested the primary efficacy hypothesis. (NCT02451670)
Timeframe: Index to 12 months post index visit

Interventionpercentage of annual rate of change (Number)
Prioritized Clinical Decision Support14.2
Usual Care20.8

Reviews

10 reviews available for valproic acid and Obesity

ArticleYear
Valproic Acid in Women and Girls of Childbearing Age.
    Current psychiatry reports, 2017, Volume: 19, Issue:9

    Topics: Abnormalities, Drug-Induced; Adolescent; Adult; Anticonvulsants; Antimanic Agents; Europe; Female; H

2017
Weight change, genetics and antiepileptic drugs.
    Expert review of clinical pharmacology, 2014, Volume: 7, Issue:1

    Topics: Animals; Anticonvulsants; Epilepsy; gamma-Aminobutyric Acid; Genetic Predisposition to Disease; Huma

2014
The plausibility of maternal toxicant exposure and nutritional status as contributing factors to the risk of autism spectrum disorders.
    Nutritional neuroscience, 2017, Volume: 20, Issue:4

    Topics: Animals; Autism Spectrum Disorder; Benzhydryl Compounds; Brain; Diethylhexyl Phthalate; Disease Mode

2017
Valproate-induced insulin resistance and obesity in children.
    Hormone research, 2009, Volume: 71, Issue:3

    Topics: Anticonvulsants; Child; Epilepsy; Humans; Insulin Resistance; Obesity; Valproic Acid; Weight Gain

2009
Reproductive and metabolic abnormalities associated with bipolar disorder and its treatment.
    Harvard review of psychiatry, 2009, Volume: 17, Issue:2

    Topics: Bipolar Disorder; Dyslipidemias; Endocrine System Diseases; Female; Humans; Hypogonadism; Hypothalam

2009
Weight gain following treatment with valproic acid: pathogenetic mechanisms and clinical implications.
    Obesity reviews : an official journal of the International Association for the Study of Obesity, 2011, Volume: 12, Issue:5

    Topics: Androgens; Anticonvulsants; Epilepsy; Female; Humans; Insulin Resistance; Male; Metabolic Syndrome;

2011
What obesity research tells us about epigenetic mechanisms.
    Philosophical transactions of the Royal Society of London. Series B, Biological sciences, 2013, Jan-05, Volume: 368, Issue:1609

    Topics: Adipogenesis; Animals; Diet, High-Fat; DNA Methylation; Environmental Exposure; Epigenesis, Genetic;

2013
Cardiovascular disease and bipolar disorder: risk and clinical implications.
    The Journal of clinical psychiatry, 2012, Volume: 73, Issue:12

    Topics: Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Body Mass Index; Cardiovascular Diseases;

2012
Psychiatric disorders related to polycystic ovary syndrome.
    Endokrynologia Polska, 2012, Volume: 63, Issue:6

    Topics: Antimanic Agents; Bipolar Disorder; Depression; Feeding and Eating Disorders; Female; Hirsutism; Hor

2012
[Psychotropics and weight gain].
    Praxis, 2004, Aug-25, Volume: 93, Issue:35

    Topics: Adolescent; Adult; Amisulpride; Antidepressive Agents; Antimanic Agents; Antipsychotic Agents; Aripi

2004

Trials

8 trials available for valproic acid and Obesity

ArticleYear
Valproate sodium enhances body weight gain in patients with childhood epilepsy: a pathogenic mechanisms and open-label clinical trial of behavior therapy.
    Seizure, 2012, Volume: 21, Issue:7

    Topics: Adolescent; Anticonvulsants; Behavior Therapy; Body Mass Index; Child; Epilepsy; Female; Humans; Hyp

2012
Treatment moderators and predictors of outcome in the Treatment of Early Age Mania (TEAM) study.
    Journal of the American Academy of Child and Adolescent Psychiatry, 2012, Volume: 51, Issue:9

    Topics: Adolescent; Age Factors; Anticonvulsants; Antimanic Agents; Antipsychotic Agents; Attention Deficit

2012
Investigation into the long-term metabolic effects of aripiprazole adjunctive to lithium, valproate, or lamotrigine.
    Journal of affective disorders, 2013, May-15, Volume: 148, Issue:1

    Topics: Adult; Antipsychotic Agents; Aripiprazole; Bipolar Disorder; Body Weight; Double-Blind Method; Drug

2013
Fasting serum insulin and lipid levels in men with epilepsy.
    Neurology, 2003, Feb-25, Volume: 60, Issue:4

    Topics: Adolescent; Adult; Anticonvulsants; Body Mass Index; Carbamazepine; Epilepsy; Fasting; Humans; Hyper

2003
Lamotrigine versus valproate monotherapy-associated weight change in adolescents with epilepsy: results from a post hoc analysis of a randomized, double-blind clinical trial.
    Journal of child neurology, 2003, Volume: 18, Issue:2

    Topics: Administration, Oral; Adolescent; Adult; Anticonvulsants; Body Mass Index; Child; Double-Blind Metho

2003
Obesity and plasma concentrations of alpha-tocopherol and beta-carotene in epileptic girls treated with valproate.
    Neuroendocrinology, 2004, Volume: 79, Issue:3

    Topics: Adolescent; alpha-Tocopherol; Anticonvulsants; Antioxidants; beta Carotene; Body Weight; Carotenoids

2004
Medication status and polycystic ovary syndrome in women with bipolar disorder: a preliminary report.
    The Journal of clinical psychiatry, 2000, Volume: 61, Issue:3

    Topics: Adolescent; Adult; Anticonvulsants; Bipolar Disorder; Drug Administration Schedule; Drug Therapy, Co

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000

Other Studies

53 other studies available for valproic acid and Obesity

ArticleYear
Gender and Body Mass Index-Related Serum Level of Adipokines and Metabolic Syndrome Components in Bipolar Patients Who Received Lithium and Valproic Acid.
    Metabolic syndrome and related disorders, 2022, Volume: 20, Issue:2

    Topics: Adipokines; Adiponectin; Bipolar Disorder; Body Mass Index; Cholesterol, HDL; Female; Humans; Leptin

2022
Four cases of myocarditis in US hospitals possibly associated with clozapine poor metabolism and a comparison with prior published cases.
    Neuropsychopharmacologia Hungarica : a Magyar Pszichofarmakologiai Egyesulet lapja = official journal of the Hungarian Association of Psychopharmacology, 2022, 03-01, Volume: 24, Issue:1

    Topics: Antipsychotic Agents; Clozapine; Hospitals; Humans; Male; Myocarditis; Obesity; Schizophrenia; Valpr

2022
ACT001 Alleviates chronic kidney injury induced by a high-fat diet in mice through the GPR43/AMPK pathway.
    Lipids in health and disease, 2023, Nov-18, Volume: 22, Issue:1

    Topics: AMP-Activated Protein Kinases; Animals; Diet, High-Fat; Female; Inflammation; Kelch-Like ECH-Associa

2023
The Relationship Between Food Craving, Appetite-Related Hormones and Clinical Parameters in Bipolar Disorder.
    Nutrients, 2020, Dec-29, Volume: 13, Issue:1

    Topics: Acylation; Adult; Anthropometry; Appetite; Bipolar Disorder; Craving; Cross-Sectional Studies; Fast

2020
Polymorphisms of peroxisome proliferator-activated receptor γ (PPARγ) and cluster of differentiation 36 (CD36) associated with valproate-induced obesity in epileptic patients.
    Psychopharmacology, 2018, Volume: 235, Issue:9

    Topics: Adolescent; Adult; Alleles; Anticonvulsants; Asian People; Body Mass Index; Body Weight; CD36 Antige

2018
More drug studies need to include pregnant women, says bulletin.
    BMJ (Clinical research ed.), 2013, Jun-14, Volume: 346

    Topics: Anticonvulsants; Clinical Trials as Topic; Drug Industry; Female; Humans; Hypnotics and Sedatives; M

2013
Valproic acid is a novel activator of AMP-activated protein kinase and decreases liver mass, hepatic fat accumulation, and serum glucose in obese mice.
    Molecular pharmacology, 2014, Volume: 85, Issue:1

    Topics: Acetyl-CoA Carboxylase; Adiposity; Adult; AMP-Activated Protein Kinases; Animals; Blood Glucose; Cel

2014
The use of psychiatric drugs and worsening body mass index among inpatients with schizophrenia.
    International clinical psychopharmacology, 2014, Volume: 29, Issue:4

    Topics: Adult; Antipsychotic Agents; Body Mass Index; Case-Control Studies; Diagnostic and Statistical Manua

2014
Insulin resistance in patients on valproic acid: relation to adiponectin.
    Acta neurologica Scandinavica, 2015, Volume: 131, Issue:3

    Topics: Adiponectin; Adolescent; Anticonvulsants; Blood Glucose; Child; Epilepsy, Generalized; Female; Human

2015
Pulmonary embolism in a psychiatric patient.
    The American journal of psychiatry, 2014, Nov-01, Volume: 171, Issue:11

    Topics: Adult; Aggression; Antipsychotic Agents; Autopsy; Benzodiazepines; Bipolar Disorder; Catatonia; Deat

2014
[The prevalence of obesity and metabolic syndrome in paediatric patients with epilepsy treated in monotherapy with valproic acid].
    Revista de neurologia, 2015, Sep-01, Volume: 61, Issue:5

    Topics: Adolescent; Anticonvulsants; Child; Cross-Sectional Studies; Epilepsy; Female; Humans; Male; Metabol

2015
HDAC5-mTORC1 Interaction in Differential Regulation of Ghrelin and Nucleobindin 2 (NUCB2)/Nesfatin-1.
    Molecular endocrinology (Baltimore, Md.), 2015, Volume: 29, Issue:11

    Topics: Acetylation; Adaptor Proteins, Signal Transducing; Animals; Calcium-Binding Proteins; Cell Line; DNA

2015
A longitudinal study of the association between the GNB3 C825T polymorphism and metabolic disturbance in bipolar II patients treated with valproate.
    The pharmacogenomics journal, 2017, Volume: 17, Issue:2

    Topics: Adult; Antimanic Agents; Biomarkers; Bipolar Disorder; Body Mass Index; Case-Control Studies; Dyslip

2017
Does ghrelin really increase in epileptic children treated with valproate?
    Journal of child neurology, 2008, Volume: 23, Issue:9

    Topics: Anticonvulsants; Child; Clinical Laboratory Techniques; Epilepsy; Ghrelin; Humans; Molecular Weight;

2008
Comparison of insulin resistance, metabolic syndrome and adiponectin in overweight bipolar patients taking sodium valproate and controls.
    The Australian and New Zealand journal of psychiatry, 2009, Volume: 43, Issue:1

    Topics: Adiponectin; Adult; Anticonvulsants; Antipsychotic Agents; Bipolar Disorder; Body Mass Index; Comorb

2009
Nonalcoholic fatty liver disease during valproate therapy.
    European journal of pediatrics, 2009, Volume: 168, Issue:11

    Topics: Anticonvulsants; Body Mass Index; Child; Epilepsy; Fatty Liver; Fatty Liver, Alcoholic; Female; Huma

2009
High prevalence of metabolic disturbances in patients with bipolar disorder in Taiwan.
    Journal of affective disorders, 2009, Volume: 117, Issue:1-2

    Topics: Adult; Analysis of Variance; Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Blood Glucose

2009
The metabolic syndrome in overweight epileptic patients treated with valproic acid.
    Epilepsia, 2010, Volume: 51, Issue:2

    Topics: Adolescent; Anticonvulsants; Body Mass Index; Cardiovascular Diseases; Child; Comorbidity; Dyslipide

2010
Weight gain, obesity, and metabolic indices following a first manic episode: prospective 12-month data from the Systematic Treatment Optimization Program for Early Mania (STOP-EM).
    Journal of affective disorders, 2010, Volume: 124, Issue:1-2

    Topics: Adult; Antimanic Agents; Antipsychotic Agents; Benzodiazepines; Bipolar Disorder; Blood Glucose; Bod

2010
Metabolic alterations during valproic acid treatment: a prospective study.
    Pediatric neurology, 2009, Volume: 41, Issue:6

    Topics: Adolescent; Androgens; Anticonvulsants; Blood Glucose; Body Mass Index; Child; Child, Preschool; Cho

2009
The role of valproate in metabolic disturbances in bipolar disorder patients.
    Journal of affective disorders, 2010, Volume: 124, Issue:3

    Topics: Adult; Anticonvulsants; Bipolar Disorder; Blood Glucose; Body Mass Index; Cholesterol, HDL; Choleste

2010
Weight gain and insulin resistance in children treated with valproate: the influence of time.
    Journal of child neurology, 2010, Volume: 25, Issue:8

    Topics: Anticonvulsants; Child; Child, Preschool; Cohort Studies; Cross-Sectional Studies; Female; Homeostas

2010
Circulating levels of allopregnanolone, a neuroactive steroid, and leptin during treatment with valproic acid in children with epilepsy.
    Neuroendocrinology, 2011, Volume: 93, Issue:3

    Topics: Anticonvulsants; Child; Epilepsy; Female; Humans; Immunoassay; Leptin; Male; Obesity; Pregnanolone;

2011
Fasting insulin and HOMA-index changes in patients treated with valproic acid.
    Georgian medical news, 2011, Issue:199

    Topics: Adult; Blood Glucose; Body Mass Index; C-Peptide; Carbamazepine; Cholesterol, HDL; Epilepsy; Female;

2011
Metabolic syndrome among Chinese obese patients with epilepsy on sodium valproate.
    Seizure, 2012, Volume: 21, Issue:8

    Topics: Adolescent; Adult; Anticonvulsants; Asian People; Epilepsy; Female; Humans; Male; Metabolic Syndrome

2012
Polycystic ovaries, obesity and insulin resistance in women with epilepsy. A comparative study of carbamazepine and valproic acid in 105 women.
    Journal of neurology, 2002, Volume: 249, Issue:7

    Topics: Adult; Anticonvulsants; Carbamazepine; Epilepsy; Female; Humans; Insulin Resistance; Obesity; Polycy

2002
Can diabetes mellitus be induced by medication?
    Journal of child and adolescent psychopharmacology, 2002,Fall, Volume: 12, Issue:3

    Topics: Adolescent; Antipsychotic Agents; Diabetes Mellitus; Drug Therapy, Combination; Female; Humans; Male

2002
Valproate-associated reproductive and metabolic abnormalities: are epileptic women at greater risk than bipolar women?
    Progress in neuro-psychopharmacology & biological psychiatry, 2003, Volume: 27, Issue:1

    Topics: Adult; Antimanic Agents; Bipolar Disorder; Cross-Sectional Studies; Endocrine System; Epilepsy; Fema

2003
Valproic acid-associated weight gain in older children and teens with epilepsy.
    Pediatric neurology, 2003, Volume: 28, Issue:2

    Topics: Adolescent; Anticonvulsants; Body Mass Index; Child; Epilepsy; Female; Follow-Up Studies; Humans; Ma

2003
Do epileptic children treated with valproate have a risk of excessive weight gain?
    Journal of child neurology, 2003, Volume: 18, Issue:4

    Topics: Age Factors; Anticonvulsants; Child; Child, Preschool; Epilepsy; Female; Humans; Infant; Male; Obesi

2003
Diabetic ketoacidosis in a patient treated with olanzapine, valproic acid, and venlafaxine.
    Southern medical journal, 2003, Volume: 96, Issue:7

    Topics: Adult; Anticonvulsants; Antidepressive Agents, Second-Generation; Antipsychotic Agents; Benzodiazepi

2003
Serum insulin and leptin levels and valproate-associated obesity.
    Epilepsia, 2003, Volume: 44, Issue:12

    Topics: Adult; Anticonvulsants; Body Composition; Body Mass Index; Child; Epilepsy; Feedback; Female; Humans

2003
Long-term reproductive endocrine health in young women with epilepsy during puberty.
    Neurology, 2004, Feb-10, Volume: 62, Issue:3

    Topics: Adolescent; Anticonvulsants; Child; Cohort Studies; Comorbidity; Epilepsy; Female; Finland; Follow-U

2004
Physical growth and endocrinal disorders during pubertal maturation in girls with epilepsy.
    Epilepsia, 2004, Volume: 45, Issue:9

    Topics: Adolescent; Anticonvulsants; Carbamazepine; Child; Dehydroepiandrosterone; Epilepsy; Female; Growth;

2004
Weight change in monozygotic twins treated with valproate.
    Obesity research, 2005, Volume: 13, Issue:8

    Topics: Adolescent; Adult; Anticonvulsants; Child, Preschool; Diseases in Twins; Epilepsy; Female; Humans; M

2005
Drug-induced weight gain.
    Timely topics in medicine. Cardiovascular diseases, 2005, Oct-28, Volume: 9

    Topics: Anticonvulsants; Antipsychotic Agents; Humans; Obesity; Psychotropic Drugs; Risperidone; Valproic Ac

2005
Leptin, ghrelin, and adiponectin in epileptic patients treated with valproic acid.
    Neurology, 2005, Dec-13, Volume: 65, Issue:11

    Topics: Adiponectin; Adipose Tissue; Adolescent; Adult; Anticonvulsants; Appetite Regulation; Body Weight; B

2005
Characterization of insulin secretion in Valproate-treated patients with epilepsy.
    Epilepsia, 2006, Volume: 47, Issue:9

    Topics: Adult; Anticonvulsants; Blood Glucose; C-Peptide; Epilepsy; Fasting; Female; Humans; Hyperinsulinism

2006
Endocrine effects of valproate in adolescent girls with epilepsy.
    Epilepsia, 2007, Volume: 48, Issue:3

    Topics: Adolescent; Adult; Anticonvulsants; Body Height; Body Mass Index; Child; Comorbidity; Epilepsy; Fema

2007
Weight change in the acute treatment of bipolar I disorder: a naturalistic observational study of psychiatric inpatients.
    Journal of affective disorders, 2008, Volume: 105, Issue:1-3

    Topics: Adult; Antipsychotic Agents; Benzodiazepines; Bipolar Disorder; Body Mass Index; Body Weight; Drug A

2008
Metabolic and hormonal disturbances in women with epilepsy on antiepileptic drug monotherapy.
    Epilepsia, 2007, Volume: 48, Issue:7

    Topics: Adolescent; Adult; Anticonvulsants; Blood Glucose; Body Mass Index; Carbamazepine; Comorbidity; Epil

2007
Increased oxidative stress in epileptic children treated with valproic acid.
    Epilepsy research, 2008, Volume: 78, Issue:2-3

    Topics: Anthropometry; Anticonvulsants; Antioxidants; Blood Chemical Analysis; Blood Glucose; Child; Epileps

2008
Valproate and palmitate binding to serum albumin in valproate-treated patients. Relation to obesity.
    Epilepsy research, 1993, Volume: 16, Issue:1

    Topics: Adult; Body Mass Index; Epilepsy; Fatty Acids, Nonesterified; Female; Humans; Male; Middle Aged; Mod

1993
Obesity and endocrine disorders in women taking valproate for epilepsy.
    Annals of neurology, 1996, Volume: 39, Issue:5

    Topics: Adult; Body Weight; Carbamazepine; Dehydroepiandrosterone; Dehydroepiandrosterone Sulfate; Endocrine

1996
Clearance of phenytoin and valproic acid is affected by a small body weight reduction in an epileptic obese patient: a case study.
    Journal of clinical pharmacy and therapeutics, 1996, Volume: 21, Issue:2

    Topics: Adult; Anticonvulsants; Carbamazepine; Epilepsy; Female; Half-Life; Humans; Metabolic Clearance Rate

1996
More on valproate and polycystic ovaries.
    Journal of the American Academy of Child and Adolescent Psychiatry, 1999, Volume: 38, Issue:4

    Topics: Adolescent; Adult; Anticonvulsants; Epilepsy; Female; Humans; Obesity; Polycystic Ovary Syndrome; Va

1999
Valproate and other anticonvulsants for psychiatric disorders.
    The Medical letter on drugs and therapeutics, 2000, Dec-11, Volume: 42, Issue:1094

    Topics: Abnormalities, Drug-Induced; Acetates; Adult; Amines; Anti-Anxiety Agents; Anticonvulsants; Bipolar

2000
Tolerability of oral loading of divalproex sodium in child psychiatry inpatients.
    Journal of child and adolescent psychopharmacology, 2001,Spring, Volume: 11, Issue:1

    Topics: Antimanic Agents; Body Weight; Child; Child, Preschool; Humans; Inpatients; Male; Obesity; Retrospec

2001
Hormone profiles in young adults with epilepsy treated with sodium valproate or lamotrigine monotherapy.
    Epilepsia, 2001, Volume: 42, Issue:8

    Topics: Adult; Anticonvulsants; Blood Glucose; Body Mass Index; Comorbidity; Dehydroepiandrosterone; Epileps

2001
Altered ovarian function and cardiovascular risk factors in valproate-treated women.
    The American journal of medicine, 2001, Volume: 111, Issue:4

    Topics: Adult; Analysis of Variance; Anticonvulsants; Carbamazepine; Cardiovascular Diseases; Case-Control S

2001
Serum insulin and leptin levels in valproate-associated obesity.
    Epilepsia, 2002, Volume: 43, Issue:5

    Topics: Adult; Body Mass Index; Body Weight; Epilepsy; Female; Humans; Insulin; Insulin Resistance; Leptin;

2002
Valproate and palmitate binding to human serum albumin: an hypothesis on obesity.
    Molecular pharmacology, 1990, Volume: 37, Issue:5

    Topics: Humans; Kinetics; Mathematics; Models, Biological; Obesity; Palmitic Acid; Palmitic Acids; Protein B

1990
Evidence that a GABAergic mechanism influences the development of obesity in obese Zucker rats.
    Pharmacological research communications, 1988, Volume: 20, Issue:12

    Topics: Animals; beta-Endorphin; Body Weight; gamma-Aminobutyric Acid; Insulin; Obesity; Rats; Rats, Zucker;

1988