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Valproic acid-induced hyperammonemic encephalopathy in a full-term neonate: a brief review and case report

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F17%3A10362300" target="_blank" >RIV/00216208:11110/17:10362300 - isvavai.cz</a>

  • Alternative codes found

    RIV/00064165:_____/17:10362300

  • Result on the web

    <a href="http://dx.doi.org/10.1007/s00228-017-2208-4" target="_blank" >http://dx.doi.org/10.1007/s00228-017-2208-4</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1007/s00228-017-2208-4" target="_blank" >10.1007/s00228-017-2208-4</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Valproic acid-induced hyperammonemic encephalopathy in a full-term neonate: a brief review and case report

  • Original language description

    Valproic acid (2-propylvaleric dipropyl acetic acid, VPA), the free acid form of sodium valproate, is used as a third-line drug in the management of neonatal seizures. VPA dosing in neonates, and pharmacokinetics (PK) of VPA and other anticonvulsive drugs (AEDs) are reported in a systematic review based on 19 PK studies (7 AEDs). However, prospective randomized control studies are not performed. Therapeutic plasma concentrations of VPA (CplVPA) range from 50 to 100 mg/L (347-750 μmol/L), 5-18% correspond with a free VPA fraction. Toxic CplVPA and/or VPA-metabolites may lead to VPA-induced hyperammonemic encephalopathy and VPA-induced hepatotoxicity mainly in young infants. There are several mechanisms of VPA-induced hyperammonemia, but no data are available in neonates. However, in 50% of neonates, VPA-induced hyperammonemia results in discontinuation of therapy.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30104 - Pharmacology and pharmacy

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2017

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    European Journal of Clinical Pharmacology

  • ISSN

    0031-6970

  • e-ISSN

  • Volume of the periodical

    73

  • Issue of the periodical within the volume

    5

  • Country of publishing house

    DE - GERMANY

  • Number of pages

    3

  • Pages from-to

    647-649

  • UT code for WoS article

    000399175100017

  • EID of the result in the Scopus database

    2-s2.0-85011662556