Valproic acid toxicokinetics: Serial hemodialysis and hemoperfusion

Autor: Franssen, EJF, van Essen, GG, Portman, AT, Go, G, Stegeman, CA, Uges, DRA
Přispěvatelé: Faculteit Medische Wetenschappen/UMCG, Groningen Research Institute of Pharmacy, Groningen Kidney Center (GKC), Translational Immunology Groningen (TRIGR)
Jazyk: angličtina
Rok vydání: 1999
Předmět:
Zdroj: Therapeutic Drug Monitoring, 21(3), 289-292. LIPPINCOTT WILLIAMS & WILKINS
ISSN: 0163-4356
Popis: The toxicity and pharmacokinetic properties of a drug determine whether hemodialysis and/or hemoperfusion are indicated in acute intoxications. Valproic acid is considered unremovable by hemodialysis because of the high protein binding of 90%-95%. A 27-year-old male with a history of seizures was admitted to the emergency room because of coma, hypernatriemia, and respiratory failure caused by an intoxication with a large dose of valproic acid. At admission; the plasma valproic acid level was 1414 mg/L (9.9 mmol/L) (therapeutic range: 50-100 mg/L (350-700 umol/L). The anion gap was 26 mmol/L (normal
Databáze: OpenAIRE