Serum concentrations of valproic acid in people with epilepsy: Clinical implication

Autor: Angel T. Alvarado, Juan Cotuá, Maryori Delgado, Alexis Morales, Ana María Muñoz, César Li Amenero, María R. Bendezú, Jorge A. García, Doris Laos-Anchante, Felipe Surco-Laos, Berta Loja, Mario Bolarte-Arteaga, Mario Pineda-Pérez
Jazyk: English<br />Spanish; Castilian
Rok vydání: 2022
Předmět:
Zdroj: Journal of Pharmacy & Pharmacognosy Research, Vol 10, Iss 6, Pp 1117-1125 (2022)
Druh dokumentu: article
ISSN: 0719-4250
DOI: 10.56499/jppres22.1500_10.6.1117
Popis: Context: Therapeutic drug monitoring (TDM) allows personalizing the dose of valproic acid in patients with epilepsy to optimize drug therapy, minimize adverse effects and detect interactions. Aims: To determine valproic acid concentrations in serum samples from people with epilepsy and to analyze its clinical implications. Methods: Cloned donor enzyme immunoassay; descriptive, cross-sectional, non-randomized, convenience recruitment study of 57 voluntary patients with epilepsy (n = 39 male, 68.42%; n = 18 female, 31.58%) aged between 19 and 62 years. After three months of treatment with valproic acid, a single blood sample was collected from each volunteer at a minimal concentration. Results: Serum drug concentrations 51.30-100.10 mg/L (SD 5.94) and level/dose 2.17-5.31 (SD 1.14) were observed. Association was shown between the dose ratio/dose of valproic acid (R2 = 0.8693; p α = 0.05). Conclusions: Serum valproic acid concentrations are within the therapeutic range, and there is a significant inverse linear correlation between dose ratio/dose, which must be considered to personalize the dose and optimize the pharmacotherapeutic result.
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