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Thanacoody, H.K.

Chronic valproic acid intoxication: reversal by naloxone.

A 76-year-old woman being treated with sodium valproate for bipolar depression presented with a 4-day history of acute confusion and tremulousness. She had apnoeic episodes, a reduced conscious level and generalised myoclonic movements. Her plasma valproate concentration was 848 μmol/litre (normal range 300-600 μmol/litre). Administration of naloxone 0.8 mg led to rapid clinical improvement. Naloxone may be useful in reversing the features of chronic valproate toxicity.[1]

References

Chronic valproic acid intoxication: reversal by naloxone. Thanacoody, H.K. BMJ. Case. Rep (2009) [Pubmed]

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