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    Valproic Acid Solution

    precautions

    What should I know regarding pregnancy, nursing and administering Valproic Acid Solution to children or the elderly?

    If you are:

    Pregnant:

    Not Recommended: INCR RISK OF NEURAL TUBE DEFECTS AND LOWER IQ, CONSIDER MATERNAL TX BENEFIT

    Nursing:

    Precaution: LIMITED DATA SUGGEST MINIMAL AMNT EXCRETED;MONITOR INFANT FOR ADVERSE EFFECTS

    An adult over 60:

    management or monitoring precaution: Hepatic-Elderly may have slower metabolism and protein binding which requires dosage reduction. Monitor closely. Neuro/Psych-Use caution in elderly with a history of recurrent falls. Drug may produce somnolence, ataxia, impaired psychomotor function, syncope, and additional falls. Monitor fluid and nutritional intake and avoid dehydration. Musculoskeletal-Postmarketing reports of fractures, decreased bone mineral density, osteopenia, osteoporosis.

    Giving valproic acid Solution to a child under 12:

    management or monitoring precaution: Fatal hepatotoxicity risk in young children with mitochondrial disease associated with POLG gene mutation and on multiple anticonvulsants. Monitor closely for liver impairment including non-specific symptoms (e.g., lethargy, facial edema,vomiting. Rare risk of severe pancreatitis.

    Severe Precaution: Risk of serious or fatal hepatotoxicity in age <2 years especially with multiple anticonvulsants, and mitochondrial disease associated with POLG gene mutation. Use as single agent and monitor closely for liver impairment, including non-specific symptoms (e.g., lethargy, facial edema,vomiting).

    Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

    CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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