Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2014 Jan;30(1):7-9.
doi: 10.4103/0970-9185.125685.

Considerations in perioperative assessment of valproic acid coagulopathy

Affiliations
Review

Considerations in perioperative assessment of valproic acid coagulopathy

Claude Abdallah. J Anaesthesiol Clin Pharmacol. 2014 Jan.

Abstract

Valproic acid (VPA) is one of the widely prescribed antiepileptic drugs in children with multiple indications. VPA-induced coagulopathy may occur and constitute a pharmacological and practical challenge affecting pre-operative evaluation and management of patients receiving VPA therapy. This review summarizes the different studies documenting the incidence, severity and available recommendations related to this adverse effect.

Keywords: Adverse effects; anesthesia; coagulation disorders; perioperative care; valproic acid.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Similar articles

Cited by

References

    1. Bourgeois BF. Valproic acid: Clinical use. In: Levy RH, Mattson RH, Meldrum BS, editors. Antiepileptic Drugs. 4th ed. New York: Raven Press; 1995. pp. 633–9.
    1. Battino D, Estienne M, Avanzini G. Clinical pharmacokinetics of antiepileptic drugs in paediatric patients. Part I: Phenobarbital, primidone, valproic acid, ethosuximide and mesuximide. Clin Pharmacokinet. 1995;29:257–86. - PubMed
    1. Gerstner T, Teich M, Bell N, Longin E, Dempfle CE, Brand J, et al. Valproate-associated coagulopathies are frequent and variable in children. Epilepsia. 2006;47:1136–43. - PubMed
    1. Serdaroglu G, Tütüncüoglu S, Kavakli K, Tekgül H. Coagulation abnormalities and acquired von Willebrand's disease type 1 in children receiving valproic acid. J Child Neurol. 2002;17:41–3. - PubMed
    1. Raghuveer TS, Srinivasa R, Chandrasekhara MK. Valproate induced bleeding. Indian Pediatr. 1989;26:596–7. - PubMed