Pediatric Neurology
Volume 40, Issue 2 , Pages 126-127 , February 2009

The Effect of Constipation on Valproic Acid Dosage in a 17-Year-Old

  • Jennifer E. Madan Cohen, MD

      Affiliations

    • Saul R. Korey Department of Neurology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York
    • Department of Pediatrics, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York
    • Epilepsy Management Center, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York
    • Corresponding Author InformationCommunications should be addressed to: Dr. Madan Cohen; 282 Washington Street; Department of Neurology, 2A; Connecticut Children's Medical Center; Hartford, CT 06106.
  • ,
  • Solomon L. Moshe, MD

      Affiliations

    • Saul R. Korey Department of Neurology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York
    • Department of Pediatrics, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York
    • Epilepsy Management Center, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York
    • Dominick P. Purpura Department of Neuroscience, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York

Received 30 June 2008 ,Accepted 13 October 2008.

References 

  1. Perucca E. Pharmacological and therapeutic properties of valproate: a summary after 35 years of clinical experience. CNS Drugs. 2002;16:695–714
  2. Micromedex Healthcare Series [Internet]. Updated 2006. Greenwood Village, CO: Thomson Micromedex.
  3. Yeomans ND, Vajda FJ, Baldas J. Bioavailability of valproate after gastric and direct intestinal administration in rats. Clin Exp Pharmacol Physiol. 1982;9:173–177
  4. Bourin M, Guenzet J, Thomare P, Kergueris MF, Ortega A, Larousse C. Effects of administration route on valproate pharmacokinetics in the rabbit. Fundam Clin Pharmacol. 1991;5:331–339
  5. Nahata MC, Breech L, Ailabouni A, Murray RD. Absorption of valproic acid from the gastrointestinal tract of the piglet. Eur J Drug Metab Pharmacokinet. 1992;17:129–134
  6. Cato A, Pollack GM, Brouwer KL. Age-dependent intestinal absorption of valproic acid in the rat. Pharm Res. 1995;12:284–290
  7. Chong SK. Gastrointestinal problems in the handicapped child. Curr Opin Pediatr. 2001;13:441–446
  8. Zhao YH, Le J, Abraham MH, et al. Evaluation of human intestinal absorption data and subsequent derivation of a quantitative structure–activity relationship (QSAR) with the Abraham descriptors. J Pharm Sci. 2001;90:749–784
  9. Peterson GM, Naunton M. Valproate: a simple chemical with so much to offer. J Clin Pharm Ther. 2005;30:417–421
  10. DeVane C. Pharmacokinetics, drug interactions, and tolerability of divalproex. Psychopharmacol Bull. 2003;37(Suppl. 2):25–42
  11. AHFS drug information. Bethesda, MD: American Society of Health-System Pharmacists; 2002;2170-7
  12. Royer-Morrot MJ, Zhiri A, Jacob F, Necciari J, Lascombes F, Royer RJ. Influence of food intake on the pharmacokinetics of a sustained release formulation of sodium valproate. Biopharm Drug Dispos. 1993;14:511–518
  13. Depakene [package insert]. North Chicago, IL: Abbott Laboratories; 2000;
  14. Hamilton RA, Garnett WR, Kline BJ, Pellock JM. Effects of food on valproic acid absorption. Am J Hosp Pharm. 1981;38:1490–1493
  15. Staiano A, Del Giudice E. Colonic transit and anorectal manometry in children with severe brain damage. Pediatrics. 1994;94:169–173

PII: S0887-8994(08)00536-5

doi: 10.1016/j.pediatrneurol.2008.10.008

Pediatric Neurology
Volume 40, Issue 2 , Pages 126-127 , February 2009