Valproic Acid

Metabolism/Excretion
Extensive hepatic, minimal renal, no adjustment needed for IHD, unbound Cl reduced 27%, IHD reduces concentration by 20%
Plasma Protein Binding %
 
80-90
 
Dose For Normal Renal Function
20-60 mg/kg/day q8-12h; if IV, use q6h
Adjustment For Renal Function Gfr, Ml/Min/1.73M2 30-50
100%
Adjustment For Renal Function Gfr, Ml/Min/1.73M2 10-29
100%
Adjustment For Renal Function Gfr, Ml/Min/1.73M2 <10
100%
Supplement For Dialysis [Recommendation Level]: Ihd
IHD: 100%
Supplement For Dialysis [Recommendation Level]: Pd
PD: 100%
Supplement For Dialysis [Recommendation Level]: Crrt
CRRT: 100%, [B]